Arjun Saini and Brajpal Singh Tyagi*

Junior Consultant, Professor, Harsh ENT Hospital, RDC, Ghaziabad, India

*Corresponding Author: Brajpal Singh Tyagi, Junior Consultant, Professor, Harsh ENT Hospital, RDC, Ghaziabad, India.

Received: April 07, 2023; Published: August 10, 2023

Abstract

Background: Deviation of septum leads to dysfunction of the respiratory system and this affects the functions and vitality of other related systems. Pulmonary function tests give valuable information on the state of airways, lung volumes and lung functions.

Aims: To evaluate the effectiveness of nasal septal correction on pulmonary function tests in symptomatic deviated nasal septum cases.

Methods and Material: A total of 50 patients with deviated nasal septum were involved in the study. Demographic data, clinical and physical examination including anterior rhinoscopy and diagnostic nasal endoscopy was performed. Diagnostic nasal endoscopy employed to study nasal septal deformity in particular and other structures of nasal cavity in general. Also, Cottle’s line was used to classify deviations as anterior or posterior and to note deviation in particular Cottle’s area. RMS Helios 401 spirometer was used to perform pulmonary function tests. Forced vital capacity (FVC), forced expiratory volume (FEV₁) in 1 second, peak expiratory flow rate (PEFR), and the ratio of FEV₁ to FVC (FEV₁/FVC) were the parameters measured.

Statistical Analysis: SPSS V. 24.

Results: The deviation was most commonly seen on the left side (52%), affecting mostly the cartilaginous septum (52%). After septoplasty, the post-operative values of FVC, FEV₁, peak expiratory flow rate and FEV₁/FVC were higher than the preoperative values and the results were statistically significant. Barring some age groups, especially elderly age group, marked improvement in FVC, FEV₁ and FEV₁/FVC was observed. There was more improvement in FVC, FEV₁, and FEV₁/FVC following correction of posterior deviation while improvement in PEFR is more following correction of anterior deviation.

Conclusions: Correction of deviated nasal septum leads to a favorable outcome on nasal obstruction as well as pulmonary function. This has been corroborated and endorsed by the improvement in the mean values of various PFT parameters analyzed in this study. Pathophysiological processes that affect one component of this integrated system often concurrently impact other portions of the airway and by virtue of this isolated disease in one area has potential to infringe on the other areas also.

 Keywords: Deviated Nasal Septum; Pulmonary Function Tests; Septoplasty

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Citation

Citation: Arjun Saini and Brajpal Singh Tyagi. “Evaluation of Pre and Post-Operative Pulmonary Function Tests in Patients with Nasal Septal Deformity".Acta Scientific Otolaryngology 5.9 (2023): 13-21.

Copyright

Copyright: © 2023 Arjun Saini and Brajpal Singh Tyagi. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.