Eustachian tube dysfunction in candidates for surgery for obstructive sleep apnoea syndrome

Ungar, Omer J.; Rosenzweig, Eyal; Betito, Hadar Rotem; Cavel, Oren; Oron, Yahav; Handzel, Ophir

doi:10.1017/s002221512000002x

Cited by 9 publications

(7 citation statements)

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“…Ungar ve ark. [19] çalışmalarında TUAS'lı 31 hastaya ekspansiyon sfinkter faringoplasti yapmış ve ameliyat öncesi ve sonrası ÖTDA-7 skorlarını karşılaştırmışlardır. Sonuçta ÖTD, TUAS grubunda sağlıklı kontrol grubuna kıyasla belirgin şekilde daha yüksek olarak bulunmuş; ancak ameliyat sonrası uzun dönemde ÖTDA-7 skorlarında istatistiksel olarak anlamlı değişim olmamıştır.…”

Section: Discussionunclassified

“…[8,12,13] Ungar ve ark. [19] TUAS için farengeal cerrahi uygulanan hastalarda ameliyat öncesi ÖTD-7 ile sonrası arasında anlamlı fark bulamamışlardır. Tıkayıcı uyku apne sendromu hastalarında CPAP kullanımının orta kulak basıncını yükselttiğini bildiren çalışmaların yanında, [13,20] orta kulak basıncına CPAP kullanımının anlamlı etkisi olmadığını öne süren çalışmalar da vardır.…”

Section: Discussionunclassified

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Use of eustachian tube dysfunction questionnaire in obstructive sleep apnea syndrome

Demirbilek¹

2022

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OBJECTIVE: This study aimed to investigate the eustachian tube dysfunction (ETD) of patients with obstructive sleep apnea syndrome (OSAS) using the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7). METHODS: The study included 96 patients (78 males, 18 females; mean age 39.4±12.2 years; range 18 to 64 years) diagnosed with OSAS by polysomnographic evaluation. All patients were administered the ETDQ-7. Age, sex, presence of septum deviation, Epworth Sleepiness Scale, apnea-hypopnea index (AHI), lowest oxygen saturation, and oxygen desaturation index parameters were recorded. The patients were divided into mild, moderate, and severe OSAS groups according to the AHI score. The parameters of the cases in each group were compared, and their correlation with the ETDQ-7 scores was evaluated. RESULTS: The fourth question score and the total score in the group with severe OSAS were significantly higher than the groups with mild and moderate OSAS (p<0.05 for all). The fourth question score and the total score were significantly higher in the group with moderate OSAS than the group with mild OSAS (p<0.05 for all). There was a significant positive correlation between the oxygen desaturation index and the scores of questions 1, 3, 4, 6, and 7 and the total score (p<0.05 for all). CONCLUSION: Questionnaire scores were higher in patients with severe OSAS compared to mild to moderate OSAS patients. Based on this data, we would like to emphasize that OSAS cases may develop ETD and other related pathologies.

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Use of eustachian tube dysfunction questionnaire in obstructive sleep apnea syndrome

Demirbilek¹

2022

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“…Young individuals with OSA are more likely to have Eustachian tube dysfunction (ETD) due to two distinct clinical manifestations of a shared structural problem, such as adenoid enlargement. Adenoid hypertrophy and adenoiditis can cause the nasopharynx to become functionally obstructed, which can cause OSA and Eustachian tube dysfunction due to nasal airway obstruction and Eustachian tube inflammation, respectively [7]. Growing OSA severity among youngsters is linked to negative middle ear pressure (MEP), which raises the possibility that OSA-related negative pressure is conveyed to the middle ear.…”

Section: Relation To the Eustachian Tube Dysfunctionmentioning

confidence: 99%

Obstructive Sleep Apnea in Adults and Ear, Nose, and Throat (ENT) Health: A Narrative Review

