Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study
The eustachian tube (E-tube) function is known to be related with sinusitis; however, the effect of endoscopic sinus surgery (ESS) on E-tube function is not clearly documented. This study aimed to prospectively evaluate the function of the E-tube by using both subjective and objective tests in adult...
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/20/4689 |
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| author | Kyu Young Choi Sookyung Jang Ganghyeon Seo Su-Kyoung Park |
| author_facet | Kyu Young Choi Sookyung Jang Ganghyeon Seo Su-Kyoung Park |
| author_sort | Kyu Young Choi |
| collection | DOAJ |
| description | The eustachian tube (E-tube) function is known to be related with sinusitis; however, the effect of endoscopic sinus surgery (ESS) on E-tube function is not clearly documented. This study aimed to prospectively evaluate the function of the E-tube by using both subjective and objective tests in adult chronic sinusitis patients undergoing ESS, and to compare with those of the patients without sinusitis. Thirty adult patients who underwent ESS for treatment of chronic sinusitis and another thirty patients without sinusitis who underwent other nasal surgeries (septoplasty, rhinoplasty, or closed reduction) were evaluated and compared for E-tube function before and after three months of their surgeries. The E-tube function tests included the seven-item eustachian tube dysfunction questionnaire (ETDQ-7), Valsalva test, and inflation-deflation test that were compared preoperatively and postoperatively in both groups. Compared with the group without sinusitis, the ESS group showed significant improvement of E-tube function after surgery in the ETDQ-7 (<i>p</i> = 0.002), right Valsalva test (<i>p</i> = 0.015), right deflation test (<i>p</i> = 0.005), and left deflation test (<i>p</i> = 0.006). A binary logistic regression analysis revealed that ESS significantly improved E-tube function in the right Valsalva test in a univariate (<i>p</i> = 0.021) and multivariate analysis (<i>p</i> = 0.008), and E-tube function in the left deflation test in a univariate (<i>p</i> = 0.021) and multivariate analysis (<i>p</i> = 0.039). These findings indicate that E-tube function is significantly improved after ESS in adult sinusitis patients, and that the presence of sinusitis and implementation of ESS should be considered (if sinusitis is present) in managing patients with ear diseases that are affected by E-tube function. |
| first_indexed | 2024-03-10T06:29:16Z |
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| language | English |
| last_indexed | 2024-03-10T06:29:16Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d7dd5002649440429a589079cf9acd4b2023-11-22T18:41:37ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020468910.3390/jcm10204689Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control StudyKyu Young Choi0Sookyung Jang1Ganghyeon Seo2Su-Kyoung Park3Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kangnam Sacred Heart Hospital, Hallym University, Seoul 07441, KoreaThe eustachian tube (E-tube) function is known to be related with sinusitis; however, the effect of endoscopic sinus surgery (ESS) on E-tube function is not clearly documented. This study aimed to prospectively evaluate the function of the E-tube by using both subjective and objective tests in adult chronic sinusitis patients undergoing ESS, and to compare with those of the patients without sinusitis. Thirty adult patients who underwent ESS for treatment of chronic sinusitis and another thirty patients without sinusitis who underwent other nasal surgeries (septoplasty, rhinoplasty, or closed reduction) were evaluated and compared for E-tube function before and after three months of their surgeries. The E-tube function tests included the seven-item eustachian tube dysfunction questionnaire (ETDQ-7), Valsalva test, and inflation-deflation test that were compared preoperatively and postoperatively in both groups. Compared with the group without sinusitis, the ESS group showed significant improvement of E-tube function after surgery in the ETDQ-7 (<i>p</i> = 0.002), right Valsalva test (<i>p</i> = 0.015), right deflation test (<i>p</i> = 0.005), and left deflation test (<i>p</i> = 0.006). A binary logistic regression analysis revealed that ESS significantly improved E-tube function in the right Valsalva test in a univariate (<i>p</i> = 0.021) and multivariate analysis (<i>p</i> = 0.008), and E-tube function in the left deflation test in a univariate (<i>p</i> = 0.021) and multivariate analysis (<i>p</i> = 0.039). These findings indicate that E-tube function is significantly improved after ESS in adult sinusitis patients, and that the presence of sinusitis and implementation of ESS should be considered (if sinusitis is present) in managing patients with ear diseases that are affected by E-tube function.https://www.mdpi.com/2077-0383/10/20/4689eustachian tubemiddle earsinusitistympanometryValsalva maneuver |
| spellingShingle | Kyu Young Choi Sookyung Jang Ganghyeon Seo Su-Kyoung Park Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study Journal of Clinical Medicine eustachian tube middle ear sinusitis tympanometry Valsalva maneuver |
| title | Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study |
| title_full | Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study |
| title_fullStr | Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study |
| title_full_unstemmed | Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study |
| title_short | Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study |
| title_sort | effect of endoscopic sinus surgery on eustachian tube function in adult sinusitis patients a prospective case control study |
| topic | eustachian tube middle ear sinusitis tympanometry Valsalva maneuver |
| url | https://www.mdpi.com/2077-0383/10/20/4689 |
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