Rhinomanometry evaluation of the effects of pre- and post-operative SMR on exercise

Nofal, Farhat; Thomas, Michael

doi:10.1017/s0022215100112034

Cited by 13 publications

(10 citation statements)

References 5 publications

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“… 25 have previously attempted to demonstrate by a meta‐analysis of three studies (Bohlin & Dahlqvist 8 Jessen et al. 16 and Nofal & Thomas 26 ) that septal surgery improves nasal airflow. Two of these studies Bohlin & Dahlqvist 8 and Jessen et al.…”

Section: Discussionmentioning

confidence: 99%

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Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review

Moore

Eccles

2011

Clinical Otolaryngology

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Section: Discussionmentioning

confidence: 99%

“…Two of these studies Bohlin & Dahlqvist 8 and Jessen et al. 16 are included in the present review, but the study by Nofal & Thomas 26 is excluded from this review, as the study included some cases that had out‐fracture of the inferior turbinates, and therefore it is not possible to determine the effects of septal surgery alone.…”

Section: Discussionmentioning

confidence: 99%

Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review

Moore

Eccles

2011

Clinical Otolaryngology

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“…14,15 Patients' sensation of obstruction will usually correlate well with the ndings of the experienced otorhinolaryngologist during rhinoscopy, although this is not always the case. 16 Considerable attention has been paid to quantifying the degree of nasal obstruction in terms of nasal resistance to air ow. 3 Cole found poor correlation between patients' sensation of chronic nasal stuf ness and objective measurements.…”

Section: Discussionmentioning

confidence: 99%

“…4 Patients, however, are more concerned with the sensation of nasal obstruction than with the NAR to air ow. 3,16 A low NAR may nevertheless be accompanied by a sensation of nasal obstruction and vice versa. The majority of the patients with nasal disease in our study has the symptom of nasal congestion or blockage.…”

Section: Discussionmentioning

confidence: 99%

Objective assessment of nasal resistance in patients with nasal disease

Hamzah

2003

J. Laryngol. Otol.

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Nasal obstruction is a subjective complaint in patients with nasal disease. The ability to quantitate the nasal ventilation dysfunction would be useful for making the appropriate choice of nasal disease management. This cross-sectional study comprised of 200 adult subjects. They underwent assessment of relevant symptoms, nasal examination and investigations before undergoing active anterior rhinomanometry (AAR) assessment. A group of 88 normal subjects and 112 patients with nasal disease were included. The mean total nasal air resistance (NAR) was significantly higher in patients with nasal disease (0.33 Pa/cm(3)/s) as compared to normal subjects (0.24 Pa/cm(3)/s). There was no significant difference in total NAR between patients with symptoms of nasal obstruction and those without the symptoms (p = 0.42). It is concluded that AAR is a sensitive but not a specific tool for the detection of abnormalities in NAR and it failed to relate to the symptom of nasal obstruction.

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“…Septal correction with reduction of hypertrophic nasal turbinates is considered standard treatment [12]. SMR has been shown to be effective in reducing nasal resistance in patients with uncomplicated deviated nasal septum [13]. Submucosal diathermy is shown to be a safe, effective procedure for improving nasal breathing in patients with chronic obstructive inferior turbinates, both on a short term and long term basis [14].…”

Section: Discussionmentioning

confidence: 99%

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

Smitha

Jagannath

Mathew

2015

Indian J Otolaryngol Head Neck Surg

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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.

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Rhinomanometry evaluation of the effects of pre- and post-operative SMR on exercise

Cited by 13 publications

References 5 publications

Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review

Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review

Objective assessment of nasal resistance in patients with nasal disease

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

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