A Study of Pulmonary Function Tests in Patients with Chronic Rhinosinusitis Following Endoscopic Sinus Surgery

2021 ◽  
Author(s):  
Ankita Chaudhary ◽  
Rekha Harshvardhan ◽  
Ramlakhan Meena ◽  
Shraddha Sharma ◽  
Bharat Bhushan Sharma ◽  
...  
Keyword(s):  
Pulmonary Function ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Pulmonary Function Tests ◽  
Sinus Surgery ◽  
Function Tests

Effect of Endoscopic Sinus Surgery on Bronchiectasis Patients With Chronic Rhinosinusitis

2018 ◽  
Vol 32 (5) ◽  
pp. 432-439 ◽  
Author(s):  
Jesada Kanjanaumporn ◽  
Peter H. Hwang
Keyword(s):  
Pulmonary Function ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Pulmonary Function Tests ◽  
Pearson Correlation ◽  
Airway Disease ◽  
Forced Expiratory Volume ◽  
Sinus Surgery ◽  
Post Operation ◽  
Snot 22

Background The concept of unified airway disease has linked bronchiectasis with chronic rhinosinusitis (CRS), much in the same way as in asthma and CRS. Although the outcomes of endoscopic sinus surgery (ESS) on comorbid asthma have been relatively well studied, the outcomes of ESS on comorbid bronchiectasis have rarely been examined. Objective We sought to determine sinonasal and pulmonary clinical outcomes of ESS in bronchiectasis patients with CRS. Method We reviewed all bronchiectasis patients who had ESS for CRS at our institution from 2006 to present. The sinonasal outcome test 22 (SNOT-22) was administered preoperatively and at 3 months, 1 year, and 3 years postoperatively. Pulmonary function tests (PFTs) were measured preoperatively and at 6 months and 1 year post operation to assess the forced expiratory volume in 1 s (FEV1), forced viral capacity (FVC), and FEV1/FVC values. Paired t test and Pearson correlation were used to compare pre- and postsurgical results. Results A total of 141 bronchiectasis patients who had ESS for CRS were studied. The most common cause of bronchiectasis was cystic fibrosis (CF) (42.55%). SNOT-22 scores improved at 3 months post operation and were maintained at 1 year and 3 years post operation ( P < .001). All SNOT sub-domains showed a significant improvement after surgery ( P < .01). However, PFTs did not change at 6 months post operation and 1 year post operation ( P > .05). There were significant differences in the outcomes in CF versus non-CF patients ( P < .05) but not by sex or age. Conclusion ESS is effective in improving long-term sinonasal outcomes in bronchiectasis patients with CRS. However, ESS does not appear to improve the pulmonary function.

scholarly journals Pulmonary function tests in patients with chronic rhinosinusitis and the effect of surgery

2017 ◽  
Vol 11 (3) ◽  
pp. 283
Author(s):  
MohammadT Abdel Fattah ◽  
AhmadM Yousof ◽  
OsamaG Awada ◽  
ShehabF Ahmada
Keyword(s):  
Pulmonary Function ◽  
Chronic Rhinosinusitis ◽  
Pulmonary Function Tests ◽  
Function Tests

scholarly journals Endoscopic sinus surgery in patients with cystic fibrosis: a systematic review and meta-analysis of pulmonary function

2012 ◽  
Vol 50 (4) ◽  
pp. 360-369
Author(s):  
K.I. Macdonald ◽  
A. Gipsman ◽  
A. Magit ◽  
M. Fandino ◽  
E. Massoud ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cystic Fibrosis ◽  
Pulmonary Function ◽  
Endoscopic Sinus Surgery ◽  
Meta Analysis ◽  
Pulmonary Function Tests ◽  
Sinus Surgery ◽  
Intravenous Antibiotics

Introduction: The role of endoscopic sinus surgery (ESS) in patients with cystic fibrosis (CF) is not clearly defined. Objective: TO perform a systematic review of subjective and objective outcomes of ESS in CF. Methods: A systematic review was performed using the keywords 'sinusitis,' 'sinus surgery,' 'nasal polyps' and 'cystic fibrosis.' The quality of papers was assessed using the NICE scoring scale. Outcomes included safety, subjective symptoms, objective endoscopy scores, days spent in hospital, courses of antibiotics, and pulmonary function tests (PFTs). Results: Nineteen studies involving 586 patients were included in the review. There were four prospective cohort trials, and three were rated as good quality. There were no major complications attributable to ESS. There was consistent evidence in four cohort studies of improved sinonasal symptoms, including nasal obstruction, facial pain, headaches, rhinorrhea and olfaction. Three studies reported conflicting results in post-operative endoscopy scores. Three studies showed a decrease in days spent in hospital, and two showed a significant decrease in courses of intravenous antibiotics. A recent study, however, did not show a difference in either days spent in hospital or courses of antibiotics. Pulmonary function tests were not improved by ESS in six cohort trials, and one small study found significant improvement. A meta-analysis of FEV1 scores confirmed no significant difference. Conclusion: THE most consistent findings of this review were that ESS in patients with CF is safe, produces symptomatic benefit, and does not consistently improve PFTs. There were more conflicting results with regards to endoscopy scores, days spent in hospital, and courses of intravenous antibiotics. Future prospective studies, utilizing validated quality of life, symptom and endoscopy scales, are needed to further elucidate the role of ESS in the management of chronic rhinosinusitis in CF patients.

scholarly journals Endoscopic sinus surgery and its effects on pulmonary function test in patients of chronic rhinosinusitis with nasal polyposis

2020 ◽  
Vol 6 (8) ◽  
pp. 1484
Author(s):  
Dameshwa S. Lyngdoh ◽  
Subrat Kumar Behera ◽  
Smruti Swain ◽  
Manoranjan Pattnaik
Keyword(s):  
Pulmonary Function ◽  
Chronic Rhinosinusitis ◽  
Pulmonary Function Test ◽  
Endoscopic Sinus Surgery ◽  
Airway Disease ◽  
Sinus Surgery ◽  
Lower Airway ◽  
Study Results ◽  
Objective Evidence ◽  
Function Test

<p class="abstract"><strong>Background:</strong> The human upper and lower respiratory tract share a close relationship in respect to existence of diseases. The objectives of this study were to evaluate the outcome of endoscopic sinus surgery with the Lund- Mackay staging system and to find any objective changes between the pre and post-operative pulmonary function test values in patients with chronic rhinosinusitis undergoing endoscopic sinus surgery.</p><p class="abstract"><strong>Methods:</strong> A total of 50 patients of CRSwNP refractory to maximal medical treatment (for 1 month) planned for endoscopic sinus surgery were included in the study. Results were assessed on the basis of pre and post-operative endoscopic and CT scores and PFT (FEV1, FVC and FEV1/FVC) values.  </p><p class="abstract"><strong>Results:</strong> Postoperatively, Lund Mackay endoscopic and CT scores improved from the preoperative values, which were statistically significant with p values&lt;0.05. Comparing FEV1/FVC, FVC and FEV1 values in three situations- preoperative versus postoperative 1 month, preoperative versus postoperative 3<sup>rd</sup> month and post-operative 1<sup>st</sup> month versus postoperative 3<sup>rd</sup> month, the difference between the means were found to be statistically significant (p=0.000), except for FVC between postoperative 3<sup>rd</sup> month and 1<sup>st</sup> month.</p><p class="abstract"><strong>Conclusions:</strong> This study provides objective evidence that patients with CRSwNP may have non clinical lower airway disease detected by PFT and ESS is effective in improvement of both nasal and lower airway disease as evident from the improvements in PFT values.</p>

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