scholarly journals Do the Types of Nasal Packing Used in Septoplasty Affect Middle Ear Pressure?

2021 ◽  
Vol 4 (1) ◽  
pp. 26-29
Author(s):  
Burak Erden ◽  
◽  
Burak Mustafa Tas ◽  
Serkan Turkili ◽  
Hilmi Ugras ◽  
...  
Keyword(s):  
Middle Ear ◽  
Nasal Packing ◽  
Middle Ear Pressure

Effect of Nasal Packing on Middle Ear Pressure

2016 ◽  
Vol 1 (2) ◽  
pp. 52-56
Author(s):  
Abhinav Srivastava ◽  
Puneet Shukla
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Hearing Threshold ◽  
Cross Sectional Study ◽  
Nasal Packing ◽  
Cross Sectional ◽  
Nasal Pack ◽  
Middle Ear Pressure ◽  
Tube Function

ABSTRACT Introduction Eustachian tube connects nasopharynx with the tympanic cavity. The normal middle ear has an inherent tendency to lose gas to maintain the middle ear pressure by diffusion into the surrounding tissues and circulation. Materials and methods This cross-sectional study was conducted in 2012 to 2014. A total of 100 ears of 50 consecutive cases undergoing nasal surgery followed by bilateral nasal packing were included in the study and the middle ear pressure and hearing threshold were determined in all the subjects in presurgery, and then after 48 hours of surgery with nasal packing in situ and then at 7 and 30 days of nasal pack removal. Conclusion There is an increase in middle ear pressure transiently for few days while the nasal pack is in situ, which returns to normal in a month after pack removal; but, in chronic nasal obstruction cases, such as nasal polyps, there is persistent negative middle ear pressure, probably due to irreversible changes in the Eustachian tube function. How to cite this article Mohan C, Srivastava A, Shukla P. Effect of Nasal Packing on Middle Ear Pressure. Int J Adv Integ Med Sci 2016;1(2):52-56.

“EFFECT OF ANTERIOR NASAL PACKING ON MIDDLE EAR FUNCTION AND HEARING: A PROSPECTIVE STUDY”

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 9-14
Author(s):  
Sachin Jain
Keyword(s):  
Prospective Study ◽  
Key Words ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Hearing Threshold ◽  
Nasal Packing ◽  
Middle Ear Pressure ◽  
A Prospective Study

Introduction- The Eustachian tube provides an anatomic communication between the middle ear and nasopharynx, and maintains pressure equality across the tympanic membrane. Objective- To see the effect of anterior nasal packing on Otological symptoms, middle ear pressure and hearing Materials and method- This prospective study was carried out during period of September 2018 till August 2019. 100 ears were taken in the study. Middle ear pressure and hearing threshold were evaluated by Tympanometry and Audiometry respectively. Results- Postoperatively two days after anterior nasal packing, there was increase in no. of patient ears with ear fullness, ear ache, tinnitus, hearing threshold and abnormal negative middle ear pressure. After removal of nasal packing up to twelve weeks, improvement in middle ear pressure and hearing threshold was seen. Conclusion- Anterior nasal packing causes decrease in middle ear pressure and increase in hearing threshold. Key words- Eustachian tube, Middle ear pressure, Hearing threshold

scholarly journals Effect of Anterior Nasal Packing on Eustachian Tube Function and Middle Ear Pressure

2020 ◽  
Vol 23 (1) ◽  
pp. 27-31
Author(s):  
Md Manjur Rahim ◽  
Ahmmad Taous ◽  
Md Hasan Zafar ◽  
Mozharul Islam ◽  
Khalid Asad ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Neck Surgery ◽  
Nasal Packing ◽  
Middle Ear Pressure ◽  
Tube Dysfunction ◽  
Tube Function ◽  
Medical University ◽  
Head Neck Surgery ◽  
Head Neck

The present study includes evaluation 60 ears of 30 nasal patients admitted to department of Otolaryngology and Head-Neck Surgery at Banghabandhu Sheikh Mujib Medical University. Each patient underwent nasal surgery followed by anterior nasal packing for 48 hours. All patients were investigated by tympanometry prior to surgery, 2nd post operative day before pack removal and on 7th post operative day 5 days after pack removal. This study shows that nasal packing result in Eustachian tube dysfunction and negative middle ear pressure which is reversible in nature. Bangladesh J Otorhinolaryngol; April 2017; 23(1): 27-31

scholarly journals Anterior nasal packing: does it affect middle ear pressure?

