Research Article
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Year 2020, Volume: 6 Issue: 2, 67 - 73, 23.06.2020
https://doi.org/10.5455/umj.20200509092105

Abstract

References

  • Hassanpour SE, Moosavizadeh SM, Araghi MF, Eshraghi B. Pulmonary artery pressure in patients with markedly deviated septum candidate for septorhinoplasty. World J Plast Surg 2014;3(2):119-121
  • Aziz T, Biron VL, Ansari K, Mir CF. Measurement tools for the diagnosis of nasal septal deviation: a systematic review. J Otolaryngol Head Neck Surg 2014;43(1):11
  • Acar B, Yavuz B, Karabulut H, Gunbey E, Babademez MA, Yalcin AA, et al. Sympathetic overactivity in patients with nasal septum deformities. Eur Arch Otorhinolaryngol 2010;267:73-76
  • Guilleminault C, Stoohs R, Shiomi T, Kushida C, Schnittger I. Upper airway resistance syndrome, nocturnal blood pressure monitoring, and borderline hypertension. Chest 1995;109(4): 901-908
  • Moser KA, Agarwal S, Smith GD, Ebrahim S. Socio-demographic inequalities in the prevalence, diagnosis and management of hypertension in India: analysis of nationally representative survey data. PLoS ONE 2014;9(1):e86043
  • Giles TD, Berk BC, Black HR, Cohn JN, Kostis JB, et al. Expanding the definition and classification of hypertension. J Clin Hypertens 2005;7(9):505–512
  • Yuritas V, Ozturk S, Apuhan T, Demirhan A, Tekelioglu UY, Akkaya A, et al. Pre and postoperative evaluation of cardiac autonomic function in patients with nasal septum deviation. Acta Medica 2014;30:149
  • Poyhonen M, Syvaoja S, Hartikainen J, et al. The effect of carbon dioxide, respiratory rate and tidal volume on human heart rate variability. Acta Anaesthesiol Scand 2004;48:93–101.
  • Burnum JF, Hickam JB, McIntosh HD. The effect of hypo capnia on arterial blood pressure. Circulation 1995;9(1):89-95
  • Cho GS, Kim JH, Jang YJ. Correlation of nasal obstruction with nasal cross-sectional area measured by computed tomography in patients with nasal septal deviation. Ann Otol Rhinol Laryngol 2012;121(4):239-245
  • Kensei N, Philip C, Roman C, et al. Nasal resistance, sensation of obstruction and rhinoscopic findings compared. Am J Rhinology 1988;2(2):65–69
  • Enache A, Lieder A, Issing W. Nasal septoplasty with submucosal diathermy to inferior turbinate improves symptoms at 3 months postoperatively in a study of one hundred and one patients. Clin Otolaryngol 2014;39(1):57–63
  • Nofal F, Thomas M. Rhinomanometry evaluation of the effects of pre and postoperative SMR on exercise. J Laryngol Otol 1990;104(2):126–128
  • Irfan M, Jihan W. Submucosal diathermy for inferior turbinates hypertrophy-how long does it sustain? Int J Otorhinolaryngol 2009;10(1):911-915 15.
  • Nakata S, Noda A, Yagi H, Yanagi E, Mimura T, Okada T, et al. Nasal resistance for determinant factor of nasal surgery in CPAP failure patients with obstructive sleep apnoea syndrome. Rhinology 2005;44:296–299
  • Cole P, Chaban R, Naito K, Oprysk D. The Obstructive nasal septum: effect of simulated deviations on nasal airflow resistance. Arch Otolaryngol Head Neck Surg 1988;114(4):410-412
  • Garcia GJM, Rhee JS, Senior BA, Kimbell JS, et al. Septal deviation and nasal resistance: an investigation using virtual surgery and computational fluid dynamics. Am J Rhinol Allergy 2010;24(1):e46–e53
  • Stamler J, Berkson DM, Dyer A, Lepper MH, Lindberg HA, Paul O, et al. Relationship of multiple variables to blood pressure-findings from four Chicago epidemiologic studies. In: Epidemiology and control of hypertension, Miami, Symposia Specialists 1975;307-356

Effect of Endoscopic Correction on the Blood Pressure of Hypertensive Patients with Deviated Nasal Septum Symptoms

Year 2020, Volume: 6 Issue: 2, 67 - 73, 23.06.2020
https://doi.org/10.5455/umj.20200509092105

Abstract

Introduction: The objective of the study is to evaluate the effect of endoscopic correction of septum on blood pressure in patients with deviated nasal septum symptoms and to assess positive changes occur between deviated nasal septum and hypertension.
Materials & Methods: The study was conducted at various hospitals in the department of ENT, Madinah Munawarah, Saudi Arabia. Hundred adults, aged 20-45 years, with symptomatic nasal septal deviation, newly detected untreated hypertension (mean BP 140/90 mmHg), undergoing septoplasty operation and sub mucosal diathermy of hypertrophied inferior turbinate (when present), were included. Postoperative follow up for ENT examination and BP measurement was done at 1, 6 and at the end of year.
Results: There are 68 patients were taken for this study from various hospitals in the department of ENT, Madinah Munawarah region, Saudi Arabia. Among 68 patients 42 Male and 26 Female patients at the mean age of 35.23±2.15 years with range of 29 to 44 with respective of male and female. Age distributed in group as 19% of patients were in 25-30, 43% of patients in 31-35, 22% of patients in 36- 40, and 16% of patients were in 41-45, major fall in age group of 31-35 years.
Conclusion: In our study we conclude that control of blood pressure in patients with nasal septal deviation can be achieved by surgical correction effectively and safely. Consequently patients with symptomatic septal deviation should be assured of prevention of secondary cardiovascular problems due to high blood pressure.

