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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

Information

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.

References

1Hulse, M. The influence of nasal respiration on the function of the auditory tube. Clin Otolaryngol Allied Sci 1978;3:463–8Google Scholar
2Deron, P, Clement, PA, Derde, MP. Septal surgery and tubal function: early and late results. Rhinology 1995;33:7–9Google ScholarPubMed
3Bluestone, CD, Doyle, WJ. Anatomy and physiology of eustachian tube and middle ear related to otitis media. J Allergy Clin Immunol 1988;81:997–1003Google Scholar
4Umapathy, D, Alles, R, Scadding, GK. A community based questionnaire study on the association between symptoms suggestive of otitis media with effusion, rhinitis and asthma in primary school children. Int J Pediatr Otorhinolaryngol 2007;71:705–12CrossRefGoogle Scholar
5Maier, W, Krebs, A. Is surgery of the inner nose indicated before tympanoplasty? Effects of nasal obstruction and reconstruction on the eustachian tube [in German]. Laryngorhinootologie 1998;77:682–8Google Scholar
6Sismanis, A. Otitis media: the pathogenesis approach. Assessment and treatment of associated upper respiratory tract pathology. Otolaryngol Clin North Am 1991;24:947–55Google Scholar
7Watson, C. Chronic otitis media: the significance of nasal obstruction. Clin Otolaryngol Allied Sci 1990;15:435–8Google Scholar
8Parietti-Winkler, C, Jankowski, R. Is there an association between otitis media and nasal polyposis? Curr Allergy Asthma Rep 2011;11:521–5Google Scholar
9Bluestone, CD. Eustachian tube function: physiology, pathophysiology, and role of allergy in pathogenesis of otitis media. J Allergy Clin Immunol 1983;72:242–51CrossRefGoogle ScholarPubMed
10Scarano, E, Fetoni, AR, Picciotti, P, Cadoni, G, Galli, J, Paludetti, G. Can chronic nasal obstruction cause dysfunction of the paratubal muscles and otitis media? An experimental study in developing Wistar rats. Acta Otolaryngol 2003;123:288–91Google Scholar
11Kennedy, CA, Jyonouchi, H, Kajander, KC, Sun, S, Rimell, FL. Middle ear pathologic changes associated with chronic anaerobic sinusitis in rabbits. Laryngoscope 1999;109:498–503Google Scholar
12Irander, K, Borres, MP, Björkstén, B. Middle ear diseases in relation to atopy and nasal metachromatic cells in infancy. Int J Pediatr Otorhinolaryngol 1993;26:1–9Google Scholar
13Fokkens, WJ, Lund, VJ, Mullol, J; European Position Paper on Rhinosinusitis and Nasal Polyps group. European position paper on rhinosinusitis and nasal polyps 2007. Rhinol Suppl 2007;20:1–136Google Scholar