scholarly journals Effect of partial inferior turbinectomy operation on pulmonary function tests

Author(s):  
Saad Elzayat ◽  
Hany H. Moussa

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Nasal obstruction due to persistent hypertrophy of inferior turbinates is very common affecting respiration and daily activity. Partial inferior turbinectomy is a very safe and effective operation overcoming the nasal obstruction and nasal resistance caused by hypertrophied turbinates. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">In this prospective descriptive study, we tried to evaluate the effect of the operation on pulmonary functions and daily activity objectively by using spirometry and 6-minutes walking test before and after the operation. Thirty patients were included in this study.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Significant improvement after the operation. Also, we use a subjective VAS score which revealed the same results, proving that, the pulmonary function tests improved significantly after partial inferior turbinectomy operation. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Partial inferior turbinectomy is a very effective operation in the management of nasal obstruction caused by persistent hypertrophy of inferior turbinates resulting in improvement of the pulmonary function tests and daily activity after the operation without marked complications.</span></p><p class="abstract"> </p>

2017 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
N B Mahotra ◽  
T M Amatya ◽  
B SJB Rana ◽  
D Banstola

<p> Due to regular exercises, athletes tend to have an increase in pulmonary functions when compared to non exercising individuals, especially when the exercise is strenuous. Intensity and severity of sports engaged in by the athletes determines the extent of strengthening of the inspiratory muscles with a resultant increase in the lung volumes and capacities. Pulmonary parameters like tidal volume and forced vital capacity are significantly higher in athletes than in non athletes. A cross sectional comparative study was carried out in national sports council, Tribhuvan army club and institute of medicine, Kathmandu, Nepal. The athletes were footballers from Tribhuvan army club and sprinters from national sports council. The non-athletes were medical students from the institute of medicine, Kathmandu. Data were collected after performing spirometry and mean values were compared between athletes and non-athletes. Pulmonary functions were assessed based on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow rate (PEFR) expressed as percent predicted for the age, sex, height, weight and race. Spirometry was performed in 169 subjects, out of which 84 were athletes and 85 were non-athletes. Athletes had a significantly superior FVC (P =0.00) compared to non-athletes. FEV1 was also recorded significantly higher in athletes than in non-athletes (P=0.023). Athletes have better pulmonary function tests than non-athletes because exercise in athletes strengthens the muscles of respiration. </p>


2013 ◽  
Vol 2 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Narayan Bahadur Mahotra ◽  
Lava Shrestha

Introduction: Due to regular exercises, athletes tend to have an increase in pulmonary capacity when compared to non-exercising individuals. Intensity and severity of sports engaged in by the athletes probably determines the extent of strengthening of the inspiratory muscles with a resultant increase in the pulmonary functions.1, 2 So, this study has been carried out to establish a relationship between the type of sports and pulmonary functions in Nepalese athletes. Methods: This study has adopted a cross sectional observational comparative research design. Spirometry was conducted in 84 different national level athletes [25.71 (± 4.55) years]. The athletes were from five different sport groups. Out of them, there were 16 weight lifters, 41 footballers, 10 swimmers, 8 marathon runners and 9 sprinters. Among them weight lifters, marathoners and sprinters were selected from the National sports council, Tripureshower, Kathmandu and footballers and swimmers were from the Nepal army club, Kathmandu, Nepal. The spirometry was done in sitting position using MIR SPIROLAB II spirometer based on American Thoracic Society (ATS) recommendations. Pulmonary function was assessed based on Forced Expiratory Volume in first second (FEV1), Forced Vital Capacity (FVC) and Peak Expiratory Flow Rate (PEFR) expressed as percent predicted for the age, sex, height, weight and race. Results: When comparing the mean values of FVC, FEV1 and PEFR among the five different sport groups, as expected, athletes who have more strenuous respiratory muscles exercise had significantly superior pulmonary function parameters. For example weight lifters and swimmers had 111.84 and 109.56 percentage of predicted values on FVC (P=0.008) respectively. But marathoners, footballers and sprinters had 105.83, 99.25 and 98.34 percentage of predicted values respectively. Similarly, weight lifters, swimmers, marathoners, footballers and sprinters had 110.63, 110.15 and 110.28, 102.52 and 99.23 percentages of predicted values on FEV1 (p=0.090) respectively. Swimmers, marathoners, footballers, weight lifters and sprinters had 106.03 and 107.34, 104.37, 102.08 and 86.58 percentage of predicted values on PEFR (p=0.027) respectively. Conclusion: Athletes who have most strenuous respiratory muscle exercise like swimming and weight lifting have better pulmonary function tests (PFTs) compared to other athletes like sprinters who have less strenuous muscle exercise. Journal of Nobel Medical College Vol. 2, No.1 Issue 3 Nov.-April 2013 Page 18-21 DOI: http://dx.doi.org/10.3126/jonmc.v2i1.7667


2014 ◽  
Vol 40 (5) ◽  
pp. 528-534 ◽  
Author(s):  
Tanyse Bahia Carvalho Marques ◽  
Juliana de Carvalho Neves ◽  
Leslie Andrews Portes ◽  
João Marcos Salge ◽  
Edmar Zanoteli ◽  
...  

