The Eustachian Tube and Sinonasal and Nasopharyngeal Masses: A Prospective Study on Functional Impacts
- Author Meghna Gangopadhyay
- Co-Author Devendra Mahore, Seema Patel, Harshali Girde
- DOI https://ww
- Country : India
- Subject : ENT
Keywords : Eustachian tube, impedance audiometry, compliance, sinonasal and nasopharyngeal masses.
Abstract
Background: Nasal airway patency is essential for ear health, with nasal and paranasal sinus conditions potentially causing eustachian tube (ET) dysfunction. This dysfunction can reduce middle ear ventilation, leading to tympanic membrane retraction, otitis media with effusion, and chronic middle ear disease. Aim: This study aimed to assess how sinonasal and nasopharyngeal masses affect ET function using impedance audiometry. Materials and Methods: A prospective hospital-based study was conducted with 90 patients having sinonasal and nasopharyngeal masses. Impedance audiometry was performed before treatment and at 2-, 4-, and 6-weeks post-treatment. Results: The most affected age group was 15-24 years (32.22%), with a male-to-female ratio of 2:1. Before treatment, 41.67% of ears had tympanic membrane retraction and 30% had abnormal tympanograms. Post-treatment, retraction decreased to 3.89% and abnormal tympanograms dropped to 2.78%. Compliance improved from 71.11% showing normal values to 97.22% after treatment. Eustachian tube function also improved significantly, with normal function increasing from 51.11% to 95.56%, all with p < 0.001.
Conclusion: Treatment of sinonasal and nasopharyngeal masses significantly improves ET function, as indicated by the normalization of impedance audiometry findings.
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