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Sinonasal symptoms in adults with ear disease

Published online by Cambridge University Press:  30 April 2014

B-S Yin ,
M S Miah  and
S S M Hussain
B-S Yin
Affiliation:
University of Dundee Medical School, Dundee, Scotland, UK
M S Miah
Affiliation:
University of Dundee Medical School, Dundee, Scotland, UK Department of Otorhinolaryngology-Head/Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
S S M Hussain*
Affiliation:
University of Dundee Medical School, Dundee, Scotland, UK Department of Otorhinolaryngology-Head/Neck Surgery, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Mr S S M Hussain, Department of Otorhinolaryngology-Head/Neck Surgery, Ninewells Hospital and University of Dundee Medical School, Dundee DD1 9SY, Scotland, UK Fax: 01382 632816 E-mail: musheer.hussain@nhs.net
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Abstract

Background:

The association between eustachian tube dysfunction and middle-ear effusion is well established. Studies have also demonstrated pathological changes affecting the middle-ear mucosa associated with chronic sinonasal inflammation. No previous studies have evaluated symptoms related to sinonasal inflammatory disease in different ear diseases.

Objective:

To assess the presence of sinonasal symptoms in ear diseases using the Dundee Rhinogram.

Methods:

Data were collected prospectively in the period February–October 2011. Sinonasal symptoms were graded using the Dundee Rhinogram. Student's t-test analyses were performed to identify any statistically significant associations.

Results:

In total, 164 patients were assessed. There was a statistically significant association between sinonasal symptoms and mucosal middle-ear diseases (p < 0.005). The mean sinonasal symptoms score for mucosal middle-ear disease patients was 5.94 (range, 0–32).

Conclusion:

Assessment of sinonasal symptoms is paramount in patients presenting with an ear symptom; inflammatory sinonasal disease treatment may become necessary in the management of middle-ear mucosal disease for better patient outcome.

Keywords

Ear DiseasesNose DiseasesParanasal Sinus DiseasesPathophysiology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 5 , May 2014 , pp. 438 - 441
Copyright
Copyright © JLO (1984) Limited 2014 

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Footnotes

Presented orally at the Scottish Otorhinolaryngological Society meeting, 9–10 May 2012, Dunblane, Scotland, and as a poster at the 14th British Academic Conference in Otolaryngology, 4–6 July 2012, Glasgow, Scotland, UK.

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