The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation
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 mark...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2016-11, Vol.273 (11), p.3747-3752 |
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| creator | Ozkececi, Gulay Akci, Onder Bucak, Abdulkadir Ulu, Sahin Yalım, Zafer Aycicek, Abdullah Onrat, Ersel Avsar, Alaettin |
| description | 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. |
| doi_str_mv | 10.1007/s00405-016-4042-1 |
| format | Article |
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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.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-016-4042-1</identifier><identifier>PMID: 27075685</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Arterial Pressure ; Case-Control Studies ; Echocardiography ; Female ; Head and Neck Surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nasal Septum - abnormalities ; Nasal Septum - physiopathology ; Nasal Septum - surgery ; Neurosurgery ; Otorhinolaryngology ; Pulmonary Artery - physiology ; Rhinology ; Rhinoplasty - methods ; Treatment Outcome ; Ventricular Function, Right ; Young Adult</subject><ispartof>European archives of oto-rhino-laryngology, 2016-11, Vol.273 (11), p.3747-3752</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-3392852f6474ba775d1186b606cfd336f3161681d9ea934a6e39be96045e3a853</citedby><cites>FETCH-LOGICAL-c344t-3392852f6474ba775d1186b606cfd336f3161681d9ea934a6e39be96045e3a853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-016-4042-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-016-4042-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27075685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozkececi, Gulay</creatorcontrib><creatorcontrib>Akci, Onder</creatorcontrib><creatorcontrib>Bucak, Abdulkadir</creatorcontrib><creatorcontrib>Ulu, Sahin</creatorcontrib><creatorcontrib>Yalım, Zafer</creatorcontrib><creatorcontrib>Aycicek, Abdullah</creatorcontrib><creatorcontrib>Onrat, Ersel</creatorcontrib><creatorcontrib>Avsar, Alaettin</creatorcontrib><title>The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>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.</description><subject>Adult</subject><subject>Arterial Pressure</subject><subject>Case-Control Studies</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nasal Septum - abnormalities</subject><subject>Nasal Septum - physiopathology</subject><subject>Nasal Septum - surgery</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Pulmonary Artery - physiology</subject><subject>Rhinology</subject><subject>Rhinoplasty - methods</subject><subject>Treatment Outcome</subject><subject>Ventricular Function, Right</subject><subject>Young Adult</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDlPxDAUhC0EguX4ATTIJU3Ajq-kRIhLWokGasubPO8GJXbwgcS_x8sCJa-Z4s2MNB9C55RcUULUdSSEE1ERKitOeF3RPbSgnPGKq1ruowVpmao4V-oIHcf4RggRvGWH6KhWRAnZiAXyLxvAYC10CXuLI8zJz6OJ6RN7h-c8Tt6Z8IlNSFBkDhBjDoCN63EY1puEP8ClMHR5NAHb7Lo0lODgsDPRjN-FecI9fAxm-zlFB9aMEc5-9AS93t-93D5Wy-eHp9ubZdUxzlPFWFs3oraSK74ySome0kauJJGd7RmTllFJZUP7FkzLuJHA2hW0knABzDSCnaDLXe8c_HuGmPQ0xA7G0TjwOWra1LKc4LJY6c7aBR9jAKvnMExltKZEbznrHWddOOstZ01L5uKnPq8m6P8Sv2CLod4ZYnm5NQT95nNwZfI_rV8o4ol1</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Ozkececi, Gulay</creator><creator>Akci, Onder</creator><creator>Bucak, Abdulkadir</creator><creator>Ulu, Sahin</creator><creator>Yalım, Zafer</creator><creator>Aycicek, Abdullah</creator><creator>Onrat, Ersel</creator><creator>Avsar, Alaettin</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation</title><author>Ozkececi, Gulay ; Akci, Onder ; Bucak, Abdulkadir ; Ulu, Sahin ; Yalım, Zafer ; Aycicek, Abdullah ; Onrat, Ersel ; Avsar, Alaettin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-3392852f6474ba775d1186b606cfd336f3161681d9ea934a6e39be96045e3a853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Arterial Pressure</topic><topic>Case-Control Studies</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nasal Septum - abnormalities</topic><topic>Nasal Septum - physiopathology</topic><topic>Nasal Septum - surgery</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Pulmonary Artery - physiology</topic><topic>Rhinology</topic><topic>Rhinoplasty - methods</topic><topic>Treatment Outcome</topic><topic>Ventricular Function, Right</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozkececi, Gulay</creatorcontrib><creatorcontrib>Akci, Onder</creatorcontrib><creatorcontrib>Bucak, Abdulkadir</creatorcontrib><creatorcontrib>Ulu, Sahin</creatorcontrib><creatorcontrib>Yalım, Zafer</creatorcontrib><creatorcontrib>Aycicek, Abdullah</creatorcontrib><creatorcontrib>Onrat, Ersel</creatorcontrib><creatorcontrib>Avsar, Alaettin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozkececi, Gulay</au><au>Akci, Onder</au><au>Bucak, Abdulkadir</au><au>Ulu, Sahin</au><au>Yalım, Zafer</au><au>Aycicek, Abdullah</au><au>Onrat, Ersel</au><au>Avsar, Alaettin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>273</volume><issue>11</issue><spage>3747</spage><epage>3752</epage><pages>3747-3752</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27075685</pmid><doi>10.1007/s00405-016-4042-1</doi><tpages>6</tpages></addata></record> |
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| ispartof | European archives of oto-rhino-laryngology, 2016-11, Vol.273 (11), p.3747-3752 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Arterial Pressure Case-Control Studies Echocardiography Female Head and Neck Surgery Humans Male Medicine Medicine & Public Health Middle Aged Nasal Septum - abnormalities Nasal Septum - physiopathology Nasal Septum - surgery Neurosurgery Otorhinolaryngology Pulmonary Artery - physiology Rhinology Rhinoplasty - methods Treatment Outcome Ventricular Function, Right Young Adult |
| title | The effect of septoplasty on pulmonary artery pressure and right ventricular function in nasal septum deviation |
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