Evaluation of the Effect of Surgeries of the Nasal Septum and Inferior Turbinates on Middle Ear Function

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Aboubakr Alshareef ◽  
Mohamed Mohamed ◽  
Ahmed Anany
Keyword(s):  
Middle Ear ◽  
Nasal Septum

scholarly journals Impact of Septoplasty on hearing and middle ear function

2017 ◽  
Vol 6 (1) ◽  
pp. 135 ◽  
Author(s):  
Manpreet S. Nanda ◽  
Mandeep Kaur ◽  
Shenny Bhatia
Keyword(s):  
Middle Ear ◽  
Nasal Septum ◽  
Pure Tone Audiometry ◽  
Common Symptom ◽  
Deviated Nasal Septum ◽  
Middle Ear Pressure ◽  
Middle Ear Ventilation ◽  
Tube Function ◽  
Ear Symptoms ◽  
Conductive Hearing

Background: Deviated nasal septum affects hearing and middle ear ventilation by altering eustachain tube function. It leads to ear fullness, affects middle ear ventilation and impacts hearing. Septoplasty is commonly done for deviated septum. So, this study aims to find out if Septoplasty can lead to improvement of hearing and middle ear function and reduce patients ear complaints.Methods: Patients with Deviated nasal septum requiring septoplasty surgery were assessed for ear symptoms, hearing and middle ear pressure by detailed history taking, pure tone audiometry and tympanometry. They then underwent septoplasty and were again assessed post operatively after 2days, 4weeks, 8weeks and 12weeks of surgery. The pre-and post-operative results were compared and analysed.Results: The most common symptom in patients at pre-operative visit was ear fullness and hearing loss was of conductive type. Post operatively there was worsening of symptoms, hearing and middle ear functions after 2days but marked improvement was seen in symptom of ear fullness, conductive hearing and normalisation of middle ear pressure at 8-12weeks after surgery.Conclusions: Septoplasty improves hearing and middle ear function in patients with deviated nasal septum and the improvement is seen 8 to 12weeks after surgery.

Uncomplicated Eustachian Tube Dysfunction: The Site of the Nasal Septal Deformity

1982 ◽  
Vol 68 (1) ◽  
pp. 23-29
Author(s):  
W. D. McNicoll
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Nasal Septum ◽  
Ambient Pressure ◽  
Eustachian Tube Dysfunction ◽  
Control Group ◽  
Royal Navy ◽  
Tube Dysfunction ◽  
Function Testing ◽  
Submucous Resection

AbstractEighty-nine recruit volunteers to the Submarine. Diving and Fleet Air Arm branches of the Royal Navy who were suffering from an unsuspected Eustachian tube dysfunction underwent investigation, which included middle ear analysis. Eustachian function testing and PA x-radiography of the skull. Twenty-five aircrew candidates who had positive Valsalva and Toynbee manoeuvres on otoscopy, acted as a control group and underwent the same investigations as the investigative group. All the subjects in the investigative group had either a unilateral or bilateral Eustachian tube dysfunction. This dysfunction was confirmed by exposing the subjects to an increase in ambient pressure not exceeding three metres of water. None of the subjects with Eustachian tube dysfunction were able to equilibrate their middle ear pressures at this depth equivalent.All 89 subjects were found to have a nasal septal deformity situated at the posterior half of the nasal septum at the level of the vomero-ethmoid suture. All the volunteers underwent submucous resection of the nasal septum, care being taken to excise the vomeroethmoid suture and the adjacent vomer and perpendicular plate of ethmoid. Six weeks after operation 85 (95.5%) of subjects were able to equilibrate their middle ear pressures when they were exposed to an increase in ambient pressure of 10 metres of water.

