The Treatment of Nasal Obstruction with Tubal Disorders in Patients with Chronic Suppurative Otitis Media

Merab Adamia

Department of ENT Diseases, Tbilisi State Medical Academy,
Tel: (+995 32) 231230 Fax: (+99532) 294786, Tbilisi, Georgia. E-mail: merabadamia@hotmail.com

76 patients of age 8 to 70 years were examined in order to study the condition of Eustachian tube. In addition to otitis media, those patients had different pathologies from the side of nose and paranasal sinuses, which caused instant nasal obstruction. Chronic otitis was developed on the basis of septal deviation in 68.4%; instant hypertrophy of conchae nasi was found in 9.2%. Different forms of chronic sinusitis were found in 15.8%, and adenoids in 6.6%. Ventilation and drainage functions of Eustachian tube were examined. Different levels of the drainage dysfunction of Eustachian tube were found in 53.3%, exceeding the indicators of ventilation dysfunction (48.5%). The collected data lead to the conclusion that chronic suppurative otitis media (CSOM) in patients with Eustachian tube disorders should be viewed as a rhinogenic ear complication. For the treatment of Eustachian tube dysfunction for restoring normal nasal breathing, it is necessary to conduct both adequate conservative and surgical treatment.

Keywords:  Eustachian tube, nasal obstruction, paranasal sinus, ventilation, drainage function