Our Summary

This study investigates how a common type of nasal surgery, called septoplasty, might affect heart performance. The surgery corrects a deviated nasal septum, which is a common cause of blocked airways. This blockage can reduce the amount of oxygen going to the heart, potentially causing damage over time.

The researchers used a simple and reliable measure called the myocardial performance index to assess heart function before and after the surgery. They followed 50 patients having the surgery and measured their heart performance before and after the procedure.

The results showed significant improvements in several measures of heart performance, suggesting the surgery not only helps to improve breathing, but also the efficiency of the heart. However, there was no significant change in the percentage of blood pumped out of the heart during each beat (known as the ejection fraction).

Overall, the study suggests that correcting a deviated nasal septum through surgery could help to prevent possible future heart problems. So, it’s better not to delay this kind of treatment.

FAQs

  1. What is the purpose of a septoplasty and how can it affect heart performance?
  2. What method did the researchers use to measure heart function in the study?
  3. Did the study find any significant changes in the heart’s ejection fraction after septoplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient about septoplasty is to follow all post-operative care instructions carefully. This may include keeping the nasal area clean and avoiding strenuous activities that could disrupt the healing process. It’s also important to attend all follow-up appointments to ensure proper healing and monitor any potential complications. By following these instructions, patients can maximize the benefits of the surgery and reduce the risk of complications.

Suitable For

Patients who are typically recommended for septoplasty are those who have a deviated nasal septum causing symptoms such as difficulty breathing through the nose, frequent congestion, recurrent sinus infections, and snoring or sleep apnea. These symptoms can significantly impact a person’s quality of life and overall health, making septoplasty a beneficial option for those seeking relief. Additionally, patients with underlying heart conditions or concerns related to reduced oxygen intake may also be recommended for septoplasty to improve overall heart performance.

Timeline

Before septoplasty:

  • Patient experiences symptoms such as difficulty breathing through the nose, frequent nosebleeds, snoring, and sinus infections
  • Patient consults with an ENT specialist who performs a physical examination and may order imaging tests to diagnose a deviated septum
  • Patient discusses treatment options with the specialist, including septoplasty
  • Patient undergoes pre-operative evaluations and preparations for the surgery

After septoplasty:

  • Patient undergoes the septoplasty procedure, which typically takes around 1-2 hours and is performed under general anesthesia
  • Patient may experience some discomfort, swelling, and congestion in the days following the surgery
  • Patient is advised to avoid strenuous activities and to follow post-operative care instructions, which may include nasal irrigation, pain medication, and follow-up appointments
  • Patient gradually experiences improved breathing, reduced symptoms, and overall better quality of life as the nasal passages heal and the septum is straightened

What to Ask Your Doctor

  1. What are the potential risks and complications associated with septoplasty?

  2. How long is the recovery process after septoplasty and what can I expect during this time?

  3. Will septoplasty improve my breathing and alleviate symptoms such as nasal congestion, snoring, or sinus infections?

  4. How will septoplasty affect my overall heart function, as mentioned in this study?

  5. Are there any specific lifestyle changes or precautions I should take after undergoing septoplasty to ensure the best possible outcome for my heart health?

  6. How long do the benefits of septoplasty typically last, and will I need any follow-up procedures or treatments in the future?

  7. Are there any alternative treatments or therapies that I should consider before deciding to undergo septoplasty?

  8. Can you provide me with information about your experience and success rate with septoplasty procedures?

  9. How will septoplasty impact my daily activities and exercise routine, especially in relation to my heart health?

  10. Are there any specific questions or concerns I should discuss with my cardiologist or primary care physician before proceeding with septoplasty?

Reference

Authors: Kaya H, Kurt E, Koparal M, Tibilli H, Hosoglu Y, Kafadar S, Suner A, Türkmen S. Journal: Braz J Otorhinolaryngol. 2022 Jul-Aug;88(4):589-593. doi: 10.1016/j.bjorl.2020.08.004. Epub 2020 Sep 26. PMID: 33067133