Effect of Septoplasty on Cardiopulmonary Functions in the Patients With Nasal Obstruction

Abstract

In this study, the authors observed that septoplasty has positive effect on cardiopulmonary functions in the patients with nasal obstruction due to nasal septum deviation. The authors also claim that septoplasty may be a preventive procedure for future pathologies of cardiopulmonary functions.

The Impact of Septoplasty on Cardiopulmonary Functions in Patients With Nasal Septal Deviation: A Prospective Comprehensive Analysis of Echocardiographic Outcome and Serum N-Terminal Pro BNP Levels

“…14 Likewise, the association of NSD with increased PAP, whereas significant improvement in cardiopulmonary functions and TAPSE after septoplasty has also been reported in past studies. 12,[15][16][17] In a past study with 25 NSD patients and 27 control subjects, authors reported significantly lower TAPSE and tricuspid annulus early diastolic myocardial velocity (E 0 ) and significantly higher RV myocardial performance index and PAP in patients with NSD than in control subjects, while septoplasty was associated with decrease in PAP and increase in TAPSE. 15 Authors indicated the association of septoplasty with decrease in PAP and recovery of RV function in patients with NSD.…”

“…Authors suggested the implementation of prompt treatment in NSD patients, given the association of septoplasty not only with improved nasal symptoms but also with reversal of negative effects of NSD on right heart functions, preventing the possible future cardiovascular complications 12 . Other studies also indicated that septoplasty has positive effect on cardiopulmonary functions in patients with nasal obstruction due to NSD, based on a significant decrease in PAP 16 and/or the cardiac posterior wall thickness 17 after the operation.…”

“…[10][11][12][13][14][15][16][17] Nonetheless, vast majority of studies have investigated PAP per se with detailed assessment of RV and LV functions only by a few studies, and thus effects of improved nasal breathing after septoplasty on cardiopulmonary functions have not yet been fully studied. 14,15,17 In addition, the relation of NSD with PHT and right heart failure has been investigated mainly by echocardiography in the literature with only limited number of studies addressing the serum Nterminal Pro BNP (NT-proBNP) levels, which is a useful marker in the diagnosis and follow-up of heart failure. 18,19 This seems notable given that although patients with uncomplicated NSD patients are frequently asymptomatic in terms of cardiologic aspects, they are likely to be at risk of future cardiovascular diseases in the long term.…”

“…[6][7][8][9] Accordingly, Doppler echocardiography studies in NSD patients, albeit investigated to a lesser extent than in patients with chronic tonsillitis and adenoid vegetation, indicated the adverse impact of NSD on cardiac functions, such as high PAP and right ventricular (RV) hypertrophy as well as positive impact of septoplasty on cardiovascular parameters. [10][11][12][13][14][15][16][17] Nonetheless, vast majority of studies have investigated PAP per se with detailed assessment of RV and LV functions only by a few studies, and thus effects of improved nasal breathing after septoplasty on cardiopulmonary functions have not yet been fully studied. 14,15,17 In addition, the relation of NSD with PHT and right heart failure has been investigated mainly by echocardiography in the literature with only limited number of studies addressing the serum Nterminal Pro BNP (NT-proBNP) levels, which is a useful marker in the diagnosis and follow-up of heart failure.…”

“…Nonetheless, vast majority of studies have investigated PAP per se with detailed assessment of RV and LV functions only by a few studies, and thus effects of improved nasal breathing after septoplasty on cardiopulmonary functions have not yet been fully studied 14,15,17 …”