Skip to main content
Top
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 2/2022

12-08-2020 | Pulmonary-Function Tests | Original Article

To Assess the Effect of Septoplasty on Pulmonary Function Tests: A Prospective Study

Authors: Anshul Singh, Lakshmi Narayan Garg, Gurchand Singh, Anukrati Singh, Anisha Puri

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Special Issue 2/2022

Login to get access

Abstract

To assess the effect of septoplasty on pulmonary function test (PFT). 50 cases were chosen between the age group 18–50. All cases had nasal obstruction due to nasal septum deviation. Demographic data, detailed clinical examination including anterior and posterior rhinoscopy was performed. PFT values (fvc, fev1, fev1/fvc, fef25%, fef50%, fef75%, fif25%, fif50%, fif75%) were taken pre operatively and 1 month after the surgery by using Helios 401 spirometer. All the data were recorded and spss version 20.0 was used to analyse the data. Among 50 patient, most of the patients were males 78% (n = 39) and the rest were females (n = 11) 22%. The patient were in between 18 and 50 age group. The maximum patient belonged to age group 18–27 years (n = 25) 50% of the total patients. 38% (n = 19) were in the age group of 27–37 years. 12% (n = 6) of the patients were in age group of 37–50. Nasal obstruction was present in all patients (n = 50) followed by sneezing (56%), nasal discharge (42%), and headache (26%). Maximum number of patient had deviation of septum to the left (n = 28) 56% and the rest had to the right (n = 22) 44%. After the surgery there was improvement in PFT values in all types of patient with DNS, but statistical significance was seen in type II in fef25% and fif75% values (p < 0.05). In rest of the patients there was no statistical significant improvement seen. A favorable outcome was seen in PFT values after Septoplasty, thus signifying the effect of deviated nasal septum on lower airway.
Literature
1.
go back to reference Neskey D, Eloy JA, Casiano RR (2009) Nasal, septal, and turbinate anatomy and embryology. Otolaryngol Clin North Am 42(2):193–205CrossRefPubMed Neskey D, Eloy JA, Casiano RR (2009) Nasal, septal, and turbinate anatomy and embryology. Otolaryngol Clin North Am 42(2):193–205CrossRefPubMed
2.
go back to reference Panicker VB, Belaldavar BP (2018) Effectiveness of septoplasty on pulmonary function tests in symptomatic deviated nasal septum cases: a prospective study. Int J Otorhinolaryngol Head Neck Surg 4:800–807CrossRef Panicker VB, Belaldavar BP (2018) Effectiveness of septoplasty on pulmonary function tests in symptomatic deviated nasal septum cases: a prospective study. Int J Otorhinolaryngol Head Neck Surg 4:800–807CrossRef
3.
go back to reference Gray LP (1978) Deviated nasal septum incidence and etiology. Ann Otol Rhinol Laryngol 87(3 suppl 2):3–20CrossRef Gray LP (1978) Deviated nasal septum incidence and etiology. Ann Otol Rhinol Laryngol 87(3 suppl 2):3–20CrossRef
4.
go back to reference De Oliveira AKP, Elias E, Bettega SG, Mocellin M (2005) Prevalence of deviated nasal septum in Curitiba, Brazil. Int Arch Otorhinolaryngol 9(4):288–292 De Oliveira AKP, Elias E, Bettega SG, Mocellin M (2005) Prevalence of deviated nasal septum in Curitiba, Brazil. Int Arch Otorhinolaryngol 9(4):288–292
5.
go back to reference Soboczyński A, Skuratowicz A, Grzegorowski M (1992) Nasal septum deviation in newborns. Actaoto-rhino-laryngologica Belgica 46(3):263–265 Soboczyński A, Skuratowicz A, Grzegorowski M (1992) Nasal septum deviation in newborns. Actaoto-rhino-laryngologica Belgica 46(3):263–265
