Acoustic Rhinometry and Rhinomanometry in Tympanoplasty Surgery

Prognostic Value of
Kazım Tekin 1 ,   Medine Kara 2 ,   Oğuz Güçlü 2 ,   Halil Erdoğan 2 ,   Fevzi Sefa Dereköy 2
1 Department of Otorhinolaryngology, Boğazlıyan State Hospital, Yozgat, Turkey  2 Department of Otorhinolaryngology, Çanakkale Onsekiz Mart University School of Medicine, Çanakkale, Turkey
J Int Adv Otol 2016; 12: 32-36
DOI: 10.5152/iao.2016.1398

Abstract
OBJECTIVE: Chronic otitis media (COM) is a disorder characterized by perforation of the eardrum and hearing loss following chronic inflammation of the middle ear cavity, ossicules, and mastoid cells. Eustachian dysfunction plays an important role in COM etiopathogenesis and postoperative prognosis. The determinants of postoperative prognosis are still being researched. This study aimed to research the prognostic value of acoustic rhinometry (ARM) and rhinomanometry (RMM) in COM surgery in terms of eradication of the infection after operation, graft success, and hearing gain in operated cases.

MATERIALS and METHODS: This study included 58 patients who underwent surgery with a diagnosis of COM. Patients were assessed in terms of age, gender, COM type, treatment methods used, eradication of infection, graft success, and hearing gain. ARM and RMM measurements were performed in the preoperative period. ARM and RMM values were statistically compared in terms of the existence of postoperative infection, graft success, and hearing gain.

RESULTS: In terms of ARM and RMM measurements, there was no statistically significant difference between cases where postoperative infection control was assured and cases with ongoing infection; successful and failed cases in terms of grafting; or successful and failed cases in terms of postoperative hearing. When preoperative and postoperative air-bone gap averages were compared, statistically significant differences were observed.

CONCLUSION: In the presence of a nasal obstruction in cases with chronic otitis, elimination of this situation is the first line of treatment. Infection control, graft success, and improvement of hearing will be possible to a greater extent in the postoperative period for patients with the nasal pathology remedied.

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