scholarly journals THE EFFECT OF SEPTOPLASTY ON MIDDLE EAR PRESSURE AMONG PATIENTS WITH DEVIATED NASAL SEPTUM

2019 ◽  
Vol 7 (12) ◽  
pp. 1103-1109
Author(s):  
Azhar A. Kurban ◽  
◽  
Saad M. Almuhayawi ◽  
Khaled M. Tolah ◽  
Maad M. Aljohani ◽  
...  
Keyword(s):  
Middle Ear ◽  
Nasal Septum ◽  
Deviated Nasal Septum ◽  
Middle Ear Pressure

scholarly journals Tuberculosis of Nasal Septum and Middle Ear

1924 ◽  
Vol 17 (Otol_Sect) ◽  
pp. 97-98
Author(s):  
F. J. Cleminson
Keyword(s):  
Middle Ear ◽  
Nasal Septum

scholarly journals A Clinical Study on the Influence of Sinusitis in Chronic Suppurative Otitis Media

2016 ◽  
Vol 24 (2) ◽  
pp. 49-53 ◽  
Author(s):  
Sellappampatty Veerappapillai Dhanasekaran ◽  
Jiji Sanjeevan Nair ◽  
Komathi Raja ◽  
Govind Krishnan Gopalakrishnapillai ◽  
Abhilash Kuniyath Chandran ◽  
...  
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Paranasal Sinuses ◽  
Nasal Septum ◽  
Middle Turbinate ◽  
Diagnostic Tools ◽  
Routine Practice ◽  
Deviated Nasal Septum ◽  
Suppurative Otitis Media ◽  
Study Population

Introduction Diseases of the nose and paranasal sinuses are known to influence the middle ear conditions. In the evaluation of the patients with chronic otitis media, radiological, endoscopic, and other auxiliary diagnostic tools may have their roles in the objective assessment of the patients, and to rule out lesions of the nasal cavity and the nasopharynx as potential aetiological factors. Materials and method This cross sectional observational study was conducted for a period of two years to establish the role of sinusitis as focus of sepsis in patients with tubotympanic type of CSOM. All patients in the age group of 20-40 years with more than 2 months of ear discharge and with a hearing loss of 25- 40 db and  diagnosed as tubotympanic type of CSOM were included in our study. Patients who had features of mastoiditis on X-ray and also with persistent ear discharge even after treatment with oral and topical antibiotics were subjected (n=70) to diagnostic nasal endoscopy and computed tomography of paranasal sinuses.  Result Among the 100 patients of CSOM, 70% had features suggestive of sinusitis. Deviated nasal septum (40%) was the most common pathology among the study population. Majority (54%) of them had mucopurulent type of ear discharge. The CT findings of the paranasal sinuses revealed that 48.5% of the study population had grade I type of involvement of the PNS. 54.2% of the patients had a large central perforation and the middle ear mucosa was found to be edematous for 65.7% of the patients. Discussion Coexistence of deviated nasal septum and chronic rhinosinusitis with discharging CSOM is at par with several other studies conducted in other parts of the world. Conclusion Deviated nasal septum, enlarged middle turbinate, medialised uncinate associated with sinusitis are the predisposing factors in the development of CSOM.  So assessment for sinusitis in the treatment of CSOM should become a routine practice.

The Effect of Stapedectomy on the Loudness of One’s Own Voice

1965 ◽  
Vol 8 (3) ◽  
pp. 223-234 ◽  
Author(s):  
William Melnick
Keyword(s):  
Middle Ear ◽  
Normal Subjects ◽  
Sound Energy ◽  
Loudness Function ◽  
Before And After ◽  
Increased Sensitivity

Five subjects with normal middle ear mechanisms, and otosclerotic patients, before and after stapedectomy, matched the loudness of their voices to the loudness of a 125-cps-sawtooth noise. The results showed loudness matching functions with gradual slopes, less than 1.00, for the normal subjects and the patients prior to stapedectomy. Post-surgically, the loudness function for the patients increased in steepness to considerably more than 1.00. These results are explained, most logically, in terms of increased sensitivity of the altered middle ear to sound energy generated by the listener’s own voice.

Are mucin genes yet to be cloned expressed by human middle ear mucosa?

1998 ◽  
Vol 23 (3) ◽  
pp. 265-265 ◽  
Author(s):  
Hutton ◽  
Birchall ◽  
French ◽  
Kubba ◽  
Severn ◽  
...  
Keyword(s):  
Middle Ear ◽  
Middle Ear Mucosa ◽  
Mucin Genes ◽  
Human Middle Ear
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