Association Between Nasal Septal Deviation Types and Eustachian Tube Function: A Prospective Observational Study.

Belgin Tutar, Güler Berkiten, Fatma Gülüm Bayraktar, Hasan Sami Bircan, Cem Çelik, Ali Ozan Yazıcı, Seher Haksever Horat, Yavuz Uyar
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Abstract

Objective: This study aimed to objectively and subjectively evaluate the effect of nasal septal deviation (NSD) types, classified according to the Baumann system, on Eustachian tube function.

Methods: A total of 107 NSD patients (78 males, 29 females; mean age: 35.39 ± 9.55 years) were included. NSD was categorized into 6 types based on the Baumann classification. All patients completed the NOSE (Nasal Obstruction Symptom Evaluation) scale and ETDQ-7 (Eustachian Tube Dysfunction Questionnaire). Eustachian tube function was evaluated using the ETF-1 (Eustachian Tube Function-1) test, and correlations with NSD types were evaluated.

Results: Advanced deviation types (Types 5 and 6) were associated with higher NOSE and ETDQ-7 scores and significantly reduced tympanometric pressure responses during both Toynbee and Valsalva maneuvers. Type 6 exhibited the highest ETDQ-7 scores and the lowest Pmax-Pmin values.

Conclusion: Advanced nasal septal deviation was associated with worse subjective and objective measures of Eustachian tube function. These findings may be relevant during preoperative assessment of patients with advanced septal deviation.

鼻中隔偏曲类型与咽鼓管功能的关系:一项前瞻性观察研究。
目的:本研究旨在客观和主观评价按Baumann系统分类的鼻中隔偏曲(NSD)类型对咽鼓管功能的影响。方法:共纳入107例NSD患者,其中男性78例,女性29例,平均年龄35.39±9.55岁。根据Baumann分类法将NSD分为6种类型。所有患者均完成鼻塞症状评估(NOSE)量表和咽鼓管功能障碍问卷(ETDQ-7)。采用ETF-1(咽鼓管功能-1)试验评估咽鼓管功能,并评估与NSD类型的相关性。结果:在Toynbee和Valsalva演习中,高级偏差类型(5型和6型)与较高的NOSE和ETDQ-7评分以及显著降低的心压反应相关。类型6的ETDQ-7得分最高,Pmax-Pmin值最低。结论:重度鼻中隔偏曲与咽鼓管功能主客观指标差相关。这些发现可能与术前评估晚期中隔偏曲患者相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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