The effect of functional endoscopic sinus surgery on right ventricular function in patients with nasal polyps

Yıl 2017, Cilt: 27 Sayı: 1, 10 - 14, 05.03.2017

Eda Şimşek Selami Demirelli Ziya Şimşek Emrah İpek Fatih Bingöl Yavuzer Koza Emrah Ermiş

Öz

Objectives: This study aims to evaluate the right ventricular functions before and after functional endoscopic sinus surgery FESS in patients with nasal polyps NPs . Patients and Methods: A total of 56 patients 36 males, 20 females; mean age 30±10 years; range 19 to 40 years with grade II and III NP were included in the study between March 2015 and January 2016. The conventional echocardiographic parameters, pulmonary artery systolic pressure PASP , tricuspid annular plane systolic excursion TAPSE , right ventricular fractional change area RVFAC , and peripheral oxygen saturation with a pulse oximeter were measured in all patients before and one month after surgery. Results: The PASP statistically significantly decreased during the postoperative period p=0.003 . Right ventricular fractional change area and TAPSE, which are right ventricular systolic parameters, improved significantly after FESS p=0.005 and p=0.009, respectively . Peripheral oxygen saturation increased from 94.0±0.9 to 94.7±0.8 during the postoperative period p=0.005 . Conclusion: Our study results indicate that treatment of upper airway obstruction in adult patients with NP may result in improved right ventricular systolic functions and provide a substantial decrease in PASP values.

Anahtar Kelimeler

Functional endoscopic sinus surgery, nasal polyposis, right ventricular function

Nazal polipli hastalarda fonksiyonel endoskopik sinüs cerrahisinin sağ ventrikül fonksiyonu üzerine etkisi

Öz

Amaç: Bu çalışmada nazal polipli NP hastalarda fonksiyonel endoskopik sinüs cerrahisi FESS öncesi ve sonrası sağ ventrikül fonksiyonları değerlendirildi.Hastalar ve Yöntemler: Mart 2015 - Ocak 2016 tarihleri arasında grad II ve III NP’li toplam 56 hasta 36 erkek, 20 kadın; ort yaş 30±10 yıl; dağılım 19-40 yıl çalışmaya dahil edildi. Tüm hastalarda cerrahiden önce ve bir ay sonra konvansiyonel ekokardiyografik parametreler, pulmoner arter sistolik basıncı PASP , triküspit anüler plan sistolik hareketi TAPSE , sağ ventrikül fraksiyonel alan değişimi RVFAC ve pulse oksimetre ile periferik oksijen satürasyonları ölçüldü.Bulgular: Ameliyat sonrası dönemde PASP istatistiksel olarak anlamlı düzeyde azaldı p=0.003 . Sağ ventrikül sistolik parametrelerinden RVFAC ve TAPSE değerleri, FESS sonrası anlamlı düzeyde iyileşme gösterdi sırasıyla p=0.005 ve p=0.009 . Periferik oksijen satürasyonu, ameliyat sonrası dönemde 94.0±0.9’ten, 94.7±0.8’e yükseldi p=0.005 .Sonuç: Çalışma sonuçlarımız NP’li erişkin hastalarda üst solunum yolu tıkanıklığının tedavisinin sağ ventrikül sistolik fonksiyonları iyileştirebileceğini ve PASP değerinde önemli bir azalma sağlayabileceğini göstermektedir

Anahtar Kelimeler

Fonksiyonel endoskopik sinüs cerrahisi, nazal polip, sağ ventriküler fonksiyon

Kaynakça

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