Efe Atila Nihal, Topal Kübra, Bulut Yunus Emre, Kaya Zülküf, Arslan Berrin
Department of Otorhinolaryngology, Sağlık Bilimleri University Training and Research Hospital, Erzurum, Turkey.
Department of Otorhinolaryngology, Kastamonu University School of Medicine, Kastamonu, Turkey.
Eurasian J Med. 2021 Oct;53(3):231-234. doi: 10.5152/eurasianjmed.2021.20167.
Chronic otitis media is an inflammatory disease of the middle ear. The airflow in the nasal passage affects the development of mastoid air cells through the eustachian tube.Nasal and paranasal pathologies and their anatomical variations cause chronic sinonasal inflammation and affect the middle ear mucosa. This study aims to reveal whether the nasal and paranasal sinus variations in pediatric patients are a factor in developing chronic otitis media.
Eighty patients, with unilateral chronic otitis media, who were admitted to the otorhinolaryngology clinic between May 2015 and July 2019, were included in this retrospective study. The control group (Group 2) consisted of a total of 51 patients. None of the patients in Group 2 had otorrhea history and no signs of chronic otitis in their otoscopic examination, middle ear pathologies. The patient's anatomical variations of the nasal cavity and sinuses were evaluated with CT by a radiologist Results: Nasal septum deviation was found to be 53% in children with chronic otitis media. It was found 31.4% in the control group. Since the P value was found to be .04, this rate was considered as significant. Inferior concha hypertrophy was found to be 17.6% in the control group and 38.8% in the group with chronic otitis media, and this rate was considered significant since the P value was .035 Conclusion: We detected that septum deviation and inferior concha hypertrophy increased chronic otitis media formation in children. All these studies show that cases causing nasal obstruction, such as septum deviation, have a negative effect on middle ear pressure and increase the rate of ear diseases.
慢性中耳炎是一种中耳的炎症性疾病。鼻腔内的气流通过咽鼓管影响乳突气房的发育。鼻腔和鼻窦的病变及其解剖变异会导致慢性鼻-鼻窦炎，并影响中耳黏膜。本研究旨在揭示小儿患者鼻腔和鼻窦的变异是否是慢性中耳炎发病的一个因素。
本回顾性研究纳入了2015年5月至2019年7月间收治于耳鼻喉科门诊的80例单侧慢性中耳炎患者。对照组（第2组）共有51例患者。第2组患者均无耳漏病史，耳镜检查、中耳病变均无慢性中耳炎体征。由放射科医生通过CT评估患者鼻腔和鼻窦的解剖变异。结果：慢性中耳炎患儿鼻中隔偏曲发生率为53%。对照组为31.4%。由于P值为0.04，该比率被认为具有统计学意义。对照组下鼻甲肥大发生率为17.6%，慢性中耳炎组为38.8%，由于P值为0.035，该比率被认为具有统计学意义。结论：我们检测到鼻中隔偏曲和下鼻甲肥大增加了儿童慢性中耳炎的形成。所有这些研究表明，鼻中隔偏曲等导致鼻塞的情况对中耳压力有负面影响，并增加耳部疾病的发生率。
