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Başlık: Should nasal function be considered prior to tympanoplasty?
Yazarlar: Akyıldız, Metin Yüksel
Uludağ Üniversitesi/Tıp Fakültesi/Kulak Burun Boğaz Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.
0000-0002-9698-0546
Özmen, Ömer Afşin
Demir, Uygar Levent
Kasapoǧlu, Fikret
Çoşkun, Hakan Hamdi
Basut, Oǧuz İbrahim
Sığırlı, Deniz
A-1452-2019
AAI-3877-2021
AAA-7472-2021
55407733900
56868421800
56254721200
13610800100
6602318367
24482063400
Anahtar kelimeler: Otorhinolaryngology
Nasal septum
Nasal airway obstruction
Eustachian tube
Tympanoplasty
Eustachian-tube function
Middle-ear pressure
Recurrent otitis-media
Obstruction
Effusion
Surgery
Yayın Tarihi: 4-Eyl-2017
Yayıncı: Aves
Atıf: Akyıldız, M. Y. vd. (2018). ''Should nasal function be considered prior to tympanoplasty?''. Journal of International Advanced Otology, 14(1), 53-57.
Özet: OBJECTIVE: To evaluate the association between nasal airway function and Eustachian tube (ET) functions and their impact on tympanoplasty in patients with chronic suppurative otitis media (CSOM). MATERIALS and METHODS: The study group (CSOM group) consisted of 33 patients scheduled to undergo tympanoplasty for CSOM. Two control groups were formed: a nasal septal deviation (NSD) group of 25 patients scheduled to undergo nasal surgery for NSD, and a control group of 25 healthy individuals with no otologic or rhinologic symptoms. ET functions were assessed tympanometrically with automatic Williams test (ETF1) and modified pressure equalization inflation-deflation test (ETF2) and nasal functions were analyzed using acoustic rhinometry and rhinomanometry. The patients in the CSOM group underwent tympanoplasty, and tests were repeated at the end of the 3rd postoperative month. RESULTS: Both acoustic rhinometry and rhinomanometry revealed similar nasal function in the CSOM and NSD groups, which was inferior to that of the control group. The CSOM group had the worst ET function. Dysfunctional ETs in the CSOM group improved at 3 months postsurgery, and all groups had a similar outcome regarding ET functions. The outcome of ear surgery was not affected by nasal function, and the graft take rate was 90%. CONCLUSION: Patients with NSD had generally poor ET function; however, this did not affect the outcomes of tympanoplasty. The preoperative ET function results were inconsistent with the results following tympanoplasty; therefore, they were not predictive of need for septoplasty. Thus, we do not universally recommend surgical correction of NSD prior to ear surgery; however, this decision should be made on an individual basis.
URI: https://doi.org/10.5152/iao.2017.3624
https://advancedotology.org//en/should-nasal-function-be-considered-prior-to-tympanoplasty-131178%5C
http://hdl.handle.net/11452/34645
ISSN: 1308-7649
2148-3817
Koleksiyonlarda Görünür:Scopus
Web of Science

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