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Assessment of nasal functions and their relationship with cholesteatoma formation in patients with unilateral chronic otitis media

Published online by Cambridge University Press:  11 October 2018

F Arslan ,
M Binar  and
U Aydin
F Arslan*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beytepe Murat Erdi Eker State Hospital
M Binar
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Gulhane Medical School, Ankara, Turkey
U Aydin
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Gulhane Medical School, Ankara, Turkey
*
Author for correspondence: Dr Fatih Arslan, Dept. of Otolaryngology, Beytepe Murat Erdi Eker State Hospital, Beytepe 06500, Ankara, Turkey E-mail: drfatiharslan@gmail.com Fax: +90 31 2906 0814
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Abstract

Objectives

To evaluate the nasal functions of patients with unilateral chronic otitis media using rhinomanometry, comparing chronic otitis media sides with healthy sides, chronic otitis media patients with cholesteatoma and without cholesteatoma, and patients with healthy individuals.

Methods

This prospective study included 102 patients with unilateral chronic otitis media (48 with and 54 without cholesteatoma). The control group comprised 40 individuals without any ear or nasal pathologies. All patients underwent active anterior rhinomanometry to measure nasal airway resistance and a saccharin test to measure mucociliary transport times.

Results

There were no significant differences in nasal airway resistance and mucociliary transport time between the chronic otitis media sides and unaffected sides in the 102 patients (p = 0.72 and p = 0.28, respectively), between the non-suppurative chronic otitis media patients (without cholesteatoma) and chronic otitis media with cholesteatoma patients (p > 0.05), or between the study and control groups (p > 0.05).

Conclusion

The present study, with a larger sample size compared to previously published literature, supports the conclusion that unilateral nasal obstruction is unlikely to lead to chronic otitis media on the same side. The results also suggest that nasal functions do not contribute to the development of cholesteatoma.

Keywords

Otitis MediaCholesteatomaNasal ObstructionRhinomanometrySaccharin
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 974 - 977
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr F Arslan takes responsibility for the integrity of the content of the paper

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