6.
go back to reference Podoshin L, Gertner R, Fradis M, Berger A (1991) Incidence and treatment of deviation of nasal septum in newborns. Ear Nose Throat J 70(8):485–487PubMed Podoshin L, Gertner R, Fradis M, Berger A (1991) Incidence and treatment of deviation of nasal septum in newborns. Ear Nose Throat J 70(8):485–487PubMed
7.
go back to reference Amer S, Abdullah D, Ammar M (2010) Assessment of nasal septal deformities by anterior rhinoscopy and nasal endoscopy. Tikrit Med J 16(1):14–20 Amer S, Abdullah D, Ammar M (2010) Assessment of nasal septal deformities by anterior rhinoscopy and nasal endoscopy. Tikrit Med J 16(1):14–20
8.
go back to reference Rao JJ, Kumar ECV, Babu KR, Chowdary VS, Singh J, Rangamani SVS (2005) Classification of nasal septal deviations—relation to sinonasal pathology. Indian J Otolaryngolol Head Neck Surg 57(3):199–201CrossRef Rao JJ, Kumar ECV, Babu KR, Chowdary VS, Singh J, Rangamani SVS (2005) Classification of nasal septal deviations—relation to sinonasal pathology. Indian J Otolaryngolol Head Neck Surg 57(3):199–201CrossRef
9.
go back to reference Mahmood K, Fareed T, Tabassum R (2011) Management of deviated nasal septum. J Pharm Sci Res 3(1):918–922 Mahmood K, Fareed T, Tabassum R (2011) Management of deviated nasal septum. J Pharm Sci Res 3(1):918–922
10.
go back to reference Teklal P, Prakash T (2014) Comparative study between submucous resection and septoplasty to manage deviated nasal septum. Int J Recent Trends Sci Technol 9(3):318–320 Teklal P, Prakash T (2014) Comparative study between submucous resection and septoplasty to manage deviated nasal septum. Int J Recent Trends Sci Technol 9(3):318–320
11.
go back to reference Stallman JS, Lobo JN, Som PM (2004) The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. Am J Neuroradiol 25(9):1613–1618PubMedPubMedCentral Stallman JS, Lobo JN, Som PM (2004) The incidence of concha bullosa and its relationship to nasal septal deviation and paranasal sinus disease. Am J Neuroradiol 25(9):1613–1618PubMedPubMedCentral
12.
go back to reference Bist S (2013) Correlation study between nasal septal deviation and rhinosinusitis. Indian J. Otolaryngolol Head Neck Surg 65(4):363–366CrossRef Bist S (2013) Correlation study between nasal septal deviation and rhinosinusitis. Indian J. Otolaryngolol Head Neck Surg 65(4):363–366CrossRef
13.
go back to reference Daghistani KJ (2002) Nasal septal deviation in Saudi patients: a hospital based study. J King Abdulazia Univ Med Sci. 10:39–46 Daghistani KJ (2002) Nasal septal deviation in Saudi patients: a hospital based study. J King Abdulazia Univ Med Sci. 10:39–46
15.
go back to reference Bulcun E, Kazkayasi M, Ekici MA, Tahran FD, Ekici M (2010) Effects of septoplasty on pulmonary function tests in patients with nasal septal deviation. J Otolaryngol Head Neck Surg 39(2):196–202PubMed Bulcun E, Kazkayasi M, Ekici MA, Tahran FD, Ekici M (2010) Effects of septoplasty on pulmonary function tests in patients with nasal septal deviation. J Otolaryngol Head Neck Surg 39(2):196–202PubMed
Metadata
Title
To Assess the Effect of Septoplasty on Pulmonary Function Tests: A Prospective Study
Authors
Anshul Singh
Lakshmi Narayan Garg
Gurchand Singh
Anukrati Singh
Anisha Puri
Publication date
12-08-2020
Publisher
Springer India
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue Special Issue 2/2022
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-020-02041-2

Other articles of this Special Issue 2/2022

Indian Journal of Otolaryngology and Head & Neck Surgery 2/2022 Go to the issue