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鼻中隔偏曲类型与咽鼓管功能之间的关联:一项前瞻性观察性研究。

Association Between Nasal Septal Deviation Types and Eustachian Tube Function: A Prospective Observational Study.

临床研究鼻科IF 1.5Q3

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中文摘要

目的: 本研究旨在客观和主观地评估根据Baumann系统分类的鼻中隔偏曲(NSD)类型对咽鼓管功能的影响。
方法: 共纳入107例NSD患者(78例男性,29例女性;平均年龄:35.39±9.55岁)。根据Baumann分类将NSD分为6种类型。所有患者均完成了NOSE(鼻塞症状评估)量表和ETDQ-7(咽鼓管功能障碍问卷)。使用ETF-1(咽鼓管功能-1)测试评估咽鼓管功能,并评估其与NSD类型的相关性。
结果: 晚期偏曲类型(5型和6型)与较高的NOSE和ETDQ-7评分相关,并且在Toynbee和Valsalva动作期间鼓室压反应显著降低。6型表现出最高的ETDQ-7评分和最低的Pmax-Pmin值。
结论: 晚期鼻中隔偏曲与更差的主观和客观咽鼓管功能指标相关。这些发现可能对晚期鼻中隔偏曲患者的术前评估具有意义。

英文摘要

OBJECTIVE: This study aimed to objectively and subjectively evaluate the effect of nasal septal deviation (NSD) types, classified according to the Baumann system, on Eustachian tube function.
METHODS: A total of 107 NSD patients (78 males, 29 females; mean age: 35.39 ± 9.55 years) were included. NSD was categorized into 6 types based on the Baumann classification. All patients completed the NOSE (Nasal Obstruction Symptom Evaluation) scale and ETDQ-7 (Eustachian Tube Dysfunction Questionnaire). Eustachian tube function was evaluated using the ETF-1 (Eustachian Tube Function-1) test, and correlations with NSD types were evaluated.
RESULTS: Advanced deviation types (Types 5 and 6) were associated with higher NOSE and ETDQ-7 scores and significantly reduced tympanometric pressure responses during both Toynbee and Valsalva maneuvers. Type 6 exhibited the highest ETDQ-7 scores and the lowest Pmax-Pmin values.
CONCLUSION: Advanced nasal septal deviation was associated with worse subjective and objective measures of Eustachian tube function. These findings may be relevant during preoperative assessment of patients with advanced septal deviation.