ABSTRACT
Introduction: Upper and lower respiratory diseases are closelyrelated which has been well documented in literature. Eventhough a relationship between upper and lower airway diseasehas been described, altered pulmonary function in patientswith upper airway diseases is still not fully understood. Thepresent study was conducted to assess the effect of chronicnasal obstruction on pulmonary function and to compare thepulmonary function in same patients after surgical relief ofnasal obstruction.Material and methods: The present study was carried outin the Department of ENT and Head and Neck Surgery andDepartment of Respiratory Medicine, Rohilkhand MedicalCollege and Hospital, Bareilly between November 2017to October 2018. 56 patients with chronic nasal obstructiondue to either deviated nasal septum or chronic rhinosinusitiswith or without nasal polyp underwent pulmonary functiontesting pre and post-operatively at 6 weeks and results werecompared.Results: The most common age group affected was less thanthirty years accounting for more than 50%. Mean age of totalsample size was 24.2 ± 6.98 years. Thirty three (58.9%) patientswere males while 23(41.07%) patients were females. Out of56 subjects, 34(60.71%) patients underwent septoplasty, while22(39.28%) patients underwent functional endoscopic sinussurgery. Clinically and statistically significant improvement inFEV1 and FVC was observed irrespective of age, gender orduration of obstruction.Conclusion: Patients with bilateral nasal obstruction hadworse pulmonary function initially and more significantimprovement after surgery, suggesting an association ofbilateral obstruction with bad prognosis.
ABSTRACT
O presente trabalho refere-se ao estudo dos resultados clínicos e histológicos obtidos após a turbinectomia inferior parcial (TIP), cirurgia indicada no tratamento da obstrução nasal crônica causada pela hipertrofia das conchas nasais inferiores. MATERIAL E MÉTODOS: Foram estudados vinte pacientes, divididos em dois grupos de dez cada (grupos A e B), submetidos à TIP, associada à septoplastia ou não. Os pacientes foram reavaliados clinicamente e histologicamente (com biópsia das áreas regeneradas das conchas inferiores), em dois períodos pós-operatórios diferentes: um grupo após oito a doze meses (grupo A) e outro após dois anos de TIP (grupo B). RESULTADOS: Os resultados clínicos mostraram-se satisfatórios para o alívio da obstrução nasal no grupo A, e insatisfatórios no grupo B. Entretanto, melhores resultados histológicos, com maior recuperação e diferenciação epitelial da mucosa regenerada das conchas inferiores após a TIP foram observados no grupo B, com sua ultraestrutura ciliar normal. CONCLUSÕES: A cirurgia revelou ser eficaz a curto, mas não em médio prazo, apesar da recuperação histológica ter sido importante.
We report clinical and histological results obtained after partial inferior turbinectomy (PIT), surgery indicated for the treatment of chronic nasal obstruction. METHODS: Twenty patients were divided into two groups submitted to PIT plus septoplasty and PIT alone. The patients were reassessed clinically and histologically by means of a biopsy of the regenerated areas in the inferior turbinates at two different times after PIT, i.e., after 8 to 12 months (group A) and after two years (group B). RESULTS: The clinical results proved to be satisfactory for the relief of nasal obstruction in group A and unsatisfactory in group B. However, better histological results with better recovery and epithelial differentiation of the regenerated mucosa of the inferior turbinates after PIT were observed in group B. CONCLUSION: Surgery proved to be effective on a short-term but not on a long-term basis, and histological recovery did not accompany improvement of clinical signs and symptoms.