Abstract
Chronic inflammatory disorders of the upper airways are extremely prevalent and they have a major impact on public health.To assess the change in pulmonary function tests in patients of chronic rhinosinusitis undergoing functional endoscopic sinus surgery pre operatively and post operatively.To evaluate the difference in mean of FEV1, FEV1%, FVC, FVC%, FEV1/FVC in patients of chronic rhinosinusitis undergoing functional endoscopic sinus surgery.Prospective observational study.From July 2019 to September 2020 in Department of ENT and Head & Neck surgery, SMS Medical College, Jaipur.There was a significant improvement in the mean FEV1, FEV1%, FVC, and FVC% values post-surgically (p < 0.05). In our study, there was also a significant improvement in the FEV1/FVC value at one month postoperatively, reflecting the effect of FESS on relieving the symptomatic lower airway obstruction.Our study concludes that following Functional Endoscopic Sinus Surgery there is significant improvement in pulmonary function tests reflecting the improvement of asymptomatic lower airway disease in cases of chronic rhinosinusitis.
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References
Karuthedath S, Singh I, Chadha S (2014) Impact of functional endoscopic sinussurgery on the pulmonary function of patients with chronic rhinosinusitis:a prospective study. Indian J Otolaryngol Head Neck Surg 66(4):441–448
Maniscalco M, Sofia M, Pelaia G (2007) Nitric oxide in upper airways inflammatory diseases. Inflamm Res 56:58–69
Zachary M Soler (2015) Results of medical and surgical treatment of chronicrhinsinusitis with and without nasal polyposis. In: Flint P, Haughey B,Lund V, Niparko J, Robbins K, Thomas JR, et al, eds. CummingsOtolaryngology Head and Neck surgery 6th edition. Saunders, Elsevier 703
Hastan D, Fokkens WJ, Bachert C, Newson RB, Bislimovska J, Bockelbrink A et al (2011) Chronic rhinosinusitis in Europe- an under estimated disease A GA(2) LEN study. Allergy 66(9):1216–23
Stammberger H (1991)Functional endoscopic sinus surgery: the Messerklingertechnique. Philadelphia: Decker 283
Sonkhya N, Sharma K (2014) Functional endoscopic sinus surgery in patientswith chronic rhinosinusitis and polyposis and asthma. ClinRhinolInt J 7(2):52–57
Larsen K (1996) The clinical relationship of nasal polyps to asthma. AllergyAsthma Proc 17:242–249
Ponikau JU, Sherris DA, Kephart GM, Kern EB, Gaffey TA, Tarara JE et al (2003) Features of airway remodeling and eosinophilic inflammation inchronic rhinosinusitis: is the histopathology similar to asthma? J AllergyClinImmunol 112(5):877–882
Rachelefsky GS (1999) National guidelines needed to manage rhinitis and prevent complications. Ann Allergy Asthma Immunol 82(3):296–305
Damm M, Quante G, Jungehuelsing M, Stennert E (2002) Impact offunctional endoscopic sinus surgery on symptoms and qualityof life in chronic rhinosinusitis. Laryngoscope 112:310–315
MacFadden ER (1987) Nasal sinus pulmonary reflexes and bronchial asthma. J Allergy Clin Immunol 78:1–3
Ozcan M, Ortapamuk H, Naldoken S (2003) OlcayI, Ozkan KM, Tuncel U; Pulmonary aspiration of nasal secretions in patients with chronic sinusitis and asthma. Arch Otolaryngol Head Neck Surg 129:1006–1009
Griffin MP, McFadden ER, Ingram RH (1982) Airway cooling in asthmatic and nonasthmatic subjects during nasal and oral breathing. J Allergy Clin Immunol 69:354–359
Joint Task Force on Practice Parameters; The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol 2005; 116(suppl 6):S13-S47
Ponikau JU, Sherris DA, Kephart GM, Kern EB, Gaffey TA, Tarara JE (2003) Features of airway remodeling and eosinophillic inflammation in chronic rhinosinusitis: is the histopathology similar to asthma? J Allergy ClinImmunol 112:877–882
Dhong HJ, Jung YS, Chung SK (2001) Effect of endoscopic sinus surgery on asthmatic patients with chronic rhinosinusitis.OtolaryngolHead Neck Surg 124:99–104
Goldstein SK (1999) Effect of Functional Endoscopic Sinus Surgery on Bronchial Asthma outcomes. Arch Otolaryngol Head Neck surg 125:314–319
Ragab A, Clement P, Vincken W (2004) Objective assessment of lower airway involvement in chronic rhinosinusitis. Am J Rhinol 18(1):15–21
Nakamura H, Kawasaki M, Higuchi Y, Takahashi S (1999) Effects of sinus surgery on asthma in aspirin triad patients. ActaOtolaryngol119(5):592–598
Ikeda K, Tanno N, Tamura G (1999) Endoscopic sinus surgery improves pulmonary function in patients with asthma associated with chronic sinusitis. Ann OtolRhinolLaryngol 108:355–359
Batra PS, Kern RC, Tripathi A, Conley DB, Ditto AM, Haines GK, YarnoldPR GL (2003) Outcome analysis of endoscopic sinus surgery in patients with nasal polyps and asthma. Laryngoscope 113(10):1703–1706
Winstead W, Barnett SN (1998) Impact of endoscopic sinus surgery on global health perception: an outcomes study. Otolaryngol Head Neck Surg 119:486–491
Ogunleye AO, Fasunla AJ (2004) Radiological changes and complications associated with nasal polyposis. West Afr J Med 23(2):111–113
Bhattacharyya N, Fried MP (2003) The accuracy of computed tomography in the diagnosis of chronic rhinosinusitis. Laryngoscope 113:125–129
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No financial funding received. Patients were treated free of cost under ‘MNDY (Mukhyamantri Nishulk Dava Yojana) scheme’ sponsored by Government of Rajasthan.
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“All procedures performed in the presented study involving human participants were in accordance with the ethical standards of the institutional ethical committee of SMS Medical College Jaipur (Letter no. 460/MC/EC/2020) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.”
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Chaudhary, A., Harshvardhan, R., Meena, R. et al. A Study of Pulmonary Function Tests in Patients with Chronic Rhinosinusitis Following Endoscopic Sinus Surgery. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 1597–1604 (2022). https://doi.org/10.1007/s12070-021-02759-7
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DOI: https://doi.org/10.1007/s12070-021-02759-7