The Effect of Endoscopic Sinus Surgery on Symptoms of Eustachian Tube Dysfunction

2005 ◽  
Vol 19 (2) ◽  
pp. 199-202 ◽  
Author(s):  
Nathaniel F.N. Stoikes ◽  
Jay M. Dutton
Keyword(s):  
Chronic Rhinosinusitis ◽  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Eustachian Tube Dysfunction ◽  
Sinus Surgery ◽  
Significant Treatment ◽  
Tube Dysfunction ◽  
Minor Symptom ◽  
A Minor ◽  
Tubal Dysfunction

Background The symptom of eustachian tube dysfunction has been categorized as a “minor” symptom in chronic rhinosinusitis. The aim of this pilot study was to determine the frequency of otologic symptoms in patients with confirmed rhinosinusitis and the likelihood of its resolution in those patients undergoing endoscopic sinus surgery (ESS). Methods Questionnaires were obtained from 168 patients who had undergone prior ESS over a 5-year period. Patients were asked to evaluate if they suffered from several different potential symptoms of eustachian tube dysfunction before ESS and whether that symptom changed postoperatively. Results Using the binomial test, 95% confidence intervals were determined for the following otologic symptoms of tubal dysfunction: “ear fullness and congestion,” “ear cracking and popping,” “dizziness,” and “ear pain.” ESS was found to have a significant treatment effect for the indicated otologic symptoms of tubal dysfunction. Conclusion Tubal dysfunction, as manifested by otologic symptoms, is common in patients with chronic rhinosinusitis undergoing ESS. The classification of this as a “minor” symptom of rhinosinusitis needs to be reevaluated. These symptoms improve or resolve in the majority of patients undergoing ESS.

Predictors of eustachian tube dysfunction improvement and normalization after endoscopic sinus surgery

2019 ◽  
Vol 130 (12) ◽  
Author(s):  
Thomas S. Higgins ◽  
Zachary J. Cappello ◽  
Arthur W. Wu ◽  
Jonathan Y. Ting ◽  
Raj Sindwani
Keyword(s):  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Eustachian Tube Dysfunction ◽  
Sinus Surgery ◽  
Tube Dysfunction

The Effect of Endoscopic Sinus Surgery on Eustachian Tube Dysfunction Symptoms

2020 ◽  
Vol 163 (3) ◽  
pp. 603-610
Author(s):  
Michael T. Chang ◽  
Davood K. Hosseini ◽  
Sun Hee Song ◽  
Jayakar V. Nayak ◽  
Zara M. Patel ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Retrospective Chart Review ◽  
Eustachian Tube Dysfunction ◽  
Sinus Surgery ◽  
Level Of Evidence ◽  
Factors Associated ◽  
Academic Center ◽  
Tube Dysfunction ◽  
Snot 22

Objective We assessed how eustachian tube dysfunction (ETD) changed with endoscopic sinus surgery (ESS) and identified factors associated with improvement. Study Design Retrospective chart review. Setting Academic center. Subjects and Methods Patients undergoing ESS for chronic rhinosinusitis with and without nasal polyposis (CRSwNP, CRSsNP) or recurrent acute rhinosinusitis (RARS) completed the Eustachian Tube Dysfunction Questionnaire 7 (ETDQ-7) preoperatively and postoperatively at 2 weeks, 6 weeks, 3 months, and 6 months. Included in analyses were demographics, comorbidities, Sinonasal Outcome Test 22 (SNOT-22), radiographic score, endoscopy score, procedure, and medication use. Regression analysis identified factors associated with improvement, defined as ΔETDQ-7 >3.5. Results In total, 302 patients were studied. ETD prevalence was 68% in CRSsNP, 48% in CRSwNP, and 88% in RARS. Patients with ETD had a mean baseline ETDQ-7 of 25.8 ± 8.0 and improved postoperatively at 2 weeks (19.9 ± 8.1, P < .001), 6 weeks (17.8 ± 9.3, P < .001), 3 months (16.8 ± 8.5, P < .001), and 6 months (16.4 ± 7.9, P < .001). At 6 months, ETD improved in 89% of patients with CRSsNP, 68% with CRSwNP, and 78% with RARS. On multivariate analysis, ETD improvement was associated with higher preoperative ETDQ-7 score (adjusted odds ratio [aOR], 1.12; 95% confidence interval [CI], 1.04-1.22; P = .030), higher preoperative SNOT-22 score (aOR, 1.02; 95% CI, 1.02-1.08; P = .001), higher preoperative SNOT-22 ear subscore (aOR, 1.27; 95% CI, 1.02-1.65; P = .034), posterior ethmoidectomy (aOR, 1.59; 95% CI, 1.22-4.92; P = .025), and postoperative corticosteroid spray use (aOR, 1.57; 95% CI, 1.17-1.66; P = .008). Conclusion ETD symptoms often improve following ESS. Factors associated with improvement include higher preoperative disease burden, posterior ethmoidectomy, and postoperative corticosteroid spray. Level of Evidence: 4

scholarly journals Eustachian tube symptoms are frequent in chronic rhinosinusitis and respond well to endoscopic sinus surgery

2018 ◽  
Vol 56 (2) ◽  
pp. 118-121 ◽  
Author(s):  
A. Maniakas ◽  
M. Desrosiers ◽  
M.H. Asmar ◽  
M. Al Falasi ◽  
L.M. Endam ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

Eustachian Tube Quality of Life and Severity of Disease in Patients With Chronic Rhinosinusitis

