Does septoplasty ımprove heart functions of patients with septum deviation in terms of echocardiography findings?

Abstract

Objective: The authors aimed to determine pulmonary artery pressure and right heart functions in patients with nasal septum deviation (NSD) with echocardiography (EchoCG) and compare the postoperative changes of EchoCG parameters with preoperative findings. Methods: Seventy-six patients who underwent septoplasty composed the study group. Average age of patients was 23.50 ranging between 18 and 48 years of age. There were 53 males (69.7%) and 23 females (30.3%). Mean pulmonary artery pressure, tricuspid annular-plane systolic excursion, right ventricular diameter, and e/a ratio were measured by EchoCG preoperatively and same parameters were reobtained 3 months after surgery. Results: Mean pulmonary artery pressure reduced from 23.88 +/- 6.36 to 19.80 +/- 3.95 mm Hg and tricuspid annular-plane systolic excursion increased from 22.36 +/- 3.85 to 23.57 +/- 3.00 3 months after surgery. It represented statistically significant improvement at right heart functions postoperatively (P<0.001). Although they were not statistically significant, there was also some improvement in right ventricular diameter and e/a ratio values postoperatively. Conclusion: Nasal septum deviation was associated with higher PAP values, which were improved after surgery. Although at a lower extent, a negative effect of NSD on right heart functions was also suspected. Thus, treatment of NSD without delay was proposed, not only to treat the nasal symptoms but possible future cardiovascular complications as well.