Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey.
Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey.
Braz J Otorhinolaryngol. 2019 Jan-Feb;85(1):43-49. doi: 10.1016/j.bjorl.2017.10.007. Epub 2017 Nov 6.
Although the nose and lungs are separate organs, numerous studies have reported that the entire respiratory system can be considered as a single anatomical and functional unit. The upper and lower airways affect each other either directly or through reflex mechanisms.
In this study, we aimed to evaluate the effects of the radiofrequency ablation of persistent inferior turbinate hypertrophy on nasal and pulmonary function.
Twenty-seven patients with bilateral persistent inferior turbinate hypertrophy without septal deviation were included in this study. All of the patients were evaluated using anterior rhinoscopy, nasal endoscopy, acoustic rhinometry, a visual analogue scale, and flow-sensitive spirometry on the day before and 4 months after the radiofrequency ablation procedure.
The post-ablation measurements revealed that the inferior turbinate ablation caused an increase in the mean cross-sectional area and volume of the nose, as well as in the forced expiratory volume in 1s, forced vital capacity, and peak expiratory flow of the patients. These differences between the pre- and post-ablation results were statistically significant. The post-ablation visual analogue scale scores were lower when compared with the pre-ablation scores, and this difference was also statistically significant.
This study demonstrated that the widening of the nasal passage after the reduction of the inferior turbinate size had a favorable effect on the pulmonary function tests.
尽管鼻子和肺部是两个独立的器官，但许多研究报告表明，整个呼吸系统可以被视为一个单一的解剖和功能单位。上呼吸道和下呼吸道通过直接或反射机制相互影响。
本研究旨在评估射频消融术治疗持续性下鼻甲肥大对鼻和肺功能的影响。
本研究纳入了 27 例双侧持续性下鼻甲肥大但无鼻中隔偏曲的患者。所有患者均在射频消融术前 1 天和术后 4 个月进行前鼻镜检查、鼻内镜检查、声鼻测量、视觉模拟评分和流量敏感肺功能检查。
消融术后的测量结果显示，下鼻甲消融导致患者的鼻平均横截面积和体积增加，用力呼气 1 秒量、用力肺活量和呼气峰流量也增加。这些术前和术后的差异具有统计学意义。与术前相比，术后视觉模拟评分降低，差异也具有统计学意义。
本研究表明，下鼻甲缩小后鼻腔通道的增宽对肺功能测试有有利影响。
