Does septoplasty affect 24-h ambulatory blood pressure measurements in patients with type 2 and 3 pure nasal septal deviation?

• Published in: European archives of oto-rhino-laryngology Vol. 278; no. 2; pp. 389 - 395
• Main Authors: Avcı, Deniz, Güler, Sabri, Hartoka Sevinç, Ayşegül
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2021
• Subjects: Adolescent; Adult; Blood Pressure; Blood Pressure Monitoring, Ambulatory; Head and Neck Surgery; Humans; Medicine; Medicine & Public Health; Nasal Obstruction - diagnosis; Nasal Obstruction - etiology; Nasal Obstruction - surgery; Nasal Septum - surgery; Neurosurgery; Otorhinolaryngology; Prospective Studies; Rhinology; Treatment Outcome; Young Adult; Ambulatory blood pressure; Systolic blood pressure; Pulse pressure; Nasal septum deviation; Septoplasty
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-020-06288-x

Purpose To investigate day, night and 24 h all blood pressure effects of septoplasty by comparing pre- and post-operative 24-h ambulatory blood pressure monitoring (ABPM) values of NSD patients undergoing septoplasty. Materials and methods The prospective study included 20 patients with type 2 and 3 pure NSD (mean age, 23.60 ± 6.51) who underwent septoplasty in our clinic. Nasal obstruction symptom evaluation (NOSE) questionnaire was applied to each participant both pre- and post-operatively to evaluate their views on the severity of NSD and the effectiveness of surgical outcomes. A comprehensive ABPM examination was performed both 2 days before surgery and at three months postoperatively for each patient and the findings were compared among patients. Results Preoperative NOSE score was 87.75 ± 7.34% and the postoperative score was 12.50 ± 6.58% ( p  = 0.000). Following septoplasty, 24-h systolic blood pressure (24SBP) declined from 119.4 ± 9.9 mmHg to 112.2 ± 8.0 mmHg ( p  = 0.000), daytime SBP (DSBP) declined from 125.9 ± 11.0 mmHg to 117.9 ± 8.4 mmHg ( p  = 0.000), nighttime SBP (NSBP) declined from 112.7 ± 9.5 mmHg to 105.5 ± 7.9 mmHg ( p  = 0.000), 24-h pulse pressure (24PP) declined from 46.7 ± 10.1 mmHg to 44.0 ± 8.4 mmHg ( p  = 0.015), and mean daytime PP (DPP) declined from 46.9 ± 9.7 mmHg to 44.6 ± 8.6 mmHg ( p  = 0.026). Conclusion The decline in NOSE percentages following septoplasty demonstrated that the satisfaction levels of the patients were increased. Upper airway obstruction secondary to NSD may affect ABPM measurements. Moreover, the significant decrease in the 24SBP, DSBP, NSBP, 24PP and DPP following septoplasty showed that NSD may cause cardiovascular risk and this risk may be prevented by septoplasty.