Preoperative Pulmonary Function Testing to Predict Recurrence of Chronic Rhinosinusitis With Nasal Polyps

被引:3
作者
Nakamaru, Yuji [1 ,2 ]
Suzuki, Masanobu [1 ,2 ]
Honma, Aya [1 ,2 ]
Nakazono, Akira [1 ,2 ]
Kimura, Shogo [1 ,2 ]
Fujiwara, Keishi [1 ,2 ]
Morita, Shinya [1 ,2 ]
Konno, Satoshi [2 ,3 ]
Homma, Akihiro [1 ,2 ]
机构
[1] Hokkaido Univ, Fac Med, Dept Otolaryngol Head & Neck Surg, West 7 North 15, Sapporo, Hokkaido 0608638, Japan
[2] Hokkaido Univ, Grad Sch Med, West 7 North 15, Sapporo, Hokkaido 0608638, Japan
[3] Hokkaido Univ, Fac Med, Dept Resp Med, Sapporo, Hokkaido, Japan
来源
ALLERGY & RHINOLOGY | 2020年 / 11卷
关键词
asthma; chronic rhinosinusitis; post-operative; eosinophilic rhinitis and nasal polyposis; endoscopic sinus surgery; ENDOSCOPIC SINUS SURGERY; ALLERGIC RHINITIS; ASTHMA; LUNG; INFLAMMATION; GUIDELINES; TIME;
D O I
10.1177/2152656720946994
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: Although the close relationship between the upper and lower airways has been highlighted previously, little is known about the association between lung function and the recurrence of chronic rhinosinusitis with nasal polyps (CRSwNP). This study aimed to evaluate the factors associated with pulmonary function that affect CRSwNP recurrence after surgery. Methods: We performed a series of routine pulmonary function tests for general anesthesia prior to CRSwNP surgery. The values for each parameter were compared in the presence or absence of recurrence. Results: Sixty-nine patients with CRSwNP were included. The percent predicted forced expiratory volume in one second (%FEV1) in the recurrent group was significantly lower than that in the non-recurrent group (P = .005). A multivariable logistic regression model revealed that %FEV1 was a positive predictor of recurrence (odds ratio: 0.96, 95% CI: 0.92-0.99, P = .023). There were no significant differences in the other pulmonary functions between the two groups. Conclusions: We found that %FEV1 may be a predictor of CRSwNP recurrence after surgery. As %FEV1 is a pulmonary function test that is routinely performed before surgery, this parameter is readily applicable. Moreover, as %FEV1 appears to have the potential to reveal concealed asthma, %FEV1 might be a particularly useful tool for the prediction of CRSwNP recurrence after surgery.
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页数:7
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共 24 条
  • [21] T-cell regulation in chronic paranasal sinus disease
    Van Bruaene, Nicholas
    Perez-Novo, Claudina Angela
    Basinski, Tomasz M.
    Van Zele, Thibaut
    Holtappels, Gabriele
    De Ruyck, Natalie
    Schmidt-Weber, Carsten
    Akdis, Cezmi
    Van Cauwenberge, Paul
    Bachert, Claus
    Gevaert, Philippe
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2008, 121 (06) : 1435 - 1441
  • [22] Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary
    Vogelmeier, Claus F.
    Criner, Gerard J.
    Martinez, Fernando J.
    Anzueto, Antonio
    Barnes, Peter J.
    Bourbeau, Jean
    Celli, Bartotome R.
    Chen, Rongchang
    Decramer, Marc
    Fabbri, Leonardo M.
    Frith, Peter
    Halpin, David M. G.
    Varela, M. Victorina Lopez
    Nishimura, Masaharu
    Roche, Nicolas
    Rodriguez-Roisin, Roberto
    Sin, Don D.
    Singh, Dave
    Stockley, Robert
    Vestbo, Jorgen
    Wedzicha, Jadwiga A.
    Agusti, Y. Alvar
    [J]. ARCHIVOS DE BRONCONEUMOLOGIA, 2017, 53 (03): : 128 - 149
  • [23] Factors Affecting Time to Revision Sinus Surgery for Nasal Polyps: A 25-Year Experience
    Wu, Arthur W.
    Ting, Jonathan Y.
    Platt, Michael P.
    Tierney, Hien T.
    Metson, Ralph
    [J]. LARYNGOSCOPE, 2014, 124 (01) : 29 - 33
  • [24] The Lung Function Impairment in Non-Atopic Patients With Chronic Rhinosinusitis and Its Correlation Analysis
    Zhang, Linghao
    Zhang, Lu
    Zhang, Chun-Hong
    Fang, Xiao-Bi
    Huang, Zhen-Xiao
    Shi, Qing-Yuan
    Wu, Li -Ping
    Wu, Peng
    Wang, Zhen-Zhen
    Liao, Zhi-Su
    [J]. CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, 2016, 9 (04) : 339 - 345