2020 ◽  
Vol 6 (7) ◽  
pp. 1316
Author(s):  
K. Pragadeeswaran ◽  
Raj Prakash Yadavkrishnan ◽  
Roopak Visakan Raja
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Tertiary Care ◽  
Nasal Packing ◽  
Care Hospital ◽  
Eustachian Tube Function ◽  
Nasal Surgery ◽  
Middle Ear Pressure ◽  
Septal Surgery ◽  
Tube Function

<p class="abstract"><strong>Background:</strong> Eustachian tube maintains middle ear pressure equal to that of atmosphere. Its function may be deranged due to variety of factors like adenoids, cleft palate, nasogastric tubes, allergy, nasopharyngeal intubations and also by nasal packing following septal surgery. Our aim was to evaluate the effect of anterior nasal packing protocol, on eustachian tube function, followed in our ENT Department for nasal surgeries.</p><p class="abstract"><strong>Methods:</strong> A descriptive study was done on 60 patients undergoing nasal surgery from March to November 2018 was done in the ENT Department of a tertiary care hospital.<strong> </strong>All patients underwent pre-operative otoscopic examination followed by tympanometry. Tympanometry was repeated following nasal surgery with nasal pack in situ and again 24 hours after removal of pack. The results of all these 3 impedance audiometries were tabulated and analysed.  </p><p class="abstract"><strong>Results:</strong> Pre-operatively both ears in all the patients showed type a tympanometry, which implied normal eustachian tube function. Out of 60 patients who underwent nasal surgeries, 40 had abnormal impedance tympanograms immediately after surgery. 26 patients had abnormal impedance tympanogram after pack removal. These patients were treated with nasal decongestants and antibiotics which were routinely prescribed as a post-operative prophylaxis. These patients 1 week after pack removal recorded a normal tympanogram.</p><p class="abstract"><strong>Conclusions:</strong> Changes in middle ear pressure following nasal packing associated with most nasal surgeries were transient but not severe. Hence, we conclude that anterior nasal packing for 24 hours is considered safe, if no other co-morbid factors for altering middle ear pressures are present.</p>

scholarly journals Effect of anterior nasal packing on middle ear pressure

1970 ◽  
Vol 17 (2) ◽  
pp. 125-131
Author(s):  
Mohammad Rokanuddin Bhuiyan ◽  
Mohammad Idrish Ali ◽  
Fatema Johora ◽  
Sk Nurul Fattah Rumi ◽  
Nazmul Haque ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Middle Ear ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Nasal Packing ◽  
Sinus Surgery ◽  
Cross Sectional ◽  
Female Ratio ◽  
Middle Ear Pressure ◽  
Minimum Age

Objectives: To assess the effect of anterior nasal packing on middle ear pressure. Methods: This cross-sectional study was carried out in the Department of Otolaryngology – Head & Neck surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka for the period of one year from July 2008 to June 2009. Thirty patients were selected purposively. Results: Thirty patients were studied. Minimum age 14 and maximum age 48 years, 50% patients were 3rd decade, 66.66% were male, male female ratio was 2:1 nasal obstruction was 100% of the patients 30% patients were nasal septum deviation, 30% patients DNS with nasal deformity, 30% patients were underwent septoplasty, 36.66% patients had septoplasty with submucosal diathering 26.66% were endoscopic sinus surgery and 6.66% were septorhinoplasty. The prepack middle ear presurre range from -50 daPa to 0 daPa were maximum followed by 0 daPa to +50 daPa, minimum -65 daPa 4 ears showed presume -100 daPa. Three ears were middle ear pressure between -150 daPa to -100 daPa. 2nd post operatively just before pack removal abnormal middle ear pressure was seen in 26 ears (43.33%) after 5 days abnormal pressure was found in 30 ears. Three ears (75%) out of 4 ears having antrochoanal polyp showed no improvement even five days after pack removed. Conclusion: Chronic nasal obstruction seems to have a detrimental effect on middle ear pressure, which may not return to normal even after removal of chronic obstruction. It appears from this study that there might be some permanent change in peritubal nasopharyngeal mucosa due to chronic nasal obstruction, which needs to be proved histopathologically. Lymphatic stasis at peritubal plexus of lymphatic channels and veins appears to be the causes of lymph oedema following nasal packing. Anterior nasal packing causes reversible negative middle ear pressure which return to normal 5 days after pack removal. Key Words: Anterior nasal pack; middle ear pressure DOI: http://dx.doi.org/10.3329/bjo.v17i2.8853 BJO 2011; 17(2): 125-131

