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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2018; 22(02): 157-160
DOI: 10.1055/s-0037-1606600
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Assessment of Pulmonary Function before and after Sinus Surgery in Lung Transplant Recipients

Bernardo Faria Ramos
1   Department of Otolaryngology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Fábio de Rezende Pinna
1   Department of Otolaryngology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Silvia Vidal Campos
2   Lung Transplant Group, Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
José Eduardo Afonso Júnior
2   Lung Transplant Group, Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Ricardo Henrique de Oliveira Braga Teixeira
2   Lung Transplant Group, Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Rafael Medeiros Carraro
2   Lung Transplant Group, Instituto do Coração, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Richard Louis Voegels
1   Department of Otolaryngology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
› Author Affiliations
Further Information

Publication History

24 April 2017

10 August 2017

Publication Date:
19 September 2017 (online)

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Abstract

Introduction The association between sinus and lung diseases is well known. However, there are scarce studies regarding the effects of sinus surgery on pulmonary function in lung transplant recipients. The present study describes our experience with sinus surgery in lung transplant recipients with chronic rhinosinusitis.

Objectives To assess the impact of sinus surgery for chronic rhinosinusitis on pulmonary function and on inpatient hospitalization days due to lower respiratory tract infection in lung transplant recipients.

Methods A retrospective study conducted between 2006 and 2012 on a sample of lung transplant recipients undergoing sinus surgery for chronic rhinosinusitis. Pulmonary function, measured by forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1), as well as inpatient hospitalization days due to lower respiratory tract infection, were compared 6 months before and 6 months after sinus surgery.

Results The FEV1 values increased significantly, and the inpatient hospitalization days due to bronchopneumonia decreased significantly 6 months after sinus surgery. The preoperative and postoperative median FEV1 values were 2.35 and 2.68 respectively (p = 0.0056). The median number of inpatient hospitalization days due to bronchopneumonia 6 months before and 6 months after surgery were 32.82 and 5.41 respectively (p = 0.0013).

Conclusion In this sample of lung transplant recipients with chronic rhinosinusitis, sinus surgery led to an improvement in pulmonary function and a decrease in inpatient hospitalization days due to bronchopneumonia.

Keywords

lung transplantation - respiratory function tests - respiratory tract diseases - paranasal sinus diseases - nasal surgical procedures
 

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