The Effect of Types of Nasal Septum Deviation on the Eustachian Tube Function

Doğan, Remzi

doi:10.14235/bas.galenos.2017.2285

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…The limitation of this study is that the possible impact on E-tube function after surgery of nasal septal deviation and the improvement of nasal breathing in the control group was not considered [23,24]. Other nasal surgeries were selected as a control group to compare with the ESS group; however, to avoid this, other otolaryngologic procedures outside the nose might have been good candidates for the control group.…”

Section: Discussionmentioning

confidence: 99%

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Choi

Jang

Seo

et al. 2021

JCM

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The eustachian tube (E-tube) function is known to be related with sinusitis; however, the effect of endoscopic sinus surgery (ESS) on E-tube function is not clearly documented. This study aimed to prospectively evaluate the function of the E-tube by using both subjective and objective tests in adult chronic sinusitis patients undergoing ESS, and to compare with those of the patients without sinusitis. Thirty adult patients who underwent ESS for treatment of chronic sinusitis and another thirty patients without sinusitis who underwent other nasal surgeries (septoplasty, rhinoplasty, or closed reduction) were evaluated and compared for E-tube function before and after three months of their surgeries. The E-tube function tests included the seven-item eustachian tube dysfunction questionnaire (ETDQ-7), Valsalva test, and inflation-deflation test that were compared preoperatively and postoperatively in both groups. Compared with the group without sinusitis, the ESS group showed significant improvement of E-tube function after surgery in the ETDQ-7 (p = 0.002), right Valsalva test (p = 0.015), right deflation test (p = 0.005), and left deflation test (p = 0.006). A binary logistic regression analysis revealed that ESS significantly improved E-tube function in the right Valsalva test in a univariate (p = 0.021) and multivariate analysis (p = 0.008), and E-tube function in the left deflation test in a univariate (p = 0.021) and multivariate analysis (p = 0.039). These findings indicate that E-tube function is significantly improved after ESS in adult sinusitis patients, and that the presence of sinusitis and implementation of ESS should be considered (if sinusitis is present) in managing patients with ear diseases that are affected by E-tube function.

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Section: Discussionmentioning

confidence: 99%

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Choi

Jang

Seo

et al. 2021

JCM

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“…Negative pressure and hearing loss levels were not in complete harmony. Negative pressure in the middle ear may not occur in all nasal septal deviations [8,9]. In our study, hearing gain occurred in 88% of patients by the 21 st postoperative day, but a hearing gain of <10dB occurred in only seven ears.…”

Section: Discussionmentioning

confidence: 43%

Should middle ear pressure and hearing loss be evaluated prior to septoplasty? A prospective cohort study

Baykal¹

2021

Journal of Surgery and Medicine

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Background/Aim: Nasal resistance is primarily caused by the deviation of the nasal septum at the level of the inferior turbinate and isthmus nasi. The pressure of the nasopharynx may decrease to less than that of the middle ear, from where the air would drain, thus creating a cavity with negative pressure. Therefore, pathological phenomena in the nasal cavity can affect the ventilation of the middle ear. In this study, we aimed to investigate how hearing is changed by septum deviation (SD) affecting middle ear pressure, and in case of hearing loss, whether there is any improvement after nasal surgery. Methods: Sixty-seven patients were admitted to our Otorhinolaryngology clinic with nasal obstruction and hearing loss complaints, and 50 patients (≥18 years of age) with nasal congestion due to SD were included in this study. Septoplasty was performed to fifty patients and lateralization of SD was noted. Pure tone audiometric and tympanometric evaluations were performed preoperatively and postoperatively. Gain of hearing and gain of pressure after surgery were recorded, which were statistically compared between the groups. Results: Of the 50 patients with nasal congestion and hearing impairment included in our study, 27 were male and 23 were female. The mean age of all cases was 32.08 (9.44) years, ranging between 18-56 years. Among forty-two patients with unilateral SD, thirty-seven (88%) had negative middle ear pressure. The lowest pure-tone-threshold was 1 dB, and the highest was 35 dB on the side with the deviation. On the side without SD, the lowest threshold was 8 dB, and the highest was 28 dB. Pure-tone-thresholds between 500 and 2,000 Hz were within normal range in seventy-six ears. Hearing loss was present in twenty-four ears. Postoperatively, the lowest hearing gain was 0 dB, and the highest was 15 dB on the side with the SD. On the side without SD, the lowest and highest hearing gains were 0 dB and 11 dB. Conclusion:The negative pressure in the middle-ear due to SD may affect hearing. Hearing loss does not result from every deviation but occurs only when sufficient negative pressure is formed in the middle-ear.

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“…In a study conducted by Dogan et al, 80 patients with six different septum types and consequent nasal obstruction underwent tympanometry measurement and Automated ETF (based on William's test) using Impedance Audiometry AC40 before and 6 months after surgery [39]. The author considered the 'Peak 1-Peak 2 > 10 daPa or Pmax-Pmin > 15 daPa' criteria to study ETF; all measurements improved 6 months after surgery and when the obstruction was localized in the inferior meatus and in the floor of nasal cavity the improvement resulted significant.…”

Section: Discussionmentioning

confidence: 99%

Eustachian Tube Function Assessment after Radiofrequency Turbinate Reduction in Atopic and Non-Atopic Patients

Martines

Sireci²,

Gallina³

et al. 2021

IJERPH

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(1) Background: Inferior turbinates’ hypertrophy is often associated with Eustachian tube dysfunction (ETD); radiofrequency turbinate reduction (RTR) may provide a long-term improvement of nasal obstruction and ETD-related symptoms. (2) Aim: The study aimed to compare ETD in atopic and non-atopic patients before and after RTR and to investigate the correlation between tympanometry and Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7). (3) Methods: Ninety-seven patients, ranging from 33 to 68 years old, were screened by skin tests and divided into atopic (G1) and non-atopic (G2). Eustachian tube function (ETF) was evaluated through tympanometry, William’s test and ETDQ-7. (4) Results: A moderate to severe subjective ETDQ-7 was found in the 35.42% of G1 and in the 22.45% of G2 patients before RTR. William’s test resulted normal in 141 ears (72.68%), partially impaired in 15 (7.73%), and grossly impaired in 38 (19.59%) before surgery. A grossly ETD was evidenced in the 19.59% of cases before surgery and decreased to 6.18% after surgery with a significant difference among atopic patients (p < 0.001). (5) Conclusion: RTR may be considered a treatment option in patients suffering from ETD and inferior turbinates’ hypertrophy; RTR reduced the percentage of grossly impaired ET function (p < 0.001). ETDQ-7 and William’s test may represent valuable tools to assess ET function before and after surgery.

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The Effect of Types of Nasal Septum Deviation on the Eustachian Tube Function

Cited by 9 publications

References 11 publications

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Should middle ear pressure and hearing loss be evaluated prior to septoplasty? A prospective cohort study

Eustachian Tube Function Assessment after Radiofrequency Turbinate Reduction in Atopic and Non-Atopic Patients

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