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Evaluation of Septal surgery effects on pulmonary function tests


Hossam Elsherif,1 Hani Hussein Moussa,2 Sanad S Elkholy,3 Saad Elzayat4
1Assistant Professor of Otolaryngology, Faculty of Medicine, Tanta University, Egypt, 2Lecturer of Chest Diseases, Faculty of Medicine, Kaferelsheikh University, Egypt, 3Lecturer of Physiology, Faculty of Medicine, Kaferelsheikh University, Egypt, 4Assistant Professor of Otolaryngology, Faculty of Medicine, Kaferelsheikh University, Egypt​
 

Background: Nasal obstruction due to deviated nasal septum is a common condition, affecting respiration and daily activity. Septal surgeries, including septoplasty and submucosal resection (SMR), are safe and effective operations treating the nasal obstruction and nasal resistance induced by significant nasal septal deviation.
Patients and Methods: Sixty patients were included in this study to determine the effect of the septal surgeries on pulmonary functions and daily activity, objectively by using spirometry and 6-minutes walking test before and after the operation.
Results: FVC, FEV1, and FEV1/FVC significantly improved after the operation. VAS score, fatigue Score, and dyspnea score much improved post-operatively.
Conclusions: Septal surgeries are profitable operations in the management of nasal obstruction caused by severe symptomatic septal deviation, resulting in improvement of the pulmonary function tests and daily activity after the operation without marked complications.
Keywords: Septoplasty, SMR, Pulmonary functions, Nasal obstruction, 6 Minutes walk test.


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