Sinonasal risk factors for eustachian tube dysfunction: Cross‐sectional findings from NHANES 2011‐2012

Juszczak, Hailey M; Aubin-Pouliot, Annick; Sharon, Jeffrey D.; Loftus, Patricia A.

doi:10.1002/alr.22275

Cited by 31 publications

(34 citation statements)

References 23 publications

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“…Oftentimes, the assumption of the treating physician is that this symptom reflects eustachian tube dysfunction (ETD). ETD has been shown to be a comorbid condition in several diseases such as allergic rhinitis, nonallergic rhinitis, and chronic rhinosinusitis . The seven‐item Eustachian Tube Dysfunction Questionnaire (ETDQ‐7), which consists of seven questions, each ranked on a Likert scale ranging from 1 (no problem) to 7 (severe problem), has recently been validated and touted as having excellent discrimination for patients with ETD.…”

Section: Introductionmentioning

confidence: 99%

“…ETD has been shown to be a comorbid condition in several diseases such as allergic rhinitis, nonallergic rhinitis, and chronic rhinosinusitis. 1,2 The seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), which consists of seven questions, each ranked on a Likert scale ranging from 1 (no problem) to 7 (severe problem), has recently been validated and touted as having excellent discrimination for patients with ETD. Whereas the maximum total score is 49, a score ≥14.5 has been reported to have 100% sensitivity and 100% specificity for ETD.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

et al. 2019

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Objectives/Hypothesis Ear fullness and pressure is a common complaint seen in otolaryngology clinics and frequently is attributed to eustachian tube dysfunction (ETD). In addition to traditional tympanometry and physical examination, the seven‐item Eustachian Tube Dysfunction Questionnaire (ETDQ‐7) has recently been used to aid in the diagnosis of ETD and to assess its severity. Temporomandibular joint disorder (TMJD) is a common condition that causes similar symptoms to ETD and has been recognized as a potential confounding condition in patients presenting with ETD symptoms. We sought to determine the cross‐sectional prevalence of ETD symptoms in patients with TMJD using the ETDQ‐7. Study Design Prospective cross‐sectional analysis. Methods An analysis was performed of ETDQ‐7 scores in patients diagnosed with TMJD. Results A total of 21 patients with confirmed TMJD completed the ETDQ‐7 at routine consult or follow‐up for their TMJD. The mean ± standard deviation ETDQ‐7 score for the cohort was 24.5 ± 12.5. Two‐thirds of patients had an ETDQ‐7 score of >14.5, which has been used in the literature to denote clinically significant ETD. No single question was scored significantly higher than the others. Conclusions Symptoms of ETD are highly prevalent among patients with TMJD determined by patient‐reported outcome measures. It is not clear if these symptoms reflect true derangement of eustachian tube function in these patients or whether there is only clinical similarity between ETD and TMJD. However, future research efforts may resolve this dilemma. Level of Evidence 4 Laryngoscope, 130:E233–E236, 2020

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

et al. 2019

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“…Many reports by Down et al and others underlined the effect of histamine and aeroallergen in blocking the ET, suggesting that allergic rhinitis causes or aggravates this condition [16,22]. Notifiable symptoms are exacerbated in allergy and pollen seasons [16]. Juszczak et al in 2018 supported with evidence the connection between allergic rhinitis and ETD [16].…”

Section: Allergymentioning

confidence: 99%

“…Applying this tool in ET dysfunction is not yet well recognized systematically. A type C tympanogram reflects an ET dysfunction, which is a frequent pattern of subclinical middle ear malfunctions [8,16]. Although a negative middle ear tube pressure on tympanometry, especially when the peak is below − 100 daPa, can indicate an ET dysfunction, the diagnosis remains presumably clinical.…”

Section: Tympanometrymentioning

confidence: 99%

“…Upper airway infections and inflammation can induce some episodes of ET deregulation for example in conditions like allergic rhinitis, acute or chronic rhinosinusitis [4]. Many reports by Down et al and others underlined the effect of histamine and aeroallergen in blocking the ET, suggesting that allergic rhinitis causes or aggravates this condition [16,22]. Notifiable symptoms are exacerbated in allergy and pollen seasons [16].…”

