The systolic pulmonary artery pressure and the E/e' ratio decrease after septoplasty in patients with grade 2 and 3...

Area of Science:

• Cardiovascular Physiology
• Otolaryngology
• Surgical Outcomes

Background:

• Nasal septal deviation causes symptoms like obstruction and can lead to reduced lung ventilation and circulatory issues.
• Airway obstruction from nasal septal deviation may pose cardiovascular risks.

Purpose of the Study:

• To evaluate the cardiovascular effects of septoplasty.
• To compare pre- and postoperative echocardiography findings in patients with nasal septal deviation.

Main Methods:

• Prospective study of 35 patients with moderate to severe nasal septal deviation undergoing septoplasty.
• Nasal Obstruction Symptom Evaluation (NOSE) questionnaire administered pre- and postoperatively.
• Transthoracic echocardiography performed preoperatively and three months postoperatively.

Main Results:

• Significant decrease in mean NOSE scores from 17.34 to 2.62 post-surgery.
• Significant reduction in mean systolic pulmonary artery pressure from 22.34 mmHg to 18.90 mmHg.
• Significant decrease in mean E/e' ratio from 5.33 to 5.01.

Conclusions:

• Septoplasty increases patient satisfaction and improves nasal obstruction symptoms.
• Septoplasty can reduce pulmonary artery pressure and E/e' ratio, potentially mitigating cardiovascular risks.
• Upper airway obstruction from nasal septal deviation may negatively impact echocardiographic measurements.