Pulmonary function improvement following septoplasty

Abstract

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.

The Effects of Nasal Surgery on Pulmonary Function: A Systematic Review and Meta‐Analysis

“…In total, there were 351 males and 180 females. Patient sex was not reported for the 30 participants in the study by Arivazhagan et al 29 …”

“…Geographically, most of the studies were from Turkey (6/13, 46%) and India (5/13, 38%), with the remaining two from Egypt (2/13, 15%) (Table I). The majority of included studies (9/13, 69%) were from journals indexed in reputable databases (PubMed, EMBASE, SCOPUS, Web of Science), 2,26,28,30,32–34,37 the remaining (4/13, 31%) were found in Google Scholar 27,29,31,35,36 …”

“…In total, there were 351 males and 180 females. Patient sex was not reported for the 30 participants in the study by Arivazhagan et al 29 Follow-up times ranged from 1 to 6 months post-operation. In general, the study-specific inclusion criteria were more similar than the exclusion criteria, with some studies excluding combination nasal surgeries and others including patients undergoing concurrent inferior turbinate reduction.…”

“…Characteristics and outcome summaries of the 13 studies are presented in Table I. 2,[26][27][28][29][30][31][32][33][34][35][36][37] The included studies were published between 2010 and 2021. Geographically, most of the studies were from Turkey (6/13, 46%) and India (5/13, 38%), with the remaining two from Egypt (2/13, 15%) (Table I).…”

“…The majority of included studies (9/13, 69%) were from journals indexed in reputable databases (PubMed, EMBASE, SCOPUS, Web of Science), 2,26,28,30,[32][33][34]37 the remaining (4/13, 31%) were found in Google Scholar. 27,29,31,35,36 All included articles followed an interventional pre-poststudy design. The number of participants included in the studies ranged from 14 to 90.…”