McNicoll W D, Scanlan S G
J Laryngol Otol. 1979 Apr;93(4):357-67.
The combination of nasal septal deviation and Eustachian tube dysfunction, in the absence of any other pathology, constitutes the Nose-Ear Distress Syndrome. We have undertaken a clinical assessment of the relationship between uncomplicated deviation of the nasal septum and Eustachian tube dysfunction in Naval Personnel who are serving in environments of primarily increased barometric pressure. 120 candidates to the Submarine, Diving and Aircrew branches of the Royal Navy who presented with the Nose-Ear distress syndrome were initially surveyed. None were able to equilibrate their middle ear pressures at an increased ambient pressure of 3 metres of water. Submucous resection was performed on 116, of whom 110 (94.83 per cent) were able to equilibrate their middle ear pressures at an increased ambient pressure of 9 metres of water post-operatively. Xenon 133 Scintigraphy was performed on a further 25 recruits to delineate the post-nasal airflow. This investigation was performed pre- and post-operatively. Pre-operatively, Scintigraphy showed the presence of turbulence in the post-nasal space, while post-operatively the turbulence was absent. All the candidates were unable to equilibrate their middle ear pressures pre-operatively, but after submucous resection 24 (96 per cent) were able to equilibrate their middle ear pressures at an increased barometric pressure of 9 metres of water.
在没有任何其他病变的情况下，鼻中隔偏曲与咽鼓管功能障碍相结合，构成鼻耳不适综合征。我们对主要在气压升高环境中服役的海军人员单纯性鼻中隔偏曲与咽鼓管功能障碍之间的关系进行了临床评估。对120名出现鼻耳不适综合征的皇家海军潜艇、潜水和空勤人员分支的候选人进行了初步调查。在3米水深的升高环境压力下，没有人能够平衡他们的中耳压力。对116人进行了鼻中隔黏膜下切除术，其中110人（94.83%）在术后9米水深的升高环境压力下能够平衡他们的中耳压力。对另外25名新兵进行了氙133闪烁扫描，以描绘鼻后气流情况。这项检查在术前和术后进行。术前，闪烁扫描显示鼻后空间存在湍流，而术后湍流消失。所有候选人术前均无法平衡中耳压力，但在鼻中隔黏膜下切除术后，24人（96%）能够在9米水深的升高气压下平衡中耳压力。
