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High Incidence of Nasal Alterations Is Present in Patients With Chronic Otitis Media: Presented at AAO-HNSF By Kristina Rebelo SAN DIEGO -- October 9, 2009 -- There is a higher incidence of nasal alterations in a subgroup of patients with chronic otitis media (COM) than in the general population with septal deviation (SD) being the most common deviation found in this subgroup of COM patients. Priscila Lemos Leite Novaes, MD, University Hospital of Rio de Janeiro’s Federal University, Rio de Janeiro, Brazil, presented the findings on October 4 at a poster presentation here at the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting 2009. “Our study showed that it is important to submit every patient with COM to an extensive examination of the nasal cavity since many of these patients have problems in areas of their nasal, paranasal sinus, and rhinopharynx,” Dr. Novaes told DocGuide. “We saw that the association between these 2 pathologies needed to be investigated.” Dr. Novaes and colleagues performed a retrospective analysis of the medical records of 51 patients. The study group looked for the most common nasal alterations while also correlating the condition with the side of the affected ear in patients diagnosed with COM. All patients were evaluated for SD and for changes in the middle meatus, inferior turbinate hypertrophy (ITH), and whether or not the cavum was free. The study reported the following: 74.5% of patients had nasal changes; 31% of the right ear (RE) with COM had SD on the right, and 35% of the healthy RE had SD to the right side; 32.3% of the left ear (LE) with COM had SD to the left, and 22.2% of the healthy LE had SD to the left; 31% of the RE with COM had right ITH with 40% of healthy RE having right ITH; 29% of the LE with COM had left ITH and 16.7% of healthy LE had left ITH. Dr. Novaes said that the results were not statistically significant, but the confidence interval was 95%. Limitations to the study included that there was no control group, so researchers were forced to compare their findings on nasal alterations to what was found in the Brazilian medical literature of the general population. “It’s important to note that even with the results we obtained in our study, we still could not elucidate a cause and effect relationship between nasal alterations and COM,” said Dr. Novaes. “So our next step with our study is to further investigate the relationship and if physician intervention could interfere with the evolution of COM treatment and thus, the prevalent number of nasal alterations in these patients.” [Presentation title: Nasal Alterations in Patients With Chronic Otitis Media. Abstract SP302] E-mail this page to a friend or colleague! To print, use this version