Nasal Septal Suture Technique versus Nasal Packing after Septoplasty

2005 ◽  
Vol 19 (6) ◽  
pp. 599-602 ◽  
Author(s):  
Altan Yildirim ◽  
Mehmet Yasar ◽  
Ali Ihsan Bebek ◽  
Ercan Canbay ◽  
Tanfer Kunt
Keyword(s):  
Middle Ear ◽  
Suture Technique ◽  
Septal Deviation ◽  
Nasal Packing ◽  
Blood Gas ◽  
Nasal Septal Deviation ◽  
Nasal Cavities ◽  
Arterial Blood ◽  
Middle Ear Pressure ◽  
Septal Suture

Background The aim of this study was to compare eustachian function and blood gas changes with nasal packing (NP) and nasal septal suturing (NSS) after septoplasty. Methods Eighty patients who have nasal septal deviation and who otherwise are healthy were studied. Forty of these patients had finger glove NPs in their nasal cavities for 48 hours after septoplasty. Another 40 patients had NSS performed after septoplasty. Acoustic tympanometry and pH, PCO2, and PO2 analyses of arterial blood were performed preoperatively and 48 hours postoperatively. Results We observed a statistically significant increase in middle ear pressure (p < 0.001) and a significant reduction of PO2 (p < 0.001) and increase of PCO2 (p = 0.041) in the NP group but no difference in the NSS group, postoperatively. Conclusion NSS should be preferred as an alternative to intranasal packing.

Effect of nasal packing on Eustachian tube function

1991 ◽  
Vol 105 (7) ◽  
pp. 539-540 ◽  
Author(s):  
A. C. Thompson ◽  
J. A. Crowther
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Nasal Packing ◽  
Eustachian Tube Function ◽  
Middle Ear Effusion ◽  
Middle Ear Pressure ◽  
Septal Surgery ◽  
Tube Dysfunction ◽  
Tube Function ◽  
Ear Effusion

AbstractSixty-three patients undergoing surgery to the nasal septum followed by bilateral packing had pre- and post-operative tympanometry in order to determine the effect on eustachian tube function. Fifty-five of the 126 ears tested (46 per cent) developed a reduction in middle ear pressure of at least 50 daPa; 76 per cent became normal within 24 hours of removing the nasal packs. All ears were asymptomatic and no patient had evidence of middle ear effusion. Nasal packing following septal surgery is a frequent cause of shortlasting eustachian tube dysfunction but rarely severe enough to cause symptoms or middle ear effusion. Tubal dysfunction is most likely due to a combination of surgical oedema and a direct effect of the nasal packing.

Middle-ear pressure changes during general N2O Anaesthesia in Adeno-Tonsillectomies due to post-nasal packing

1984 ◽  
Vol 98 (10) ◽  
pp. 973-976 ◽  
Author(s):  
J. Karbonis ◽  
E. Ftakas ◽  
A. Aidonis
Keyword(s):  
General Anaesthesia ◽  
Middle Ear ◽  
Nasal Packing ◽  
Middle Ear Pressure ◽  
Pressure Changes

During adeno-tonsillectomies performed under general anaesthesia with N2O we observed and measured a serious increase in middle-ear pressure (M.E.P.). This is due to the fact that the rate of diffusion of N2O is greater inwards than outwards. This rise in the middle-ear pressure is due to the packing of the nasopharynx after adenoidectomy for haemostasis.

Effect of anterior Nasal Packing on middle ear pressure

1990 ◽  
Vol 42 (3) ◽  
pp. 130-131
Author(s):  
C. Mohan ◽  
R. K. Saxena ◽  
P. G. Chauhan
Keyword(s):  
Middle Ear ◽  
Nasal Packing ◽  
Middle Ear Pressure
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