Nasal Obstruction and Unilateral Chronic Otitis Media: Evaluation by Acoustic Rhinometry

Toros, Sema Zer; Karaca, Çiğdem Tepe; Önder, Serap Şahin; Caypinar, Basak; Sahin-Yilmaz, Aslı; Oysu, Çağatay

doi:10.1177/000348941312201202

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…We conducted an objective evaluation of the relationship between nasal functions and middle-ear pathology by measuring nasal functions with active anterior rhinomanometry, which is considered the ideal method for nasal function evaluation. Our results were similar to those of Toros et al 16 . and Güçlü et al ., 15 and our objective measurements of nasal functions revealed no differences between the affected and unaffected sides in unilateral chronic otitis media patients.…”

Section: Discussionsupporting

confidence: 93%

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Assessment of nasal functions and their relationship with cholesteatoma formation in patients with unilateral chronic otitis media

2018

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ObjectivesTo evaluate the nasal functions of patients with unilateral chronic otitis media using rhinomanometry, comparing chronic otitis media sides with healthy sides, chronic otitis media patients with cholesteatoma and without cholesteatoma, and patients with healthy individuals.MethodsThis prospective study included 102 patients with unilateral chronic otitis media (48 with and 54 without cholesteatoma). The control group comprised 40 individuals without any ear or nasal pathologies. All patients underwent active anterior rhinomanometry to measure nasal airway resistance and a saccharin test to measure mucociliary transport times.ResultsThere were no significant differences in nasal airway resistance and mucociliary transport time between the chronic otitis media sides and unaffected sides in the 102 patients (p = 0.72 and p = 0.28, respectively), between the non-suppurative chronic otitis media patients (without cholesteatoma) and chronic otitis media with cholesteatoma patients (p > 0.05), or between the study and control groups (p > 0.05).ConclusionThe present study, with a larger sample size compared to previously published literature, supports the conclusion that unilateral nasal obstruction is unlikely to lead to chronic otitis media on the same side. The results also suggest that nasal functions do not contribute to the development of cholesteatoma.

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Section: Discussionsupporting

confidence: 93%

“…Similarly, Toros et al . found no differences in the acoustic rhinometry measurements of nasal functions of the affected and unaffected sides in 55 patients with unilateral chronic otitis media 16 …”

Section: Discussionmentioning

confidence: 82%

Assessment of nasal functions and their relationship with cholesteatoma formation in patients with unilateral chronic otitis media

2018

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“…But, using the same technique, Arsla et al 8 did not find significant differences in nasal airway resistance between the COM sides and unaffected sides between 102 patients with unilateral COM and 40 individuals without any ear or nasal pathologies controls. And Toros et al 10 did not observe correlation between the ear with COM and the side of nasal obstruction by acoustic rhinometric in a sample of 55 patient with COM. Studying 114 patients with COM, Ural et al 5 suggested that septal deviation occurred more frequently on the same side of ear pathology in patients with tubotympanic chronic suppurative otitis media, but not in patients with atticoantral chronic suppurative otitis media.…”

Section: Discussionmentioning

confidence: 88%

“…However, the relationship between the nose conditions and COM is controversial. While some authors have found a significant correlation between the incidence of nasal pathology and COM, 4–7 others do not find such a correlation 8–11 . Regardless of the role of alterations of the nose and/or nasopharynx on the middle ear, the intimate knowledge of this relationship would be of great interest for the treatment of patients with COM and concomitant nasal and/or nasopharyngeal alterations, a very common situation in the clinical practice.…”

Section: Introductionmentioning

confidence: 99%

“…While some authors have found a significant correlation between the incidence of nasal pathology and COM, [4][5][6][7] others do not find such a correlation. [8][9][10][11] Regardless of the role of alterations of the nose and/or nasopharynx on the middle ear, the intimate knowledge of this relationship would be of great interest for the treatment of patients with COM and concomitant nasal and/or nasopharyngeal alterations, a very common situation in the clinical practice. However, despite some study that sheds some light on this aspect, 11 no specific guidelines have been defined for the management of patients with COM and associated nasal and/or nasopharyngeal alterations.…”

Section: Introductionmentioning

confidence: 99%

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Linking Chronic Otitis Media and Nasal Obstruction: A CFD Approach

et al. 2021

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Objectives: To investigate a possible relationship between altered nasal flow and chronic otitis media (COM) using computational fluid dynamics (CFD).Study Design: Retrospective case series. Methods: Retrospective cohort sample of CT scans from patients with COM and controls without COM to compare the results of various nasal airflow parameters determined by CFD between a group of patients with COM (N = 60) and a control group of subjects without any evidence of ear disease (N = 81).The CT were subjected to various procedures to carry out CFD studies, determining the resistance to nasal flow, the proportion of flow through the right and left nasal cavity, and two nondimensional estimators. The results of CFD studies between patients with COM and controls were compared.Results: Whereas only 12.3% of the controls had CFD alteration (10 out of 81), 43.3% of the patients suffering COM displayed alterations of our nondimensional parameters R À ϕ (26 out of 60).Conclusions: According to our results, the incidence of alterations in nasal airflow by studying with CFD is significantly higher in patients with COM than in controls. To our knowledge, this is the first article linking nasal cavity and COM using a CFD approach. Our results support the hypothesis that nasal flow alterations could be implicated in the etiopathogenesis of the COM.

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Eustachian tube diameter: Is it associated with chronic otitis media development?

Paltura

Can²,

Yilmaz

et al. 2017

American Journal of Otolaryngology

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Nasal Obstruction and Unilateral Chronic Otitis Media: Evaluation by Acoustic Rhinometry

Abstract: These findings do not support the hypothesis that unilateral COM is correlated with the side of nasal obstruction.

Cited by 6 publications

References 16 publications

Assessment of nasal functions and their relationship with cholesteatoma formation in patients with unilateral chronic otitis media

Assessment of nasal functions and their relationship with cholesteatoma formation in patients with unilateral chronic otitis media

Linking Chronic Otitis Media and Nasal Obstruction: A CFD Approach

Eustachian tube diameter: Is it associated with chronic otitis media development?

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