비중격만곡증과 이관기능의 연관성에 대한 연구
The Correlation of Nasal Septum Deviation and Eustachian Tube Function
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Background and Objectives: This study is designed to examine the correlation of the direction of the nasal septum deviation (NSD) and Eustachian tube dysfunction (ETD). Since the Eustachian tube lies between the middle ear and the nasopharynx, we presumed that the direction of the NSD causes narrowing of certain parts of the nasal cavity and can cause the ETD. Materials and Methods: We recruited 50 NSD patients who were in need of septoplasty. We run the test of nasal endoscopy, oto-endoscopy, computed tomography, and Eustachian function test and looked into the correlation of the direction of the NSD and ETD. Results: There were no correlation between the direction of NSD and the side effected by ETD. Conclusion: Narrowed nasal cavity due to NSD is thought to take effect to the pathogenesis of ETD. However, this study has several shortcomings such as small number of enrolled patients and lack of diversity in measuring of Eustachian tube function. Further studies with more patients and detailed considerations are needed, and we plan to design a study that might yield different results.
Abstract
Background and Objectives: This study is designed to examine the correlation of the direction of the nasal septum deviation (NSD) and Eustachian tube dysfunction (ETD). Since the Eustachian tube lies between the middle ear and the nasopharynx, we presumed that the direction of the NSD causes narrowing of certain parts of the nasal cavity and can cause the ETD. Materials and Methods: We recruited 50 NSD patients who were in need of septoplasty. We run the test of nasal endoscopy, oto-endoscopy, computed tomography, and Eustachian function test and looked into the correlation of the direction of the NSD and ETD. Results: There were no correlation between the direction of NSD and the side effected by ETD. Conclusion: Narrowed nasal cavity due to NSD is thought to take effect to the pathogenesis of ETD. However, this study has several shortcomings such as small number of enrolled patients and lack of diversity in measuring of Eustachian tube function. Further studies with more patients and detailed considerations are needed, and we plan to design a study that might yield different results.
참고문헌 (19)
- 최승효, "Pre-operative Evaluation of Eustachian Tube Function Using a Modified Pressure Equilibration Test is Predictive of Good Postoperative Hearing and Middle Ear Aeration in Type 1 Tympanoplasty Patients", Clinical and Experimental Otorhinolaryngology, 2(2), pp.61~65 (2009), 대한이비인후과학회
- Takahashi H, "Correlation between middle-ear pressure-regulation functions and outcome of type-I tympanoplasty", Auris Nasus Larynx, 34(2), pp.173~176 (2007)
- Shan A, "Prevalence of Eustachian tube dysfunction in adults in the United States", JAMA Otolaryngol Head Neck Surg, 145(10), pp.974~975 (2019)
- Browning GG, "The prevalence of middle ear disease in the adult British population", Clin Otolaryngol Allied Sci, 17(4), pp.317~321 (1992)
- Tangbumrungtham N, "The prevalence of Eustachian tube dysfunction symptoms in patients with chronic rhinosinusitis", Int Forum Allergy Rhinol, 8(5), pp.620~623 (2018)
- Al Karaki V, "Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?", Head Face Med, 16(1), pp.23~ (2020)
- McCoul ED, "Validating the clinical assessment of eustachian tube dysfunction : the Eustachian Tube Dysfunction Questionnaire(ETDQ-7)", Laryngoscope, 122(5), pp.1137~1141 (2012)
- Salvinelli F, "Nasal surgery and eustachian tube function : effects on middle ear ventilation", Clin Otolaryngol, 30(5), pp.409~413 (2005)
- Roblin DG, "What, if any, is the value of septal surgery?", Clin Otolaryngol Allied Sci, 27(2), pp.77~80 (2002)
- Duran K, "Middle ear pressure after septoplasty", J Craniofac Surg, 25(1), pp.e19~e21 (2014)
- Low WK, "The relationship between middle ear pressure and deviated nasal septum", Clin Otolaryngol Allied Sci, 18(4), pp.308~310 (1993)
- Sogebi OA, "Sub-clinical middle ear malfunctions in elderly patients;prevalence, pattern and predictors", Afr Health Sci, 17(4), pp.1229~1236 (2017)
- Juszczak H, "Sinonasal risk factors for eustachian tube dysfunction : cross-sectional findings from NHANES 2011-2012", Int Forum Allergy Rhinol, 9(5), pp.466~472 (2019)
- Özgür E, "Turkish validity and reliability of Eustachian tube dysfunction questionnaire-7", Braz J Otorhinolaryngol, 84(4), pp.435~440 (2018)
- 손수아, "Comparison of Eustachian Tube Function Before and After Septoplasty: A Systematic Review and Meta-Analysis", 대한이비인후-두경부외과학회지, 65(9), pp.503~511 (2022), 대한이비인후과학회[DOI]
- Abdel-Naby Awad OG, "Effect of nasal obstruction surgery on middle ear ventilation", Egypt J Otolaryngol, 30, pp.191~195 (2014)
- Davari R, "Study the effect of nasal obstruction surgery(septoplasty)on Eustachian tube function and middle ear pressure", J Ardabil Univ Med Sci, 14(4), pp.322~330 (2014)
- Low WK, "The relationship between middle ear pressure and deviated nasal septum", Clin Otolaryngol Allied Sci, 18(4), pp.308~310 (1993)
- Akyildiz MY, "Impact of septoplasty on Eustachian tube functions", J Craniofac Surg, 28(8), pp.1929~1932 (2017)
