Improvement of Pulmonary Functions Following Septoplasty: How Are Lower Airways Affected?

Tüzüner, Arzu; Bilgin, Gülden; Demirci, Sule; Yüce, Gülbahar Darılmaz; Açikgöz, Cemile; Samim, Ethem Erdal

doi:10.21053/ceo.2016.9.1.51

Cited by 11 publications

(19 citation statements)

References 23 publications

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“…3 Tzuner et al studied PFT differences after septoplasty in 30 patients, PEF values changed statistically significantly 1 month after septoplasty (p<0.001). 4 In accordance to all above studies, in our study as well, the spirometry parameters showed improved significantly. P value was 0.001.…”

Section: Discussionsupporting

confidence: 91%

Pulmonary function improvement following septoplasty

Arivazhagan

Srinivasa

Rafeeque

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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Obstructive disorders -FVC normal or↓, FEV1 ↓, FEF25-75% ↓, FEV1/FVC ↓, TLC normal or ↑.Restrictive disorders -FVC ↓, FEV1 ↓, FEF 25-75% normal to ↓, FEV1/FVC N↑, TLC ↓. ABSTRACTBackground: Nasal septal deviation is a frequent cause of increased nasal airway resistance. A narrow nasal airway would result in a decreased airflow into the lungs. The aim of the present study was to evaluate the alterations of the pulmonary functions prior to and following septoplasty using spirometry. Methods: Thirty patients with obvious nasal septal deviations were enrolled in the study. All patients had a detailed otorhinolaryngologic examination, and were performed spirometry, prior to and one month after septoplasty surgery, and the results were compared. Results: Septoplasty improves the nasal breathing pattern. While reducing FEF 50% (maximum expiratory flow at 50% of FVC)/FIF 50% , it increases PEF and FIF 50% values. In addition, exercise capacity improves following surgery. Postoperative scores showed reduction markedly compared to preoperative values (p<0.001). Conclusions: Nasal septal surgery has a positive effect on pulmonary functions.

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Section: Discussionsupporting

confidence: 91%

Pulmonary function improvement following septoplasty

Arivazhagan

Srinivasa

Rafeeque

et al. 2019

Int J Otorhinolaryngol Head Neck Surg

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“…In a study conducted by Tuzuner et. al 3 , the mean age of 30 patients in their study was 33.4±10.9 years. The mean age of patients in a study by Karuthedath et.…”

Section: Discussionmentioning

confidence: 77%

Effect of Chronic Nasal Obstruction on Pulmonary Function

Saxena¹,

Srivastava²,

Chander³

et al. 2020

IJCMR

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Introduction: Upper and lower respiratory diseases are closely related which has been well documented in literature. Even though a relationship between upper and lower airway disease has been described, altered pulmonary function in patients with upper airway diseases is still not fully understood. The present study was conducted to assess the effect of chronic nasal obstruction on pulmonary function and to compare the pulmonary function in same patients after surgical relief of nasal obstruction.

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“…Karaman et al [ 18 ] observed significant improvement in all spirometry parameters following septoplasty except for forced expiratory volume. Extrathoracic influence of nasal surgeries on lung function was studied by Tuzuner et al [ 19 ] and they observed spirometry and 6mWt improved significantly following surgery.…”

Section: Discussionmentioning

confidence: 99%

Can Upper Airway Surgeries Improve Lower Airway Function ? A Prospective Study

Arifa

Nayana

Irfan

2021

Indian J Otolaryngol Head Neck Surg

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Deviated nasal septum and turbinate hypertrophy are the most common causes for nasal obstruction, which compromise nasal airflow and increases airway resistance. These conditions can further reduce the airflow to lung, which will affect the lung volume and function subsequently reduces the exercise tolerance. The present study aimed to evaluate the impact of upper airway surgeries like septoplasty and turbinoplasty on lower airway functions using simple tests like spirometry and 6 min walking test (6mWt). This research was a prospective study. There were 88 subjects in the study who completed follow up. Spirometry and 6mWt was performed 1 day before and 1 month after surgery in all subjects. Mean preoperative and postoperative values of spirometry (forced vital capacity (FVC),forced expiratory volume in 1 s (FEV1), forced expiratory volume in 1 s/ forced vital capacity (FEV1/FVC), peak expiratory flow rate (PEFR) and 6mWt (systolic blood pressure, diastolic blood pressure, heart rate and oxygen saturation) parameters were compared and analyzed. Percentage of improvement of each parameter was compared with the type of surgery, side of obstruction, age of the patient and duration of symptom. Spirometry showed statistically significant improvement in all 4 parameters after surgery in 86 subjects. 6mWt showed statistically significant improvement in SBP and SpO2 and there was no significant improvement in DBP and HR. We also observed that improvement in parameters was irrespective of age and duration of symptoms. So this study concludes that airway narrowing nasal diseases can compromise lower airway function.

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Improvement of Pulmonary Functions Following Septoplasty: How Are Lower Airways Affected?

Cited by 11 publications

References 23 publications

Pulmonary function improvement following septoplasty

Pulmonary function improvement following septoplasty

Effect of Chronic Nasal Obstruction on Pulmonary Function

Can Upper Airway Surgeries Improve Lower Airway Function ? A Prospective Study

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