Caglar Ozge, Aksit Ercan
Otorhinolaryngology Department.
Cardiology Department, Medical School, 18 March University, Canakkale, Turkey.
J Craniofac Surg. 2018 Nov;29(8):2148-2152. doi: 10.1097/SCS.0000000000004742.
One of the most important reasons for nasal congestion is septum deviation. Nasal septal deviation increases airway resistance and can cause systemic problems. In this study, echocardiographic findings were compared with the normal population to see how cardiac function was affected in patients with obstructive nasal septum deviation.
This study included a young patient group with 44 obstructive septum deviation patients and 30 healthy individuals with no nasal-related problems. Echocardiography was performed by the same cardiologist and results were compared with normal patients. The authors got permission from the ethics committee of faculty for the study (E. 116795).
In the patient group with septum deviation, pulmonary artery pressure was high. In addition, the size of the right heart chambers was also increased. TAPSE, pulmonary acceleration time, ejection fraction, and right ventricular outflow tract-fractional shortening were found to be lower than the normal group.
Patients with obstructive septum deviations should be evaluated early for cardiologic functions.
鼻中隔偏曲是鼻塞最重要的原因之一。鼻中隔偏曲会增加气道阻力，并可能导致全身性问题。在本研究中，将超声心动图检查结果与正常人群进行比较，以观察阻塞性鼻中隔偏曲患者的心脏功能受到了怎样的影响。
本研究纳入了一个年轻患者组，其中包括44例阻塞性鼻中隔偏曲患者和30名无鼻部相关问题的健康个体。由同一位心脏病专家进行超声心动图检查，并将结果与正常患者进行比较。作者获得了该学院伦理委员会对本研究的许可（编号E. 116795）。
在鼻中隔偏曲患者组中，肺动脉压力较高。此外，右心腔的大小也有所增加。发现三尖瓣环平面收缩期位移、肺动脉加速时间、射血分数和右心室流出道缩短分数均低于正常组。
阻塞性鼻中隔偏曲患者应尽早进行心脏功能评估。
