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Nasal surgery and eustachian tube function: effects on middle ear ventilation

2005; Wiley; Volume: 30; Issue: 5 Linguagem: Inglês

10.1111/j.1365-2273.2005.01052.x

1749-4486

Fabrizio Salvinelli, Manuele Casale, F. Anthony Greco, Luca D’Ascanio, Tommasangelo Petitti, V. Di Peco,

Sinusitis and nasal conditions

To investigate the effect of nasal obstruction surgery on eustachian tube function and middle ear ventilation.Prospective study.University Campus Bio-Medico of Rome.Forty consecutive patients who underwent nasal surgery were evaluated for middle ear ventilation and tubal function.Pre- and postoperative Valsalva and Toynbee tubal function tests, tympanometry and ear fullness sensation were evaluated for both ears of each patient.Results of postoperative tubal function tests were significantly better than preoperative ones (90% versus 46%; P<0.001). No significant difference in tympanometric values was found. The majority (95%) of the patients reported a postoperative improvement of ear fullness sensation compared with preoperative (25%; P<0.001).Surgery for chronic nasal obstruction significantly improves clinical tubal function but 1-month postoperative tympanometric findings remain almost the same.