Impact of Septal Correction on the Blood Pressure of Hypertensive Patients with Deviated Nasal Septum

Abstract

This study aims to evaluate the effect of septal correction on the blood pressure (BP) of patients with symptomatic nasal septal deviation and to assess whether a positive association exists between deviated nasal septum and hypertension. A prospective observational clinical study was conducted at Kempegowda Institute of Medical Sciences, Bangalore. Hundred adults, aged 18-40 years, with symptomatic nasal septal deviation, newly detected untreated hypertension (mean BP C140/90 mmHg), undergoing submucosal resection of the septum and submucosal diathermy of hypertrophied inferior turbinate (when present), were included. Postoperative follow up for ENT examination and BP measurement was done at 1, 6 and 12 months. Seventy five males and 25 females met the inclusion criteria. 48 % were aged 31-35 years (mean = 31.83 ± 5.19 years). 71 % had anterior septal deviation, 13 % posterior deviation and 16 % a combination of both. Preoperatively, mean systolic blood pressure was 141.82 ± 1.70 mmHg and mean diastolic blood pressure was 91.04 ± 1.21 mmHg, which postoperatively decreased by 10-12 mmHg and 4-5 mmHg respectively. 79 % showed a significant (P \ 0.001) decrease in BP postoperatively. 13 % showed no change in BP, of which 53.8 % had posterior deviation, demonstrating a significant association (P \ 0.001) between type of deviation and response to surgery. In 8 %, a rise in BP over the follow up period was seen; of these, 62.5 % were aged 36-40 years, indicating a significant association (P \ 0.001) between age and BP. Surgical correction of septal deviation is thus effective in controlling the BP of patients with anterior deviation, aged \35 years.

Curative Benefit of Submucoperichondrial Resection Operation on Pulmonary Ar

“…23,25,26 Sub mucoperichondrial resection (SMR) operation and septoplasty provided qualitative and quantitative relief in upper airway obstruction associated cardiovascular symptoms. [27][28][29] In a regional study, Smitha et al demonstrated a mean systolic and diastolic blood pressure recording of 141.82 ± SD 1.70 mmHg and 91.04 ± SD1.21 mmHg, respectively. These recordings declined to mean systolic and diastolic blood pressure of 128.93 ± 8.60 mmHg and 85.05 ± 4.85 mm Hg respectively 12 months after nasal septal corrective surgery.…”

“…These recordings declined to mean systolic and diastolic blood pressure of 128.93 ± 8.60 mmHg and 85.05 ± 4.85 mm Hg respectively 12 months after nasal septal corrective surgery. 28 Reciprocally, effective management of hypertension decreases the risk of, myocardial infarction, stroke, chronic kidney disease and heart failure. Ozkececi et al, also confirmed that MPAP decreased and right ventricular function tended to recover after septoplasty operation.…”

Endoscopic dacryocystorhinostomy with an otologic T-type ventilation tube in repeated revision cases

“…The former included lacrimal probe and rinse to eliminate canalicular and tear duct obstruction. The latter included a detailed nasal endoscopy to determine whether there were nasal abnormalities such as high deviated septum, which might influence the surgery effect [ 12 ]. All the operations, including the last revision DCR, were performed by the same surgeon.…”

Деформация Перегородки Носа (Всеобъемлющий Описательный Обзор)

“…После септопластики систолическое артериальное давление было снижено [49]. Этот сценарий (исход) часто наблюдался у пациентов моложе 35 лет с идиопатической гипертензией [50].…”