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Effect of nasal packing on Eustachian tube function

Published online by Cambridge University Press:  29 June 2007

A. C. Thompson  and
J. A. Crowther
A. C. Thompson*
Affiliation:
Glasgow
J. A. Crowther
Affiliation:
Glasgow
*
Mr A. C. Thompson, Department of Otolarynology, Derbyshire Royal Infirmary, Derby DEI 2QY.
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Abstract

Sixty-three patients undergoing surgery to the nasal septum followed by bilateral packing had pre- and post-operative tympanometry in order to determine the effect on eustachian tube function. Fifty-five of the 126 ears tested (46 per cent) developed a reduction in middle ear pressure of at least 50 daPa; 76 per cent became normal within 24 hours of removing the nasal packs. All ears were asymptomatic and no patient had evidence of middle ear effusion. Nasal packing following septal surgery is a frequent cause of shortlasting eustachian tube dysfunction but rarely severe enough to cause symptoms or middle ear effusion. Tubal dysfunction is most likely due to a combination of surgical oedema and a direct effect of the nasal packing.

Keywords

Nasal surgeryEustachian tube
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 7 , July 1991 , pp. 539 - 540
Copyright
Copyright © JLO (1984) Limited 1991

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References

Bonding, P., Tos, M. (1981) Middle ear pressure during brief pathological conditions of the nose and throat. Ada Otolaryngologica, 92: 63–69.CrossRefGoogle ScholarPubMed
Jerger, J. (1970) Clinical experience with impedance audiometry. Archives of Otolaryngology, 92: 311–324.CrossRefGoogle ScholarPubMed
Johannessen, J., Poulsen, P. (1984) The influence of anterior nasal packing on middle ear pressure. Ada Otolaryngologica, 97: 363–364.CrossRefGoogle ScholarPubMed
Khan, J. A., Campbell, J. C. (1981) Studies on the production of middle ear effusion in the experimental animal. Journal of Laryngology and Otology, 95: 987–993.CrossRefGoogle ScholarPubMed
McCurdy, M. J. A. (1977) Effects of nasal packing on eustachian tube function. Archives of Otolaryngology, 103: 521–523.CrossRefGoogle ScholarPubMed
Tos, M., Bonding, P. (1977) Middle ear pressure during and after prolonged nasotracheal and/or nasogastric intubation. Ada Otolaryngologica, 83: 353–359.CrossRefGoogle ScholarPubMed
Wake, M., McCullough, D. E., Binnington, J. D. (1990) Effect of nasogastric tubes on eustachian tube function. Journal of Laryngology and Otology, 104: 17–19.CrossRefGoogle ScholarPubMed