Do Sinonasal Surgeries Affect Bronchial Asthma Patients? View PDF

^*Ibrahim Eldsoky
Department Of Ent Head And Neck Surgery, Faculty Of Medicine, Al-Azhar University, Egypt

^*Corresponding Author:

Ibrahim Eldsoky
Department Of Ent Head And Neck Surgery, Faculty Of Medicine, Al-Azhar University, Egypt
Email:ibrahimeldsoky@azhar.edu.eg

Published on: 2019-02-09

Abstract

Introduction: The respiratory passages are linked from anatomical, histological and immunological bases, with inflammation in one part of them influencing the other part and forming One Passage system.

The aim of the work: This work was done to evaluate the influence of sinonasal surgery on the consequences of bronchial asthma through an assessment of the intensity of asthma, the recurrence of attacks and the pulmonary function test values (One month and Three months successively after the operation concentrating on postoperative FEV1: Forced expired vital capacity in the first second and FVC: Forced vital capacity values).

Patients and Methods: Fifty asthmatic patients of different age groups of both sexes (ages ranging between 28-60 years) attending outpatient clinics of ENT and chest departments of Al-Azhar university hospitals (AL-Hussein and Bab El-Sharia) in the period between March 2016 - December 2017 and they have chronic nasal problems.

Results: Collectively, the highest positive results in pulmonary function test values occur in (group I) (asthmatic patients with nasal polyps), slight improvement in (group II) (asthmatic patients with deviated septum and hypertrophied turbinates) and (group III) (asthmatic patients with chronic sinusitis) but no improvement in (group IV) (asthmatic patients received asthma medication only).

Conclusion: It could be concluded that sinonasal surgery has the highest positive effect on asthmatic patients having nasal polyps with an intermediate effect on those with chronic rhinosinusitis and other nasal problems i.e. deviated septum and hypertrophied turbinates. Therefore, we suggest that patients with asthma (particularly resistant type) be evaluated for chronic sinusitis and nasal polyps.

Keywords

Bronchial Asthma, Sinonasal Surgery, Pulmonary Function Test, Nasal Endoscopy

Introduction

The idea of the One Passage was elicited because of the frequency of the cases of rhinosinusitis accompanying asthma [1,2]. Consideration of the link between rhinosinusitis and asthma came to light when evidenced by imaging of the diseased paranasal sinuses in cases of bronchial asthma [3,4]. This prospective study was done to evaluate the influence of sinonasal surgery on the consequences of bronchial asthma through an assessment of:

The intensity of asthma.
The recurrence of attacks.
Pulmonary function test values (One month and Three months after the operation Specifically, postoperative FEV1 and FVC values.