OBJECTIVE: Respiratory complications are the main causes of morbidity and mortality in patients with neuromuscular disease (NMD). The objectives of this study were to determine the effects that routine daily home air-stacking maneuvers have on pulmonary function in patients with spinal muscular atrophy (SMA) and in patients with congenital muscular dystrophy (CMD), as well as to identify associations between spinal deformities and the effects of the maneuvers. METHODS: Eighteen NMD patients (ten with CMD and eight with SMA) were submitted to routine daily air-stacking maneuvers at home with manual resuscitators for four to six months, undergoing pulmonary function tests before and after that period. The pulmonary function tests included measurements of FVC; PEF; maximum insufflation capacity (MIC); and assisted and unassisted peak cough flow (APCF and UPCF, respectively) with insufflations. RESULTS: After the use of home air-stacking maneuvers, there were improvements in the APCF and UPCF. In the patients without scoliosis, there was also a significant increase in FVC. When comparing patients with and without scoliosis, the increases in APCF and UPCF were more pronounced in those without scoliosis. CONCLUSIONS: Routine daily air-stacking maneuvers with a manual resuscitator appear to increase UPCF and APCF in patients with NMD, especially in those without scoliosis.


Author(s):  
M. Bucci ◽  
J.Y. Chang ◽  
M. McAleer ◽  
Z. Liao ◽  
T. Guerrero ◽  
...  

2021 ◽  
Vol 15 (12) ◽  
pp. 3337-3340
Author(s):  
Umer Sohail ◽  
Zahid Hussain Shah ◽  
Sohaib Haider Zaidi ◽  
Umair Ashfaq ◽  
Salman Kazmi

Aim: To compare Impairment of pulmonary function tests due to plain versus pegylated interferon therapy in the diagnosed cases of chronic Hepatitis C Methodology: In this comparative study, 71 patients fulfilling inclusion criteria were randomly included in each group. Study consisted; Group 1 (Control Group): Pulmonary Function Tests performed before and after the completion of 24 weeks of treatment with Plain/conventional Interferons and ribavirin. Group 2 (experimental Group): PFTs performed before and after the completion of 24 weeks treatment with Pegylated Interferon Therapy and ribavirin. Referred patients of both groups underwent spirometry (PFTs) at baseline and at the end of 6 months Results: Mean value observed for age was 49.86, for height 1.592 meters, for weight 62.6 kg and for BMI 24.9. Before and after therapy mean for FEV1 was 90.19 and 67.71 and it was 91.34 and 67.83 for FVC respectively. N=71 patients were enrolled in both groups. Male gender showed high prevalence 70%. Group-1 (46 vs 25) & group-2 (45 vs 26) male to female ratio seen. Adult age group hold bulk of disease (30 - 40 years of age). Patients preferred winter season for treatment (Sep to Nov). Low viral load and genotype 3a were common findings (82% and 35%). Constitutional symptoms improved after therapy (86 to 44%) as a whole. Individually, anorexia, body aches, lethargy and fever were like this (39 vs 19%, 66 vs 28%, 54 vs 30%, 19 vs 11%) pre and post therapy. Cough and dyspnea reported in 7% and 20% respectively. Conclusion: According to the present study, treatment with pegylated interferon and ribavirin is associated with impairment of pulmonary function tests similarly as treatment with plain interferon and ribavirin. Long Half-life of pegylated interferon cause more impairment in lung functions as indicated by limited available literature (Foster GR et al). Keywords: Chronic hepatitis C, Pulmonary function tests, plain/Conventional interferon therapy, Pegylated interferon therapy.


Author(s):  
Ozlem Elmas ◽  
Rabiye Uslu Erdemir ◽  
Bekir Hakan Bakkal

Abstract Objectives: To investigate the utility of quantitative lung perfusion scintigraphy and pulmonary function tests (PFTs) in the assessment of radiation-induced lung injury. Methods: Forty-three breast cancer patients underwent lung perfusion scintigraphy with Tc-99m macroaggregated albumin before and after radiotherapy (RT). Along with above mentioned tests pulmonary function tests and carbon monoxide diffusing capacity (DLCO) tests were carried out on all patients. The relationship between treatment related changes and its association with doses of RT were also analyzed. Results: DLCO values before RT showed a significant decrease at 6 and 12 months after RT (p=0.002 and p=0.004, respectively), while none of the parameters of the PFTs showed a significant difference before and after RT. Also, the median percentage of perfusion studies in the irradiated lung significantly decreased from 51.61% to 48.81% (p <0.001) at 12 months after treatment. There was significant reduction in perfusion studies of irradiated lungs with V20>20%. Conclusion: DLCO and Quantitative lung perfusion scintigraphy may be a useful tool for the early diagnosis and monitoring of radiation-induced lung injury. Continuous....


2017 ◽  
Vol 6 (1) ◽  
pp. 21-23
Author(s):  
N B Mahotra ◽  
T M Amatya ◽  
B SJB Rana ◽  
D Banstola

 Due to regular exercises, athletes tend to have an increase in pulmonary functions when compared to non exercising individuals, especially when the exercise is strenuous. Intensity and severity of sports engaged in by the athletes determines the extent of strengthening of the inspiratory muscles with a resultant increase in the lung volumes and capacities. Pulmonary parameters like tidal volume and forced vital capacity are significantly higher in athletes than in non athletes. A cross sectional comparative study was carried out in national sports council, Tribhuvan army club and institute of medicine, Kathmandu, Nepal. The athletes were footballers from Tribhuvan army club and sprinters from national sports council. The non-athletes were medical students from the institute of medicine, Kathmandu. Data were collected after performing spirometry and mean values were compared between athletes and non-athletes. Pulmonary functions were assessed based on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow rate (PEFR) expressed as percent predicted for the age, sex, height, weight and race. Spirometry was performed in 169 subjects, out of which 84 were athletes and 85 were non-athletes. Athletes had a significantly superior FVC (P =0.00) compared to non-athletes. FEV1 was also recorded significantly higher in athletes than in non-athletes (P=0.023). Athletes have better pulmonary function tests than non-athletes because exercise in athletes strengthens the muscles of respiration. 


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