Impact of FESS on the Pulmonary Function of Patients with Chronic Rhinosinusitis
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ORIGINAL ARTICLE
Impact of FESS on the Pulmonary Function of Patients with Chronic Rhinosinusitis Sahil Maingi1 • Shalini Jain1,3
•
Nishi Sharma2
Received: 17 June 2020 / Accepted: 15 September 2020 Association of Otolaryngologists of India 2020
Abstract Background and Aims There is interdependence between the upper and lower airway has led to the concept of a unified airway. Here we aim to study the impact of functional endoscopic sinus surgery (FESS) on the pulmonary function (PFT) of patients with chronic rhinosinusitis (CRS). Methods The proposed study is undertaken in the department of ENT, PGIMER & Dr. RML Hospital, New Delhi. It is a prospective study of 34 patients fulfilling the clinical criteria for (CRS) from the study period of Oct 2015 to Dec 2017 not responding to medical management and taken up for fess and follow up done with (PFT). Results The maximum incidence of cases was seen in the age group [ 40 years. Chronic rhinosinusitis predominantly affected the male population. Nasal discharge was the commonest presenting complaint. A marked reduction is seen in the frequency of symptoms post-surgery. Conclusion CRS affected persons of adult age with maximum number in the age group of [ 40 years, with a male:female ratio of approximately 2:1. Percentage & Shalini Jain [email protected]; [email protected] Sahil Maingi [email protected] Nishi Sharma [email protected] 1
Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS), Dr. RML hospital, New Delhi, India
2
Department of Otorhinolargngology, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS), Dr. RML hospital, New Delhi, India
3
New Delhi, India
improvement in FEV1 and FVC is more in age group [ 40 years while percentage improvement in FEV1/FVC ratio is more in age group 31–40 years. Percentage increase in FEV1 and FVC is more in males while percentage increase in FEV1/FVC is more in females. Percentage increase in FEV1 and FVC is more in males and FEV1/ FVC is more in females. Percentage increase in FEV1, FVC and FEV1/FVC ratio is more in cases of bilateral diseases then those with unilateral disease. Keywords Chronic rhinosinusitis (CRS) Functional endoscoic sinussurgery (FESS) Pulmonary function test (PFT) Unified airway
Introduction Chronic rhinosinusitis (CRS) and asthma are among the most important health-related conditions with evident socio-economic effects. The relationship between asthma and CRS has been considered in medical references for centuries. The disease processes of these two conditions are very similar, and in some cases, even the clinical manifestations and pathophysiology of these diseases are the same.Coexistence of upper and lower respiratory diseases is common. The nasal airways and their closely associated paranasal sinuses are an integral part of the respiratory tract. In the second century, Claudius Galenus, one of the fathers of modern respiratory physiology, defined the nose as a respiratory instrument in his work ‘‘De usupartium’’ [1–5]. Both the upper and lower resp
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