Effect of Septoplasty on Cardiopulmonary Functions in the Patients With Nasal Obstruction

• Published in: The Journal of craniofacial surgery Vol. 29; no. 7; p. e706
• Main Authors: Öğreden, Şahin, Tansuker, Hasan Deniz, Cengiz, A Buğra, Tabaru, Alper, Özyilmaz, Cemal, Oğur, Özcan, Katkat, Fahrettin
• Format: Journal Article
• Language: English
• Published: United States 01.10.2018
• Subjects: Adult; Arterial Pressure; Echocardiography; Female; Forced Expiratory Volume; Heart Septum - anatomy & histology; Heart Septum - diagnostic imaging; Heart Ventricles - anatomy & histology; Heart Ventricles - diagnostic imaging; Humans; Male; Nasal Obstruction - physiopathology; Nasal Obstruction - surgery; Nasal Septum - abnormalities; Nasal Septum - surgery; Organ Size; Postoperative Period; Preoperative Period; Rhinoplasty; Visual Analog Scale; Vital Capacity; Young Adult
• ISSN: 1536-3732
• DOI: 10.1097/SCS.0000000000004955

In this study, the authors aimed to investigate whether septoplasty has an effect on cardiopulmonary functions in the patients with nasal obstruction. A total of 53 patients with nasal obstruction due to septum deviation were included in the study. All the patients were performed septoplasty operation. Echocardiography and spirometric analysis were performed to assess cardiopulmonary functions before and after the operation (6 months postoperatively). The same evaluation was done for the degree of nasal obstruction by visual analogue scale. The preoperative and postoperative values were compared with each other. Of the total 53 patients, 44 were males (83%) and 9 were female (17%). The mean age was 31.71 ± 9.46. The preoperative and postoperative mean right ventricular volumes were 2.0736 and 2.0906, respectively. The preoperative and postoperative mean left ventricular volumes were 4.4264 and 4.3528, respectively. The preoperative and postoperative mean cardiac septal thicknesses were 0.9642 and 0.9358, respectively. The mean value of preoperative cardiac posterior wall thicknesses was 0.8849, whereas the postoperative value was measured as 0.8340. The preoperative and postoperative mean pulmonary artery pressures were 27.8302 mmHg and 23.6415, respectively, and this was statistically significant (P < 0.001). The preoperative and postoperative mean forced vital capacities (FVC) were 4.3221 and 4.5564, respectively, and this was statistically significant (P < 0.001). The preoperative and postoperative mean 1st second forced expiratory volumes (FEV1) were 3.6698 and 3.8085, respectively, and this was statistically significant (P < 0.001). The mean value of preoperative FEV1/FVC was 84.9811, whereas postoperative mean value was measured as 83.8019 and this was statistically significant (P < 0.001). In this study, the authors observed that septoplasty has positive effect on cardiopulmonary functions in the patients with nasal obstruction due to nasal septum deviation. The authors also claim that septoplasty may be a preventive procedure for future pathologies of cardiopulmonary functions.