The effect of functional endoscopic sinus surgery on right ventricular function in patients with nasal polyps

Abstract

Objectives: This study aims to evaluate the right ventricular functions before and after functional endoscopic sinus surgery (FESS) in patients with nasal polyps (NPs). Patients and Methods:A total of 56 patients (36 males, 20 females; mean age 30±10 years; range 19 to 40 years) with grade II and III NP were included in the study between March 2015 and January 2016. The conventional echocardiographic parameters, pulmonary artery systolic pressure (PASP), tricuspid annular plane systolic excursion (TAPSE), right ventricular fractional change area (RVFAC), and peripheral oxygen saturation with a pulse oximeter were measured in all patients before and one month after surgery. Results:The PASP statistically significantly decreased during the postoperative period (p=0.003). Right ventricular fractional change area and TAPSE, which are right ventricular systolic parameters, improved significantly after FESS (p=0.005 and p=0.009, respectively). Peripheral oxygen saturation increased from 94.0±0.9 to 94.7±0.8 during the postoperative period (p=0.005). Bulgular: Ameliyat sonrası dönemde PASP istatistiksel olarak anlamlı düzeyde azaldı (p=0.003). Sağ ventrikül sistolik parametrelerinden RVFAC ve TAPSE değerleri, FESS sonrası anlamlı düzeyde iyileşme gösterdi (sırasıyla p=0.005 ve p=0.009). Periferik oksijen satürasyonu, ameliyat sonrası dönemde 94.0±0.9'ten, 94.7±0.8'e yükseldi (p=0.005). ConclusionSonuç: Çalışma sonuçlarımız NP'li erişkin hastalarda üst solunum yolu tıkanıklığının tedavisinin sağ ventrikül sistolik fonksiyonları iyileştirebileceğini ve PASP değerinde önemli bir azalma sağlayabileceğini göstermektedir.Anahtar Sözcükler: Fonksiyonel endoskopik sinüs cerrahisi; nazal polip; sağ ventriküler fonksiyon.