Araştırma Makalesi

The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma

Cilt: 8 Sayı: 2 31 Ağustos 2018
  • Metin Yıldırım
  • Seyda Belli *
  • Cemal Ozyilmaz
  • Ozcan Ogurlu
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EN

The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma

Abstract

Objectives:


The aim of this study was to look into how functional endoscopic sinus surgery (FESS) for CRSwNP without asthma affects lung function. The investigators aimed to determine any correlation between Lund-Kennedy scores, Lund-Mackay scores and pulmonary function.


Methods:


All participants underwent nasal endoscopic examination and CT scanning paranasally. Lund-Kennedy endoscopy and Lund-Mackay CT scores were calculated and compared with postoperative findings. Statistical analysis was performed to compare preoperative and postoperative spirometry findings to assess efficacy of

surgery on pulmonary function.


Results:


There were no statistically significant differences between the Lund-Mackay scores for primary FESS and revision. Nevertheless, Lund-Kennedy scores did show evidence of greater statistical significance when comparing revision FESS and primary FESS (p=0.04) With respect to both primary and revision FESS patients there was no statistical significance between the preoperative values of FEV1, FEV1/FVC, FVC, and FEF25-75 and the same parameters measured one month postoperatively (p>0.05).


Conclusion:


Our results reveal that FVC improves following FESS in cases of CRSwNP that are not also asthmatic. No relationship was demonstrable between how severe the disease is and how the lung functions. Further research that looks at FESS in asymptomatic cases of airway obstruction over more prolonged follow-up needs to be undertaken.


Keywords

Kaynakça

  1. 1) Rosenfeld RM, Andes D, Bhattacharyya N, Cheung D, Eisenberg S, Ganiats TG, et al. Clinical practice guideline: adult sinusitis. Otolaryngol Head Neck Surg 2007;137(3 Suppl):S1-31
  2. 2) Zhang L, Zhang L, Zhang CH, Fang XB, Huang ZX, Shi QY, et al. The Lung Function Impairment in Non-Atopic Patients With Chronic Rhinosinusitis and Its Correlation Analysis. Clin Exp Otorhinolaryngol. 2016 Dec; 9(4): 339–345
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  4. 4) Anon JB, Jacobs MR, Poole MD, Ambrose PG, Benninger MS, Hadley JA, et al. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Otolaryngol Head Neck Surg 2004;130(1 Suppl):1-45
  5. 5) Fokkens W, Lund V, Mullol J. EP3OS 2007: European position paper on rhinosinusitis and nasal polyps 2007. A summary for otorhinolaryngologists. Rhinology 2007;45:97–101
  6. 6) Mygind N, Lund V. Intranasal corticosteroids for nasal polyposis : biological rationale, efficacy, and safety. Treat Respir Med 2006;5: 93–102
  7. 7) de Leng WW, Jansen M, Keller J, de Gijsel M, Milne A, Morsink F et al. Peutz-Jeghers syndrome polyps are polyclonal with expanded progenitor cell compartment. Gut 2007;56:1475–1476
  8. 8) Hedman J, Kaprio J, Poussa T, Nieminen MM. Prevalence of asthma, aspirin intolerance, nasal polyposis and chronic obstructive References pulmonary disease in a populationbased study. Int J Epidemiol 1999;28:717–722

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Metin Yıldırım Bu kişi benim

Cemal Ozyilmaz Bu kişi benim

Ozcan Ogurlu Bu kişi benim

Yayımlanma Tarihi

31 Ağustos 2018

Gönderilme Tarihi

16 Temmuz 2018

Kabul Tarihi

5 Ağustos 2018

Yayımlandığı Sayı

Yıl 2018 Cilt: 8 Sayı: 2

Kaynak Göster

APA
Yıldırım, M., Belli, S., Ozyilmaz, C., & Ogurlu, O. (2018). The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma. ENT Updates, 8(2), 93-99. https://doi.org/10.32448/entupdates.459007
AMA
1.Yıldırım M, Belli S, Ozyilmaz C, Ogurlu O. The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma. ENT Updates. 2018;8(2):93-99. doi:10.32448/entupdates.459007
Chicago
Yıldırım, Metin, Seyda Belli, Cemal Ozyilmaz, ve Ozcan Ogurlu. 2018. “The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma”. ENT Updates 8 (2): 93-99. https://doi.org/10.32448/entupdates.459007.
EndNote
Yıldırım M, Belli S, Ozyilmaz C, Ogurlu O (01 Ağustos 2018) The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma. ENT Updates 8 2 93–99.
IEEE
[1]M. Yıldırım, S. Belli, C. Ozyilmaz, ve O. Ogurlu, “The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma”, ENT Updates, c. 8, sy 2, ss. 93–99, Ağu. 2018, doi: 10.32448/entupdates.459007.
ISNAD
Yıldırım, Metin - Belli, Seyda - Ozyilmaz, Cemal - Ogurlu, Ozcan. “The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma”. ENT Updates 8/2 (01 Ağustos 2018): 93-99. https://doi.org/10.32448/entupdates.459007.
JAMA
1.Yıldırım M, Belli S, Ozyilmaz C, Ogurlu O. The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma. ENT Updates. 2018;8:93–99.
MLA
Yıldırım, Metin, vd. “The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma”. ENT Updates, c. 8, sy 2, Ağustos 2018, ss. 93-99, doi:10.32448/entupdates.459007.
Vancouver
1.Metin Yıldırım, Seyda Belli, Cemal Ozyilmaz, Ozcan Ogurlu. The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma. ENT Updates. 01 Ağustos 2018;8(2):93-9. doi:10.32448/entupdates.459007