Clinical evaluation of Eustachian tube transience and function in patients with different types of increased nasal resistance

Otitis media (OM) is a common health problem. Nasal airways play an important role in etiopathogenesis of OM. The aim of this study is to evaluate nasal airways by objective methods in chronic otitis media (COM) cases. The relationship between the course of the disease and nasal parameters is also investigated. Fifty-six patients who had chosen an operation for chronic otitis media were included in the study. The control group was composed of 30 healthy patients. Patients were subjected to acoustic rhinometry and rhinomanometry. Nasal airway resistance and cross-sectional area measurements were taken. The results of the COM group and the control group were compared. Cases were classified by the course of the disease such as suppurative/progressive/active and non-suppurative/inactive and the nasal parameters of these sub-groups were compared. In cases with unilateral COM, nasal cavity results from both sides were compared. The nasal airway resistance of the COM group was statistically significantly higher than the control group (p < 0.05). However, there was no difference in cross-sectional area measurements. There was no significant difference between the suppurative/progressive/active and non-suppurative/inactive groups. However, the suppurative group had higher nasal resistance (p > 0.05). There was no statistical difference between the measurements of each side in unilateral COM cases. This study found that COM cases have greater nasal airway resistance. No significant difference was found in cross-sectional area measurements so the increase in resistance may be linked to mucosal rather than structural changes. There was no evidence for a relationship between the course of the OM and nasal airway parameters.

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Evaluation of nasal airways by objective methods in chronic otitis media

Güçlü

Şahin

Tekin

et al. 2012

Eur Arch Otorhinolaryngol

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Middle ear function in sinonasal polyposis

Bakhshaee

Ardakani

Ghazizadeh

et al. 2015

Eur Arch Otorhinolaryngol

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Nasal airway patency has long been considered a major factor in ear health. The aim of this study was to determine the effect of sinonasal polyposis on middle ear and eustachian tube (ET) functionality. Forty-four individuals with polyposis, 23 with non-polyposis nasal obstruction, and 23 healthy controls were enrolled. Demographic, clinical and imaging data of all participants were collected and ET function tests and audiologic tests were performed. Hearing loss (p = 0.02), flat tympanogram (p = 0.02), disturbed Toynbee and Valsalva tests (p = 0.01), and the prevalence of allergy (p = 0.04) and purulent nasal discharge (p < 0.001) were significantly higher in the polyposis group than the other groups. Regression analysis revealed that infection and allergy have more important roles in ET function than the nasal obstruction. Polyposis could impede ET function; however, it is probably not because of its obstructive nature, but because of the associated increased risk of infection.

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La Tubomanométrie : une évaluation robuste et prometteuse du dysfonctionnement tubaire chez les patients atteints d’une rhinosinusite chronique

Vandersteen

Castillo

Roger

et al. 2021

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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Clinical evaluation of Eustachian tube transience and function in patients with different types of increased nasal resistance

Cited by 9 publications

References 10 publications

Evaluation of nasal airways by objective methods in chronic otitis media

Evaluation of nasal airways by objective methods in chronic otitis media

Middle ear function in sinonasal polyposis

La Tubomanométrie : une évaluation robuste et prometteuse du dysfonctionnement tubaire chez les patients atteints d’une rhinosinusite chronique

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