Title: Effects of Treatment on Pulmonary Function Tests in Patients of Chronic Rhinosinusitis
Authors: Dr Varun Rawat, Dr Bhawana Pant, Dr Vaibhav Kuchhal, Dr Ravi Baniya, Dr Shikha Bhatt, Dr Aakanksha Rawat
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.82
Abstract
Background: Chronic Rhinosinusitis (CRS), is an inflammatory condition of the nose and paranasal sinuses persisting for at least 12 weeks characterized by 2 or more nasal/sinus symptoms, one of which includes nasal obstruction or nasal discharge, facial pressure/pain and reduced smell.
Methods: 60 Patients with features of Chronic Rhinosinusitis were examined in the ENT OPD. All participants underwent nasal endoscopic examination and CT scanning paranasally. Spirometry was performed to assess baseline pulmonary function. Subjects were divided into two treatment groups medical and medical plus surgical treatment group.
Results: It was inferred that the patients of chronic rhino-sinusitis had reduced baseline Pulmonary function test values. The effect of medical management on PFT was not found significant. Mean FVC and FEV1 in MT group was found to higher post treatment as compared to pre-treatment but only the difference for FVC was found to be statistically significant. For FEV1/FVC the mean was higher prior to treatment as compared to post treatment however this difference was not found to be statistically significant.
The patients with combined treatment had significant improvement in PFT Mean FVC, FEV1 and FEV1/FVC was higher post treatment as compared to pre-treatment in MS treatment group and also this difference was found to be statistically significant.
Conclusions: It was found that patients with Chronic rhinosinusitis had decreased Pulmonary Function Test. The effect of medical management on PFT was not found significant. The patients with combined treatment had significant improvement in PFT.
Keywords: Chronic Rhinosinusitis, Pulmonary Function test, Spirometry.
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