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The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation

  • Rhinology
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Abstract

Nasal septum deviation (NSD) can cause obstruction of the upper airway, which may lead to increased pulmonary artery pressure (PAP) and right ventricle dysfunction. The aim of the present study was to evaluate the effect of septoplasty on right ventricular function and mean PAP of patients with marked NSD. 25 patients with marked NSD (mean age = 31.8 ± 12.3 years) and 27 healthy volunteers (mean age = 34.5 ± 10.8 years) were enrolled. Echocardiography was performed for all subjects and right ventricular function and mean PAP were evaluated before and 3 months after septoplasty. Tricuspid annular plane systolic excursion (TAPSE) and tricuspid annulus early diastolic myocardial velocity (E′) were significantly lower in patients with NSD than control subjects, while right ventricle myocardial performance index (RVMPI) and mean PAP were significantly higher (respectively, p = 0.006, 0.037, 0.049, 0.046). When preoperative and postoperative findings were compared, the mean PAP decreased whereas TAPSE increased significantly (respectively, p = 0.007, 0.03). The results of the present study demonstrated that mean PAP increased and right ventricular function worsened in patients with NSD. However, mean PAP decreased and right ventricular function tended to recover after septoplasty.

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Authors and Affiliations

  1. Department of Cardiology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, 03200, Turkey

    Gulay Ozkececi, Onder Akci, Zafer Yalım, Ersel Onrat & Alaettin Avsar

  2. Department of Otorhinolaryngology, School of Medicine, Afyon Kocatepe University, Afyonkarahisar, 03200, Turkey

    Abdulkadir Bucak, Sahin Ulu & Abdullah Aycicek

Authors
  1. Gulay Ozkececi
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  2. Onder Akci
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  3. Abdulkadir Bucak
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  4. Sahin Ulu
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  5. Zafer Yalım
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  6. Abdullah Aycicek
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  7. Ersel Onrat
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  8. Alaettin Avsar
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Corresponding author

Correspondence to Gulay Ozkececi.

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The Ethics Committee of the Afyon Kocatepe University School of Medicine approved this study. All patients and control subjects gave informed consent prior to inclusion

Conflict of interest

All authors declared that there was no conflict of interest.

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No financial support was received for this study. It was conducted with the dedication of researchers.

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Ozkececi, G., Akci, O., Bucak, A. et al. The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation. Eur Arch Otorhinolaryngol 273, 3747–3752 (2016). https://doi.org/10.1007/s00405-016-4042-1

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  • DOI: https://doi.org/10.1007/s00405-016-4042-1

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