Section: Allergymentioning

confidence: 99%

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Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?

et al. 2020

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Background The Eustachian tube (ET) is considered an organ by itself due to its specific functions. An ET Dysfunction (ETD) is discussed when this tube is unable to ventilate the middle ear properly. Clinically, the patient reports usually some aural fullness, “popping”, “under water” sensation as if the ear is clogged. This condition is common affecting at least 5% of the adult population. It can impair quality of life and become disabling. On the other side, the prevalence of nasal septal deviation (NSD) is believed to be around 22.83% in the adult population. Nasal septal deviation is thought to cause a decline in the middle ear ventilation according to certain authors. The primary outcome is to define the predictive value of the side of Eustachian Tube Dysfunction (ETD) symptoms vis-à-vis the side of nasal septal deviation (NSD) in patients having the two conditions concomitantly. Methods A cross-sectional study was conducted between July 2018 and September 2019. Overall, 60 consecutive subjects (total of 120 ears), randomly seen at the Otorhinolaryngology Outpatient Clinics at the Eye and Ear International Hospital, Lebanon, all year-round were enrolled and tested without any geographic preferences. The Eustachian Tube Dysfunction Questionnaire (ETDQ) -7 questionnaire was used to evaluate ETD. Results A significantly higher ETD score was found in males compared to females, in those with left septal deviation compared to right and in those who have symptoms on the left compared to right side. Frequent exposure to higher changes in altitude (commute from home to workplace) was also significantly associated with higher ETD scores (r = 0.265), whereas higher Left Tympanometric peak pressure (TPP in daPa) on tympanometry was significantly associated with lower ETD score (r = − 0.467). Furthermore, 25 patients who had symptoms on the left side had also a septal deviation to the left side (86.2%), whereas 29 (93.5%) patients who had the symptoms on the right side had septal deviation to the right side (p < 0.001). Conclusion Our data highlighted the importance of altitude and geographic distribution of patients especially in a population exposed to barotrauma on a daily basis like the Lebanese population. Tympanometry, on the other hand, failed to correlate with patient reported symptoms and thus needs further evaluation. The reported ETD symptoms of the patient correlates to the side of NSD.

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International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Wise

Damask

Roland

et al. 2023

Int Forum Allergy Rhinol

153

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Background In the 5 years that have passed since the publication of the 2018 International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (ICAR‐Allergic Rhinitis 2018), the literature has expanded substantially. The ICAR‐Allergic Rhinitis 2023 update presents 144 individual topics on allergic rhinitis (AR), expanded by over 40 topics from the 2018 document. Originally presented topics from 2018 have also been reviewed and updated. The executive summary highlights key evidence‐based findings and recommendation from the full document. Methods ICAR‐Allergic Rhinitis 2023 employed established evidence‐based review with recommendation (EBRR) methodology to individually evaluate each topic. Stepwise iterative peer review and consensus was performed for each topic. The final document was then collated and includes the results of this work. Results ICAR‐Allergic Rhinitis 2023 includes 10 major content areas and 144 individual topics related to AR. For a substantial proportion of topics included, an aggregate grade of evidence is presented, which is determined by collating the levels of evidence for each available study identified in the literature. For topics in which a diagnostic or therapeutic intervention is considered, a recommendation summary is presented, which considers the aggregate grade of evidence, benefit, harm, and cost. Conclusion The ICAR‐Allergic Rhinitis 2023 update provides a comprehensive evaluation of AR and the currently available evidence. It is this evidence that contributes to our current knowledge base and recommendations for patient evaluation and treatment.

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Sinonasal risk factors for eustachian tube dysfunction: Cross‐sectional findings from NHANES 2011‐2012

Cited by 31 publications

References 23 publications

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

The prevalence of eustachian tube dysfunction symptoms in temporomandibular joint disorder patients

Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

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