Polysomnographic and pulmonary function changes in patients with sleep problems after septoplasty with turbinectomy

Am J Otolaryngol. 2019 Mar-Apr;40(2):187-190. doi: 10.1016/j.amjoto.2018.12.003. Epub 2018 Dec 11.

Abstract

Object: To compare Polysomnography and Pulmonary function tests before and after Septoplasty with Turbinectomy in patients complaining of nasal obstruction and sleep problems due to deviated septum with hypertrophic inferior turbinate.

Methods: 90 patients underwent Septoplasty with Turbinectomy due to nasal obstruction and sleep problems involved in this study, their sleep quality evaluated by polysomnography before and after the surgery, their pulmonary functions assessed by spirometry before and after the operation.

Results: The postoperative pulmonary function values; FVC, FEV1, PEFR and postoperative polysomonographic values; AHI, Snoring index/hour, SpaO2 were higher than the preoperative values, and the results were statistically significant (p-values <0.001).

Conclusion: Septoplasty with partial inferior turbinectomy might be a useful operation in the management of nasal obstruction and sleep problems that caused by a deviated nasal septum and hypertrophied inferior turbinate.

Keywords: Polysomnography; Pulmonary function tests; Septoplasty with turbinectomy; Sleep problems.

MeSH terms

  • Adolescent
  • Adult
  • Dyspnea / etiology*
  • Dyspnea / surgery*
  • Female
  • Humans
  • Male
  • Nasal Obstruction / etiology*
  • Nasal Obstruction / surgery*
  • Nasal Septum / abnormalities*
  • Nasal Septum / surgery*
  • Nasal Surgical Procedures / methods*
  • Perioperative Period
  • Polysomnography*
  • Respiratory Function Tests*
  • Severity of Illness Index
  • Sleep Wake Disorders / diagnosis
  • Sleep Wake Disorders / etiology*
  • Sleep Wake Disorders / surgery*
  • Snoring / etiology*
  • Snoring / surgery*
  • Spirometry
  • Treatment Outcome
  • Turbinates / abnormalities*
  • Turbinates / surgery*
  • Young Adult