Pulmonary Function Tests in Patients with Chronic Rhinosinusitis : A Comparative Study

Prof Dr Ramesh Azad,Dr Sunil Sharma,Dr Siddharth Sharma

doi:10.34257/gjmrfvol21is8pg5

Abstract

Coexistence of upper and lower respiratory diseases has long been known. Since chronic rhinosinusitis and pulmonary diseases are closely related this study was made to observe the pulmonary function of patients with chronic rhinosinusitis. Methods: The study was conducted in the Department of ENT and Pulmonary Medicine, IGMC Shimla on 27 adult patients of chronic rhinosinusitis and 26 age matched healthy control subjects between November 2018 and November 2019. The pulmonary function tests were performed using a spirometry and included Vital Capacity (VC) , Forced vital capacity (FVC) , Forced expiratory volume in one second (FEV1) and Forced expiratory volume in one second by Forced vital capacity ratio (FEV1/FVC). Results: Following observations were made from the results of the study, among controls majority of the subjects i.e 23 (92%) had a normal PFT with only 1 patient (4%) had mild and another 1 patient (4%) had moderate restriction on PFT. Where as among the patients group 10 patients (37%) had a normal pre-operative baseline PFT. Another 10 (37%) and 7 patients (25.9%) had mild and moderate obstruction respectively.

Highlights

The study was conducted in the Department of ENT obstruction in low diameter airways associated with and Pulmonary Medicine, IGMC Shimla on 27 adult patients of chronic rhinosinusitis and 26 age matched healthy control subjects between November 2018 and November 2019
Their suggestion was that obstructive pulmonary alterations were present in Chronic rhinosinusitis (CRS) cases, even where they caused no symptoms and had not led to a diagnosis of and included Vital Capacity (VC), Forced vital capacity (FVC), obstructive airway disease
Findings of the current study suggest that their are latent derangements in the pulmonary functions of patients with upper airway disease ie chronic rhinosinusitis and the difference between the pulmonary functions of patients and controls is significant

Summary

Introduction

Chronic rhinosinusitis (CRS) is an inflammatory disease of the mucosa of the nasal cavity and paranasal sinuses, with symptoms lasting 12 weeks or more. It is a common disease and represents a public health problem resulting in socioeconomic burden throughout the world[1]. The exact pathogenesis of CRS is still not clearly understood; it significantly affects quality-of-life measures with decrements in general health perception and social functioning. It has been long recognized that diseases coexist in the upper and lower airways. The “United-Airways” concept implies that there is a link between upper and lower airway inflammation[2]

Methods

Discussion

Conclusion