Türker YILMAZ, Hanifi KRTARAN, Davut AKTAŞ, Fatih SADIKOĞLU, K. Şerife UĞUR, Zeki YILDIRIM, Nebil ARK

The effect of anterior nasal packing with airway tubes on pulmonary function following septoplasty

Amaç: Septoplasti sonrası hava yolu tüplü nazal tamponların pulmoner fonksiyonlar üzerine etkilerini araştırmak. Yöntem ve gereç: Nazal septal deviasyon nedeniyle 2006-2008 yılları arasında ameliyat edilen 50 hasta çalışmamıza dahil edildi. Septoplasti sonrası tüm hastalara hava yolu tüplü nazal tamponlar kullanıldı. Ameliyat öncesi ve ameliyattan 2 gün sonra tamponlar alınmadan hemen önce Pulmoner fonksiyon testleri ve pulse oksimetri ile PO2 ölçümleri yapıldı. Zorlu vital kapasite (FVC), 1. saniyede zorlu ekspiratuar volüm (FEV1), FEV1/FVC (FEV1%), zorlu ekspiratuar akım (FEF25-75%) ve PO2 değerleri karşılaştırıldı. Bulgular: Çalışmaya dahil edilen hastaların ortalama yaşı 35,3 ± 12,6 (aralık: 18-64) dır. Ameliyat öncesi ve ameliyattan 2 gün sonra tamponlar alınmadan hemen önce gruplar arasında FVC: 4,2 ± 0,9 vs. 4,1 ± 0,9, FEV1: 3,5 ± 0,8 vs. 3,5 ± 0,9, FEV1%: 85,3 ± 9,3 vs. 83,6 ± 10,7, FEF25-75%: 4,1 ± 1,5 vs. 4,0 ± 1,6, PO2: 98,3 ± 0,8 vs. 98,2 ± 0,5 değerleri açısından istatiksel olarak anlamlı bir fark saptanmadı. Sonuç:Hava yolu tüplü nazal tamponlar kullanılarak elde edilen sonuçlar ameliyat sonrası respiratuar disfonksiyon ve hipoksi oluşmadığını göstermektedir.

Septoplastiyi takiben kullanılan anterior hava yolu tüplü burun tamponlarının akciğer fonksiyonu üzerine etkisi

Aim: To investigate the effects of nasal packing with airway tubes on pulmonary function following septoplasty. Materials and methods: Fifty patients who were operated for nasal septal deviation between 2006 and 2008 were included in our study. Nasal packs with airway tubes were used for all patients following septoplasty. Pulmonary function tests and PO2 measurements with pulse oximetry were performed preoperatively and in the second postoperative day just before removal of the nasal pack. Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 Second (FEV1), FEV1/FVC (FEV1%), Forced Expiratory Flow (FEF25-75%), and PO2 values were compared. Results: The mean age of study population was 35.3 ± 12.6 years (range : 18 - 64). There was no significant difference found regarding - FVC: 4.2 ± 0.9 vs. 4.1 ± 0.9, FEV1: 3.5 ± 0.8 vs. 3.5 ± 0.9, FEV1%: 85.3 ± 9.3 vs. 83.6 ± 10.7, FEF25-75%: 4.1 ± 1.5 vs. 4.0 ± 1.6, PO2: 98.3 ± 0.8 vs. 98.2 ± 0.5 between preoperative and in the second postoperative day just before removal of the nasal pack (P > 0.05).Conclusion: The results indicate that nasal packing with airway tubes is not a cause for post-operative respiratory dysfunction and hypoxia.

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