Study of The Effect of Functional Endoscopic Sinus Surgery on Spirometry in Patients with Chronic Rhinosinusitis and Chronic Obstructive Lung Disease

Document Type : Original Article

Authors

1 Otorhinolaryngology department, Faculty of Medicine, Beni-Suef University, Egypt

2 Chest department, Faculty of Medicine, Beni-Suef University, Egypt

Abstract

The goal of this study is to assess the effect of functional endoscopic sinus surgery (FESS) on spirometry results in patients with chronic rhinosinusitis (CRS) and chronic obstructive lung disease. In Otorhinolaryngology and chest departments in Beni-Suef University hospital from August 2016 to February 2019, 60 patients were included in this study: 47 were asthmatic and 13 were chronic obstructive pulmonary disease (COPD) and all had chronic rhinosinusitis with nasal polypi, preoperative spirometry and computerized tomography (CT) were done. Lund-MacKay CT score system was used. After FESS by comparing results of preoperative spirometry in Forced Expiratory Volume at 1st second percentage (FEV1%) and Forced Expiratory Volume at 1st second/ Forced Vital Capacity percentage (FEV1/FVC%) and Lund-MacKay CT score, there was a statistical significance in improvement of FEV1% and FEV1/FVC% on 1st and 3rd months postoperative in both asthmatic and COPD patients and there was a statistical significance in decrease of Lund-MacKay CT score on 3rd month postoperatively.

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