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鼻中隔偏曲对咽鼓管功能障碍的影响：一项系统评价和荟萃分析。

Effect of deviated nasal septum on Eustachian tube dysfunction: a systematic review and meta-analysis.

作者信息

Awan Muhammad Ozair, Spinos Dimitrios, Hussain Muzamil, Muzaffar Jameel, Khanna Aman, Qayyum Asad, Accorona Remo, Iftikhar Haissan

机构信息

Medical College, Aga Khan University Hospital, Karachi, Pakistan.

Department of Otolaryngology Head and Neck Surgery, University Hospital Birmingham, Birmingham, UK.

出版信息

J Laryngol Otol. 2025 Apr 2;139(7):1-8. doi: 10.1017/S0022215125000325.

DOI:10.1017/S0022215125000325
PMID:40170469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12324937/
Abstract

OBJECTIVE

A range of chronic ear complaints may be attributed to Eustachian tube dysfunction. Eustachian tube dysfunction secondary to a deviated nasal septum has been described in several clinical studies, with symptomatic improvement demonstrated following septoplasty. However, uncertainty exists as to the size of the effect and consistency between studies.

METHODS

Electronic searches were carried out of Pubmed, Embase and the Cochrane Library for adult patients with complaints of nasal obstruction and/or impairment and/or complaints of ear fullness undergoing nasal surgery.

RESULTS

Seven studies met the inclusion criteria. Studies evaluated the effect of nasal surgery on Eustachian tube dysfunction using a variety of outcomes, including Eustachian tube function tests, the Eustachian Tube Dysfunction Questionnaire-7, tympanometry and Nasal Obstruction Symptom Evaluation scores. The results demonstrated the positive impact of nasal surgery on various outcomes related to Eustachian tube dysfunction.

CONCLUSION

Nasal surgery has been demonstrated to have promising results as a therapeutic option for patients with Eustachian tube dysfunction and a deviated nasal septum, offering significant symptom relief and improved quality of life. Through the integration of the treatment of nasal symptoms in the management of Eustachian tube dysfunction, clinicians can adopt a comprehensive approach to addressing the underlying pathologies contributing to Eustachian tube dysfunction.

摘要

目的

一系列慢性耳部问题可能归因于咽鼓管功能障碍。多项临床研究描述了鼻中隔偏曲继发的咽鼓管功能障碍，鼻中隔成形术后症状有改善。然而，各研究之间效果的大小及一致性仍存在不确定性。

方法

对PubMed、Embase和Cochrane图书馆进行电子检索，纳入因鼻塞和/或功能受损和/或耳部闷胀感而接受鼻腔手术的成年患者。

结果

七项研究符合纳入标准。这些研究使用多种指标评估鼻腔手术对咽鼓管功能障碍的影响，包括咽鼓管功能测试、咽鼓管功能障碍问卷-7、鼓室导抗图和鼻塞症状评估评分。结果表明鼻腔手术对与咽鼓管功能障碍相关的各种指标有积极影响。

结论

鼻腔手术已被证明作为治疗咽鼓管功能障碍和鼻中隔偏曲患者的一种治疗选择具有良好前景，能显著缓解症状并改善生活质量。通过在咽鼓管功能障碍管理中整合鼻腔症状的治疗，临床医生可以采用综合方法来解决导致咽鼓管功能障碍的潜在病理问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/fc99ebcd10da/S0022215125000325_fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/dea7de7ce86e/S0022215125000325_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/bced9611aae1/S0022215125000325_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/8965f457692f/S0022215125000325_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/11f7a6804499/S0022215125000325_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/d57494ff1a82/S0022215125000325_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/3f530120c290/S0022215125000325_fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/73ea47f449f9/S0022215125000325_fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/5b596e6497ce/S0022215125000325_fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/fc99ebcd10da/S0022215125000325_fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/dea7de7ce86e/S0022215125000325_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/bced9611aae1/S0022215125000325_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/8965f457692f/S0022215125000325_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/11f7a6804499/S0022215125000325_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/d57494ff1a82/S0022215125000325_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/3f530120c290/S0022215125000325_fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/73ea47f449f9/S0022215125000325_fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/5b596e6497ce/S0022215125000325_fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4039/12324937/fc99ebcd10da/S0022215125000325_fig9.jpg

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本文引用的文献

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Combined balloon Eustachian tuboplasty/endoscopic sinus surgery for patients with chronic rhinosinusitis and Eustachian tube dysfunction.联合球囊扩张咽鼓管成形术/内镜鼻窦手术治疗慢性鼻-鼻窦炎伴咽鼓管功能障碍患者。
Int Forum Allergy Rhinol. 2024 Aug;14(8):1327-1336. doi: 10.1002/alr.23341. Epub 2024 Mar 11.
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Surgical Correction of Nasal Obstruction and Its Effect on Eustachian Tube Dysfunction Symptoms.手术矫正鼻腔阻塞及其对咽鼓管功能障碍症状的影响。
Otolaryngol Head Neck Surg. 2024 Mar;170(3):944-951. doi: 10.1002/ohn.607. Epub 2023 Nov 30.
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Impact of medical treatment for chronic rhinosinusitis on eustachian tube dysfunction.
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Does Surgery for Nasal Obstruction Improve Eustachian Tube Dysfunction?
Laryngoscope. 2023 Mar;133(3):451-453. doi: 10.1002/lary.30488. Epub 2022 Nov 23.
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Clinical outcomes of Eustachian tube dysfunction in chronic rhinosinusitis following endoscopic sinus surgery.内镜鼻窦手术后慢性鼻-鼻窦炎患者咽鼓管功能障碍的临床转归。
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