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Updated: Jun 3, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Septoplasty-mediated improvements in nasal patency and pulmonary function: A prospective study
Francisco Alves de Sousa1, João Tavares Correia1, João Carvalho Almeida1
1Otorhinolaryngology and Head and Neck surgery Unidade Local de Saúde de Santo António Porto Portugal.
Background And Objective:
Septoplasty and turbinate reduction surgery (STR) is hypothesized to affect pulmonary function by modifying airway dynamics. This study investigates the impact of STR-mediated improvements in nasal patency on pulmonary function tests (PFTs).
Methods:
In a prospective analysis, 37 adult patients undergoing STR were enrolled. Peak nasal inspiratory flow (PNIF) and PFT parameters, including forced expiratory flow at 25% (FEF25) and 75% of forced vital capacity (FEF75) and forced expiratory flow between 25 and 75% of the pulmonary volume (FEF25-75), forced vital capacity (FVC), and forced expiratory volume in one second (FEV1), were measured before and after surgery.
Results:
Significant improvements were observed in PNIF (p < .001). Additionally, significant improvements in peripheral airway function occurred, as measured by FEF25, FEF25-75, and FEF75 (p < .05), suggesting reduced airway resistance after STR. Notably, a significant positive correlation was found between the change in PNIF (∆PNIF) and the change in various PFT measurements (∆PFT) (p < .05). FVC and FEV1 did not show significant changes.
Conclusions:
These findings suggest that improving nasal patency through STR can affect lower airway resistance, potentially benefiting patients with nasal obstruction. The observed positive correlation between ∆PNIF and ∆PFT warrants further investigation into the underlying mechanism.
Level Of Evidence:
Level III.
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