Department of Otorhinolaryngology, Hospital de Braga, 4715 Braga, Portugal.
Department of Otorhinolaryngology, Hospital de Braga, 4715 Braga, Portugal.
Acta Otorrinolaringol Esp (Engl Ed). 2022 Jan-Feb;73(1):35-41. doi: 10.1016/j.otoeng.2020.11.003.
The influence of isolated nasal septum deviation (NSD) in the Eustachian Tube (ET) function is still undetermined.
compare ET function between patients with severe NSD and patients with adequate nasal patency in terms of symptomology and objective exams and assess the impact of septoplasty in ET function in patients with severe NSD. METHODS AND METHODOLOGY: a prospective study was conducted. In the first phase of the study, two opportunistic samples were selected: 35 patients with severe NSD for group A and 35 patients with adequate nasal patency for group B. Both groups were evaluated through Nasal obstruction Subjective Questionnaire (NOSE) and ET dysfunction questionnaire 7 (ETDQ7) -, and through two objective exams to assess ET function - tympanometry, and tubomanometry (TMM); results were compared between group A and B. In the second phase of the study, the patients from group A underwent septoplasty and were re-evaluated through ETDQ7, tympanometry and TMM; results were compared before and after surgery.
we found a statistically significant difference between patients with NSD and patients with adequate nasal patency in NOSE and ETDQ7 (higher scores in the latter), and TMM (worse results in patients with NSD); the difference in tympanometry was not statistically significant. The side of the NSD did not correlate with the side of the dysfunction. After septoplasty, patients from group A had statistically significant lower scores in ETDQ7 and a lower proportion of patients with findings compatible with ET dysfunction using TMM.
according to our results, severe NSD alone is a cause of ET dysfunction; septal surgery might improve ET function in these patients.
孤立性鼻中隔偏曲（NSD）对咽鼓管（ET）功能的影响仍不确定。
比较严重 NSD 患者与鼻腔通畅患者的 ET 功能，评估 NSD 对严重 NSD 患者 ET 功能的影响。
前瞻性研究。在研究的第一阶段，选择了两个机会性样本：35 例严重 NSD 患者为 A 组，35 例鼻腔通畅患者为 B 组。两组均通过鼻腔阻塞主观问卷（NOSE）和咽鼓管功能障碍问卷 7（ETDQ7）进行评估，并通过两项客观检查评估 ET 功能——鼓室压图和咽鼓管测压（TMM）；比较 A 组和 B 组之间的结果。在研究的第二阶段，A 组患者行鼻中隔成形术，并通过 ETDQ7、鼓室压图和 TMM 进行再次评估；比较手术前后的结果。
我们发现 NSD 患者与鼻腔通畅患者在 NOSE 和 ETDQ7（后者得分较高）和 TMM（NSD 患者结果较差）方面存在统计学差异；鼓室压图无统计学差异。NSD 的侧别与功能障碍的侧别无关。鼻中隔成形术后，A 组患者 ETDQ7 评分显著降低，TMM 检查发现符合 ET 功能障碍的患者比例降低。
根据我们的结果，单纯严重 NSD 是 ET 功能障碍的一个原因；鼻中隔手术可能改善这些患者的 ET 功能。
