Effects of septoplasty on pulmonary function tests in patients with nasal septal deviation.
OBJECTIVE
To investigate the effects of septoplasty on pulmonary function tests (PFTs) and bronchial hyperresponsiveness (BHR) in patients who had no previous pulmonary diseases.


METHODS
Prospective, controlled clinical trial.


METHODS
Fourteen patients with nasal septal deviation (NSD) and 20 controls were enrolled in the study.


METHODS
All patients were evaluated with anterior rhinoscopy, nasal endoscopy, acoustic rhinometry (AR), visual analogue scale (VAS), PFTs, and bronchoprovocation test (BPT) on the day before surgery and 8 to 12 weeks after surgery.


RESULTS
The postoperative values of forced expiratory volume in 1 second, forced vital capacity, and peak expiratory flow percentages were higher than preoperative ones, and these results were statistically significant (p = .007, p = .04, and p = .007, respectively). Nine patients had preoperative BHR, and three of them had negative BPT postoperatively. When compared with the preoperative values, there was a borderline decrease in the rate of BHR in six patients. There were significant improvements in the symptoms of left and right nasal congestion, headache, postnasal drip, and olfactory function after surgery. We found important improvement in the values of AR at right minimal cross-sectional area 1 (p = .02), left distance 1 (p = .04), and left distance 2 (p = .04) postoperatively.


CONCLUSIONS
An improvement in both nasal symptoms and PFT values was seen after surgical treatment for NSD. We concluded that septoplasty may be considered as having favourable effects on BHR.
Bulcun
Emel
E
Department of Pulmonary Medicine, University of Kirikkale, Faculty of Medicine, Kirikkale, Turkey.
Kazkayasi
Mustafa
M
Ekici
M Aydanur
MA
Tahran
Filiz Datli
FD
Ekici
Mehmet
M
D000293:Adolescent; D000328:Adult; D001985:Bronchial Provocation Tests; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000503:physiopathology* / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000503:physiopathology* / Q000601:surgery*; D011446:Prospective Studies; D012129:Respiratory Function Tests; D023842:Rhinometry, Acoustic; D012720:Severity of Illness Index; D016896:Treatment Outcome