Akyildiz Metin Yüksel, Özmen Ömer Afşin, Demir Uygar Levent, Kasapoğlu Fikret, Coşkun Hamdi Hakan, Basut Oğuz Ibrahim, Siğirli Deniz
*Otolaryngology Clinic, Darende State Hospital, Malatya †Department of Otolaryngology ‡Department of Biostatistics, Faculty of Medicine, Uludağ University, Bursa, Turkey.
J Craniofac Surg. 2017 Nov;28(8):1929-1932. doi: 10.1097/SCS.0000000000003927.
To evaluate the impact of nasal septum deviation (NSD) and septoplasty on eustachian tube (ET) functions.
The study was designed as a prospective controlled study and conducted in a tertiary referral center. A study group of 25 patients who were scheduled for septoplasty for NSD; and a control group of 25 healthy individuals having no ear or nose symptoms were formed. Tympanometric analysis of ET function, subjective and objective analysis of nasal functions with acoustic rhinometry and rhinomanometry were performed. Patients in study group underwent nasal surgery and tests were repeated at postoperative 1st and 3rd months.
Eustachian tube functions of study group were significantly worse than the control group (P = 0.032). ET functions were found to be poorer as the nasal airway resistances increase which was found to be close to significance (P = 0.056). One and 3 months after corrective surgery, both nasal airway functions and ET functions improved significantly reaching to the level of control group.
Nasal septum deviation was associated with higher rates of ET dysfunction, which could be improved by the nasal surgery. However, in some patients, nasal surgery itself caused ET dysfunction in the early postoperative period.
评估鼻中隔偏曲（NSD）及鼻中隔成形术对咽鼓管（ET）功能的影响。
本研究设计为前瞻性对照研究，在一家三级转诊中心进行。设立一个研究组，包括25例计划因鼻中隔偏曲接受鼻中隔成形术的患者；以及一个对照组，由25名无耳部或鼻部症状的健康个体组成。对咽鼓管功能进行鼓室导抗图分析，采用鼻声反射和鼻阻力计对鼻功能进行主观和客观分析。研究组患者接受鼻部手术，并在术后第1个月和第3个月重复进行测试。
研究组的咽鼓管功能明显差于对照组（P = 0.032）。发现随着鼻气道阻力增加，咽鼓管功能更差，这一结果接近显著性水平（P = 0.056）。矫正手术后1个月和3个月，鼻气道功能和咽鼓管功能均显著改善，达到对照组水平。
鼻中隔偏曲与较高的咽鼓管功能障碍发生率相关，鼻部手术可改善这种情况。然而，在一些患者中，鼻部手术本身在术后早期会导致咽鼓管功能障碍。