Choudhury,

Deshmukh

2023

Cureus

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Obstructive sleep apnea (OSA), a form of sleep-disordered breathing, is a significant health concern that leads to substantial morbidity. The collapse or occlusion of the upper airway, which results in reduced or cessation of airflow, is the pathophysiology of sleep apnea. The condition has been attributed to numerous cardiovascular, metabolic, and neuropsychological issues and carries serious health concerns. The ensuing intermittent hypoxia and sleep disruption set off a chain of physiological reactions that aid in developing endothelial dysfunction, systemic inflammation, and oxidative stress. The following line of treatment depends on the appropriate diagnosis of sleep apnea and the underlying cause. The gold standard for diagnosis is polysomnography (PSG), which assesses different physiological parameters during sleep. However, because polysomnography is expensive, patients may use more friendly screening and diagnostic testing kits, like home sleep apnea testing. The clinical symptoms and head and neck history may reveal essential risk factors. The primary objectives of management treatments for sleep apnea are to lessen symptoms, enhance sleep quality, and reduce any health concerns that may be present. It is advised to start with lifestyle changes such as quitting alcohol and sedative use, losing weight, and exercising frequently. The primary treatment for moderate to severe sleep apnea is continuous positive airway pressure (CPAP) therapy, which includes administering pressurized air to keep the airway open while you sleep. Oral appliances, positional therapy, surgery, and complementary therapies are other treatment choices that can be adapted to each patient's needs and preferences. The goal of the review is to evaluate the morphological and functional aspects of the upper airway, including the nose and throat, that influence the onset and severity of OSA. With a focus on the interaction between otorhinolaryngologists, sleep medicine specialists, and other healthcare professionals, we aim to consider how OSA affects otorhinolaryngology-related medical issues, look at any potential reciprocal relationships, and provide a summary of the interdisciplinary management strategy for OSA. We tried to analyse the various surgical and non-surgical therapy options for OSA management available in the otorhinolaryngology field for improving OSA symptoms and results.

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“…Other symptoms include an 'underwater' sensation, crackling, ringing, or hearing loss [3]. Patients may report a history of allergic rhinitis, viral upper respiratory tract infection, or otitis media [3,5,6,[10][11][12]. It has been challenging to find a single gold standard method to evaluate the Eustachian tube function, as the current way requires several tools and trained staff, which are mostly available in specialized centers [6,13].…”

Section: Introductionmentioning

confidence: 99%

Symptoms and Factors Associated With Eustachian Tube Dysfunction Among the Population of Qassim, Saudi Arabia

Almutairi,

Alharbi,

Alharbi

et al. 2024

Cureus

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IntroductionThe Eustachian tube regulates middle ear functions such as ventilation and pressure normalization. Eustachian tube dysfunction (ETD) is defined as the failure of the Eustachian tube to maintain one or more of its functions. It is a common condition that is associated with other middle ear disorders such as cholesteatoma, tympanic membrane atelectasis, and otitis media with effusion (OME). This study aims to assess ETD prevalence and risk factors in the Qassim region. MethodologyThis cross-sectional study was conducted in the Qassim region of Saudi Arabia during the period from September 20 to October 10, 2023. Data were gathered via a validated, self-administered electronic questionnaire that encompasses socio-demographic information, the prevalence of ETD, and the prevalence of its various symptoms, as assessed by the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). ResultsOur study in Qassim, Saudi Arabia, with 467 participants reveals a high prevalence of ETD at 12.2%. The 18-25 age group dominates (50.1%), with a majority of females (66.2%). Symptom analysis using the ETDQ-7 questionnaire shows varied prevalence, with severe pain (7%) and muffled hearing (29.8%) notable. Logistic regression identifies significant predictors, including hearing loss history (odds ratio = 28.2) and smoking (odds ratio = 3.70). Specific symptoms, such as feeling blocked or underwater, significantly correlate with more severe ETD symptoms (odds ratio = 1.73). ConclusionOur study highlights a notable prevalence of ETD. Significant predictors, including hearing loss history and smoking, were identified. Specific symptoms, such as feeling blocked or underwater, were associated with more severe ETD symptoms.

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Eustachian tube dysfunction in candidates for surgery for obstructive sleep apnoea syndrome

Cited by 9 publications

References 32 publications

Use of eustachian tube dysfunction questionnaire in obstructive sleep apnea syndrome

Use of eustachian tube dysfunction questionnaire in obstructive sleep apnea syndrome

Obstructive Sleep Apnea in Adults and Ear, Nose, and Throat (ENT) Health: A Narrative Review

Symptoms and Factors Associated With Eustachian Tube Dysfunction Among the Population of Qassim, Saudi Arabia

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