Abstract:Background
Nasal obstruction is a significant medical problem. This study aimed to examine the effect of nasal obstruction and nasal packing on arterial blood gases and pulmonary function indices, and the impact of the elimination of nasal obstruction on preoperative values.
Results
The mean age of the study population was 26.6 ± 10.1 years, males represented 50.8%. Spirometric indices showed statistically significant improvement (preoperative forc… Show more
“…This result is consistent with (36), which says that a partial obstruction of the airways due to inflammatory reaction leads to a lack of lung oxygen filling, and thus the process of gas exchange decreases between outside air and lungs (37)(38) (39). Other researchers (40) found that partial obstruction of the nose leads to hypoxia and disturbances in lung function. On the other hand, the correlation was negative and the correlation coefficient value was (-0.103), (-0.058) respectively with no significant difference between the values.…”
Auscultation of the lung is the first line for the diagnosis of lung lesions. Analysis of the auscultated sounds is promising in the diagnosis confirmation. The aim of this study is to evaluate the use of sound analysis and oximeter for detection of the lung lesions in buffalo calves. The study included 100 calves showing respiratory symptoms and 30 clinically healthy calves serving as a control group which aged between (2-6) months from different areas in Mosul City. A pulse oximeter was used to measure the percentage of oxygen blood saturation, then measuring sound frequencies based on multi-resolution sound wave analysis by using digital program (WavePad). Affected calves showed coughing (100%), lacrimation (88%), nasal discharge (86%) and fever (58%). The sound analysis indicated that the natural sound frequency was (221) Hz, gradually increasing to (390.5) Hz in case of pneumonia. It then became (428) Hz in calves with wheezing sound. Diminished breathing sound had a frequency of 426) Hz synchronous with pauses that lasted (0.4) seconds after each complete inhalation and exhalation cycle. An oximeter reading had a positive correlation with each nasal discharge and eye lacrimation, while it had a negative correlation with both coughing and body temperature. The study concluded that sound wave analysis and oximeter were highly accurate in diagnosing the severity of the lung lesion compared to the detection of the clinical signs.
“…This result is consistent with (36), which says that a partial obstruction of the airways due to inflammatory reaction leads to a lack of lung oxygen filling, and thus the process of gas exchange decreases between outside air and lungs (37)(38) (39). Other researchers (40) found that partial obstruction of the nose leads to hypoxia and disturbances in lung function. On the other hand, the correlation was negative and the correlation coefficient value was (-0.103), (-0.058) respectively with no significant difference between the values.…”
Auscultation of the lung is the first line for the diagnosis of lung lesions. Analysis of the auscultated sounds is promising in the diagnosis confirmation. The aim of this study is to evaluate the use of sound analysis and oximeter for detection of the lung lesions in buffalo calves. The study included 100 calves showing respiratory symptoms and 30 clinically healthy calves serving as a control group which aged between (2-6) months from different areas in Mosul City. A pulse oximeter was used to measure the percentage of oxygen blood saturation, then measuring sound frequencies based on multi-resolution sound wave analysis by using digital program (WavePad). Affected calves showed coughing (100%), lacrimation (88%), nasal discharge (86%) and fever (58%). The sound analysis indicated that the natural sound frequency was (221) Hz, gradually increasing to (390.5) Hz in case of pneumonia. It then became (428) Hz in calves with wheezing sound. Diminished breathing sound had a frequency of 426) Hz synchronous with pauses that lasted (0.4) seconds after each complete inhalation and exhalation cycle. An oximeter reading had a positive correlation with each nasal discharge and eye lacrimation, while it had a negative correlation with both coughing and body temperature. The study concluded that sound wave analysis and oximeter were highly accurate in diagnosing the severity of the lung lesion compared to the detection of the clinical signs.
“…It is essential to consider the systemic consequences that can result from the obstruction of the paranasal sinuses. The existing literature has already described how chronic obstructive diseases can disrupt normal blood oxygenation and consequently impact pulmonary blood pressure [14,17,18]. Specifically, Fidan et al demonstrated that even minor nasal obstruction can affect physiological pulmonary ventilation [14].…”
Background: In recent years, the focus on respiratory disorders has increased, notably on chronic rhinosinusitis (CRS), an inflammatory condition of the upper airway that can significantly impact one’s quality of life. Interestingly, CRS has emerged as a potential comorbidity in erectile dysfunction (ED). This study aims to assess the impact of endoscopic sinus surgery for CRS on sexual function. Materials and Methods: The authors conducted a prospective study of patients who visited their clinics for chronic rhinosinusitis between June 2018 and June 2022. The study involved 53 patients aged between 40 and 70 years who were treated for CRS with nasal polyps (CRSwNP) and CRS without nasal polyps (CRSsNP). Preoperative and postoperative assessments were performed using the Nasal Obstruction Symptoms Evaluation Score (NOSE score) and the 5th International Index of Erectile Function Score (IIEF-5 score) to evaluate potential improvements in sexual function following endoscopic sinus surgery. Results: Before surgery, the average NOSE score was 72.6, which decreased to 24.9 postoperatively. The average preoperative IIEF-5 score was 16.35, while the postoperative average increased to 19.52. Statistical analysis revealed a significant improvement in erectile function for penetration (p-value = 0.024) and overall satisfaction after intercourse (p-value < 0.001) regarding the degree of nasal obstruction. Conclusion: This study underscores the potential benefits of treating chronic obstructive upper airway diseases such as sinusitis in improving the sexual outcomes of patients clinically diagnosed with erectile dysfunction.
“…However, the literature available looking into the effect of blood oxygenation in nasal obstruction patients is a study that showed patients with nasal packing had mild hypoxemia and decreased oxygen saturation. The study showed that elimination of nasal obstruction improved pulmonary functions and oxygenation was significantly improved oneweek postoperative following removal of the nasal pack (Sobh et al, 2021). The intranasal steroid nasal spray (INS) used in this study was mometasone furoate nasal spray (MFNS), which is widely available throughout Malaysia.…”
Allergic rhinitis (AR) is a disease that presents with symptoms like nasal discharge, blockage, and itchiness, which impair the quality of life of most patients depending on its severity. The most common symptom in AR patients is a persistent bilateral nasal blockage, which may indirectly and potentially affect the airflow into the lung. However, the symptoms can be controlled using intranasal steroid spray (INS). This study investigated the role of nasal obstruction in lowering blood oxygenation and how INS improved blood oxygenation. This study included 33 patients with AR. Subjects with moderate-to-severe nasal obstruction were recruited based on the Visual Analogue Scale (VAS), and mometasone furoate nasal spray (MFNS) – two puffs twice a day for two weeks was given. Pre- and post-medication parameters compared included nasal obstruction VAS, partial oxygen arterial pressure (PaO2), partial arterial carbon dioxide pressure (PaCO2), and oxygen saturation (O2 saturation). All parameters were substantially different between pre- and post-medication. VAS, PaO2, PaCO2, and O2 saturation were significantly different before and after medicine (p<0.01). A comprehensive treatment of nasal obstruction using MFNS helps improve blood oxygenation and nasal obstruction in AR patients.
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