2020 ◽  
Vol 34 (4) ◽  
pp. 532-536 ◽  
Author(s):  
Arthur W. Wu ◽  
Evan S. Walgama ◽  
Thomas S. Higgins ◽  
Michela Borrelli ◽  
Narine Vardanyan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Rhinosinusitis ◽  
Eustachian Tube ◽  
Correlation Coefficients ◽  
Eustachian Tube Dysfunction ◽  
Spearman Correlation ◽  
Tube Dysfunction ◽  
The Mean ◽  
Snot 22

Background Chronic rhinosinusitis (CRS) has long been a suspected risk factor for Eustachian tube dysfunction (ETD). However, there have been few studies quantifying the presence of ETD in CRS patients. We sought to determine the prevalence of ETD symptoms in patients undergoing functional endoscopic sinus surgery (FESS) for CRS using the validated 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) and to correlate the ETDQ-7 scores with scores of CRS symptom severity based on the 22-item Sino-Nasal Outcome Test (SNOT-22). Methods Patients for FESS were preoperatively administered both the ETDQ-7 and the SNOT-22 validated quality of life instruments. Pearson and Spearman correlation coefficients were calculated. Changes in ETDQ-7 were measured at 3 months and differences were compared via paired t test. Results A total of 82 patients completed the surveys. Thirty-nine (47.6%) patients had ETDQ-7 score ≥14.5, signifying clinically significant ETD symptoms. The mean ETDQ-7 score of the study population was 15.8 ± 8.8, and the mean SNOT-22 score was 37.5 ± 19.7. The Pearson and Spearman correlation coefficients between ETDQ-7 and the total SNOT-22 score were 0.52 ( P > .0001) and 0.51 ( P < .0001), respectively. There was significant improvement in ETDQ-7 scores postoperatively. Conclusion While the association between ETD and CRS has long been known, this is one of the few prospective patient studies evaluating otologic symptoms in a CRS population. We found that a significant percentage of CRS patients suffer from ETD symptoms based on patient-reported subjective outcome measures. This study demonstrates that otologic symptoms increase with CRS severity and improve after FESS.

Endoscopic sinus surgery improves Eustachian tube function in patients with chronic rhinosinusitis: a multicenter prospective study

2021 ◽  
Vol 59 (6) ◽  
pp. 560-566
Author(s):  
X. Chen ◽  
H. Dang ◽  
Q. Chen ◽  
Z. Chen ◽  
Y. Ma ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Prospective Study ◽  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Valsalva Maneuver ◽  
Sinus Surgery ◽  
Eustachian Tube Function ◽  
Tube Dysfunction ◽  
Tube Function ◽  
Snot 22

Background: Patients with chronic rhinosinusitis (CRS) often have Eustachian tube dysfunction (ETD) symptoms. This study aimed to prospectively investigate the effect of endoscopic sinus surgery (ESS) on improvement of Eustachian tube function in CRS patients with ETD from a Chinese population and determine factors associated with improvement. Methods: A prospective study was performed in CRS patients with ETD who underwent ESS from 3 tertiary medical centers in south China. The Eustachian tube Dysfunction Questionnaire 7 (ETDQ-7), Sinonasal Outcome Test 22 (SNOT-22), tympanograms, endoscopic findings and Valsalva maneuver were recorded and analyzed preoperatively and postoperatively at 8-12 weeks. Results: A total of 70 CRS patients with ETD were included in this study. The ETDQ-7 score and the ability of positive Valsalva maneuver in CRS patients were significantly improved postoperatively at 8-12 weeks. The number of patients with type A tympanogram was increased postoperatively. Reduced Eustachian tube mucosal inflammation was also observed postoperatively. In addition, ESS appeared to reverse slight tympanic membrane atelectasis after 8-12 weeks. Moreover, improvement in tympanogram was presented in more than half of CRS patients with concomitant otitis media with effusion postoperatively at 8-12 weeks. Univariate and multivariate analysis revealed failure of normalization of ETDQ-7 postoperatively was associated with concomitant allergic rhinitis and higher preoperative SNOT-22 score. Conclusions: This study confirms Eustachian tube function is often improved after ESS in CRS patients with ETD. Concomitant allergic rhinitis and higher preoperative SNOT-22 score are associated with failure of normalization of ETD symptoms.

Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature

2019 ◽  
Vol 133 (2) ◽  
pp. 157-160
Author(s):  
A J Millington ◽  
V Perkins ◽  
M A Salam
Keyword(s):  
Case Report ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Otitis Media With Effusion ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Orbital Emphysema ◽  
Tube Dysfunction ◽  
History Of

AbstractBackgroundAutoinflation devices are commonly used for otitis media with effusion and Eustachian tube dysfunction. Generally, these are very safe devices, with few or no complications.Case reportThis paper presents a case study of pneumocephalus and orbital emphysema, associated with the use of an autoinflation device, in a 73-year-old woman with Eustachian tube dysfunction and otitis media with effusion, and a history of extensive endoscopic sinus surgery 13 years previously.ConclusionA literature review showed autoinflation-related pneumocephalus in patients with skull base defects relating to cranial surgery or tumours; however, this has not been described previously with the Otovent system or its use in relation to functional endoscopic sinus surgery. Given the theoretical risk of undetected bony abnormalities in post-operative functional endoscopic sinus surgery patients, it is suggested that autoinflation devices are used cautiously in patients with a history of sinus surgery.

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