Abstract
Deviated nasal septum (DNS) is the most common cause of nasal obstruction. A narrow nasal airway would result in a decreased airflow in the lungs. Surgical correction of deviated nasal septum by septoplasty or submucosal resection results in alterations in the upper and lower airway resistance and improves nasal symptoms and general quality of life (QOL). The improvement in pulmonary function tests can be assessed with the help of this study. After obtaining the ethical committee clearance, 60 patients who meet the inclusion criteria were enrolled in the study and were asked to undergo pulmonary function test (PFT) like spirometry and 6 minutes’ walk test (6MWT) and fill the SNOT22 questionnaire before surgery. Septoplasty or SMR was performed. Patients were followed up after 1 month and 6 months after surgery and spirometry, 6MWT were done at that time. SNOT22 questionnaire was filled. Different parameters of spirometry, 6MWD and SNOT-22 scores before and after surgery were analysed. The mean age of the patients was 31.5 years.63.3% patients were males and 36.7% were females. 65% had DNS to left, while 30% had DNS to right side.5% had S shaped DNS. The mean difference in post-op and pre-op values was statistically significant for FEV1, FVC, FEV1/FVC RATIO, FEF25-75% (P-value < 0.001). The overall mean percentage SNOT-22 Score was decreased by 57.2. The overall 6MWD was increased by 6.80% after 6 months. Considerable improvement was seen in the symptoms, QOL and exercise capacity.
Keywords: nasal septum, septoplasty, spirometry, quality of life.
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Corresponding Author
Apurva Anil Jarandikar
A-1, Sunder Baug, PCMC Link Road, Chinchwad, Pune, Maharashtra, India – 411033
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.72
