Background: Deviated nasal septum affects hearing and middle ear ventilation by altering eustachain tube function. It leads to ear fullness, affects middle ear ventilation and impacts hearing. Septoplasty is commonly done for deviated septum. So, this study aims to find out if Septoplasty can lead to improvement of hearing and middle ear function and reduce patients ear complaints.Methods: Patients with Deviated nasal septum requiring septoplasty surgery were assessed for ear symptoms, hearing and middle ear pressure by detailed history taking, pure tone audiometry and tympanometry. They then underwent septoplasty and were again assessed post operatively after 2days, 4weeks, 8weeks and 12weeks of surgery. The pre-and post-operative results were compared and analysed.Results: The most common symptom in patients at pre-operative visit was ear fullness and hearing loss was of conductive type. Post operatively there was worsening of symptoms, hearing and middle ear functions after 2days but marked improvement was seen in symptom of ear fullness, conductive hearing and normalisation of middle ear pressure at 8-12weeks after surgery.Conclusions: Septoplasty improves hearing and middle ear function in patients with deviated nasal septum and the improvement is seen 8 to 12weeks after surgery.
<p><strong>Background:</strong> Nasal polyps are common nasal disorders with unknown etiology and high recurrence and high prevalence of 1-4% which affect the quality of patient life. The aim of the study was to find out the prevalence of nasal polyps in our hilly region and find out its etiological or risk factors for better prevention and cure of the disease.</p><p><strong>Methods:</strong> 60 patients with nasal polyps were included in this study and were assessed for age and sex distribution, types of polyps, main clinical symptoms and their duration, their major etiological or risk factors through detailed history taking, physical and nasal examination, anterior and posterior rhinoscopy, diagnostic nasal endoscopy and computerized tomography scan. </p><p><strong>Results:</strong> Nasal polyps are more common in males and in middle age group. Most of the common types are bilateral and ethmoidal polyps. Most of the patients were symptomatic with nasal obstruction and nasal discharge as main symptoms. There was strong correlation between nasal polyps and recurrent nasal infection, allergy and asthma. In this region we found familial inheritance of this disease and high rate of polyp recurrence after medical or surgical therapy.</p><p class="abstract"><strong>Conclusions:</strong> Nasal polyps are common in hilly region with high rate of recurrence with nasal infection, allergy and asthma being the important etiological factors.</p>
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