Kaya Mesut, Dağlı Elif, Kırat Savaş
Otorhinolaryngology Private Practice, Ankara, Turkey.
Department of Otorhinolaryngology, Keçiören Training and Research Hospital, Ankara, Turkey.
Turk Arch Otorhinolaryngol. 2018 Jun;56(2):102-105. doi: 10.5152/tao.2018.2671. Epub 2018 Jun 1.
Our aim is to evaluate the effect of nasal septal deviation on the middle ear pressure and Eustachian Tube (ET) functions with regard to the side of deviation.
A prospective randomized clinical trial was conducted. Overall, 50 patients (22 female, 28 male) undergoing septoplasty because of nasal septum deviation were included. The nasal obstruction symptom evaluation (NOSE) scale was used to evaluate surgical satisfaction. Middle ear ventilation and the ET functions of a total of 100 ears were assessed with basal tympanometry and insufflation tests (Valsalva and Toynbee). The tests were performed on the operation day and eight weeks after surgery. The ears were divided into two groups: the affected side (the side of nasal obstruction) (Group 1) and the contralateral side (Group 2). The study parameters obtained before and after septoplasty were compared.
The NOSE scores decreased after septoplasty (12.48±4.78/7.56±3.4) (p<0.001). There were 20 functional ETs (40%) in the affected side preoperatively, which increased to 36 ears (72%) postoperatively, and functional tubes increased to 35 (70%) from 29 (58%) after surgery in the contralateral side. The changes in the tympanometry results were statistically significant for both the affected side (-33.56 daPA/-21.18 daPA) and contralateral side (29.24daPA/-24.96daPA) (p<0.05), but the alteration in the side of deviation was more evident.
Our study shows that septoplasty may have a beneficial effect on middle ear ventilation and ET functions.
我们的目的是评估鼻中隔偏曲对中耳压力和咽鼓管（ET）功能的影响，并考虑偏曲的一侧。
进行了一项前瞻性随机临床试验。总体而言，纳入了50例因鼻中隔偏曲而接受鼻中隔成形术的患者（22例女性，28例男性）。使用鼻阻塞症状评估（NOSE）量表来评估手术满意度。通过基础鼓室图和吹张试验（瓦尔萨尔瓦动作和托因比试验）评估总共100只耳朵的中耳通气和ET功能。这些测试在手术当天和术后八周进行。耳朵分为两组：患侧（鼻阻塞侧）（第1组）和对侧（第2组）。比较鼻中隔成形术前和术后获得的研究参数。
鼻中隔成形术后NOSE评分降低（12.48±4.78/7.56±3.4）（p<0.001）。患侧术前有20只功能正常的ET（40%），术后增加到36只耳朵（72%），对侧术后功能正常的咽鼓管从29只（58%）增加到35只（70%）。鼓室图结果的变化在患侧（-33.56 daPA/-21.18 daPA）和对侧（-29.24 daPA/-24.96 daPA）均具有统计学意义（p<0.05），但偏曲侧的改变更明显。
我们的研究表明，鼻中隔成形术可能对中耳通气和ET功能有有益影响。
