Background:Nasal septum deviation (NSD) is a widespread issue that may influence the Eustachian tube (ET), affecting middle ear pressure. While septoplasty is commonly performed to correct NSD and potentially alleviate related symptoms, its effect on ET function and middle ear pressure has been variably reported.
Objective: To examine the outcomes of septoplasty on the functionality of the Eustachian tube and the pressure levels in the middle ear among patients suffering from nasal blockage attributed to NSD.
Patients and Methods: This consecutive case series study was conducted on 50 patients over 18 years with symptomatic NSD and intact tympanic membranes. Assessments included tympanometry and nose score questionnaires preoperatively and eight weeks postoperatively.
Results: The study population had a mean age of 32.64 ± 8.93 years, with a slight male predominance (56%). Postoperative assessments showed significant improvement in nose scores (from 17.34 ± 8.05 pre-surgery to 9.6 ± 5.22 post-surgery, P < 0.001) and tympanometric measurements in both ears (P = 0.023 for the right ear, P = 0.011 for the left ear), indicating enhanced ET function and middle ear pressure regulation.
Conclusions: Nose score can be used as subjective tool for assessment of pre and postoperative nasal symptoms in addition to existing methods. Septoplasty in patients with septal deviation with concomitant middle ear dysfunction, might omit the need for Eustachian tube or middle ear surgery.