References

  • Hassanpour SE, Moosavizadeh SM, Araghi MF, Eshraghi B. Pulmonary artery pressure in patients with markedly deviated septum candidate for septorhinoplasty. World J Plast Surg 2014;3(2):119-121
  • Aziz T, Biron VL, Ansari K, Mir CF. Measurement tools for the diagnosis of nasal septal deviation: a systematic review. J Otolaryngol Head Neck Surg 2014;43(1):11
  • Acar B, Yavuz B, Karabulut H, Gunbey E, Babademez MA, Yalcin AA, et al. Sympathetic overactivity in patients with nasal septum deformities. Eur Arch Otorhinolaryngol 2010;267:73-76
  • Guilleminault C, Stoohs R, Shiomi T, Kushida C, Schnittger I. Upper airway resistance syndrome, nocturnal blood pressure monitoring, and borderline hypertension. Chest 1995;109(4): 901-908
  • Moser KA, Agarwal S, Smith GD, Ebrahim S. Socio-demographic inequalities in the prevalence, diagnosis and management of hypertension in India: analysis of nationally representative survey data. PLoS ONE 2014;9(1):e86043
  • Giles TD, Berk BC, Black HR, Cohn JN, Kostis JB, et al. Expanding the definition and classification of hypertension. J Clin Hypertens 2005;7(9):505–512
  • Yuritas V, Ozturk S, Apuhan T, Demirhan A, Tekelioglu UY, Akkaya A, et al. Pre and postoperative evaluation of cardiac autonomic function in patients with nasal septum deviation. Acta Medica 2014;30:149
  • Poyhonen M, Syvaoja S, Hartikainen J, et al. The effect of carbon dioxide, respiratory rate and tidal volume on human heart rate variability. Acta Anaesthesiol Scand 2004;48:93–101.
  • Burnum JF, Hickam JB, McIntosh HD. The effect of hypo capnia on arterial blood pressure. Circulation 1995;9(1):89-95
  • Cho GS, Kim JH, Jang YJ. Correlation of nasal obstruction with nasal cross-sectional area measured by computed tomography in patients with nasal septal deviation. Ann Otol Rhinol Laryngol 2012;121(4):239-245
  • Kensei N, Philip C, Roman C, et al. Nasal resistance, sensation of obstruction and rhinoscopic findings compared. Am J Rhinology 1988;2(2):65–69
  • Enache A, Lieder A, Issing W. Nasal septoplasty with submucosal diathermy to inferior turbinate improves symptoms at 3 months postoperatively in a study of one hundred and one patients. Clin Otolaryngol 2014;39(1):57–63
  • Nofal F, Thomas M. Rhinomanometry evaluation of the effects of pre and postoperative SMR on exercise. J Laryngol Otol 1990;104(2):126–128
  • Irfan M, Jihan W. Submucosal diathermy for inferior turbinates hypertrophy-how long does it sustain? Int J Otorhinolaryngol 2009;10(1):911-915 15.
  • Nakata S, Noda A, Yagi H, Yanagi E, Mimura T, Okada T, et al. Nasal resistance for determinant factor of nasal surgery in CPAP failure patients with obstructive sleep apnoea syndrome. Rhinology 2005;44:296–299
  • Cole P, Chaban R, Naito K, Oprysk D. The Obstructive nasal septum: effect of simulated deviations on nasal airflow resistance. Arch Otolaryngol Head Neck Surg 1988;114(4):410-412
  • Garcia GJM, Rhee JS, Senior BA, Kimbell JS, et al. Septal deviation and nasal resistance: an investigation using virtual surgery and computational fluid dynamics. Am J Rhinol Allergy 2010;24(1):e46–e53
  • Stamler J, Berkson DM, Dyer A, Lepper MH, Lindberg HA, Paul O, et al. Relationship of multiple variables to blood pressure-findings from four Chicago epidemiologic studies. In: Epidemiology and control of hypertension, Miami, Symposia Specialists 1975;307-356
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Talal Aljerais This is me 0000-0002-2117-833X

Publication Date June 23, 2020
Submission Date March 28, 2020
Published in Issue Year 2020 Volume: 6 Issue: 2

Cite

Vancouver Aljerais T. Effect of Endoscopic Correction on the Blood Pressure of Hypertensive Patients with Deviated Nasal Septum Symptoms. ULUTAS MED J. 2020;6(2):67-73.