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Eustachian tube in atrophic rhinitis
1Department of ENT, Medical College, Kota, Rajasthan India.
Summary
Atrophic rhinitis can affect the eustachian tube, with lesions found in 35% of patients. Nasopharyngeal endoscopy can identify these issues and aid in treatment to prevent ear complications.
Area of Science:
- Otolaryngology
- Rhinosinusology
Background:
- Atrophic rhinitis is a chronic condition causing mucosal and turbinate bone atrophy.
- Maxillary sinus involvement can occur secondary to the primary disease or mucosal issues.
- The impact of atrophic rhinitis on the eustachian tube remains uncertain.
Purpose of the Study:
- To investigate the presence, type, and location of lesions at the eustachian tube orifice in patients with atrophic rhinitis.
- To assess the therapeutic potential of nasopharyngeal endoscopy in managing these lesions.
Main Methods:
- Nasopharyngeal endoscopy was performed on 20 patients diagnosed with atrophic rhinitis.
- Detailed examination of the eustachian tube orifice was conducted.
Main Results:
- Lesions involving the eustachian tube were identified in seven patients (35%).
- Observed lesions included atrophic changes, crusting, granulomas, and thick mucoid areas.
- Endoscopy demonstrated therapeutic value in clearing discharge and crusts from the eustachian tube orifice.
Conclusions:
- Atrophic rhinitis frequently involves the eustachian tube orifice.
- Nasopharyngeal endoscopy is a valuable diagnostic and therapeutic tool for atrophic rhinitis patients.
- Early intervention via endoscopy may prevent otological complications.
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