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Coincidence of asthma and bronchospasm during anesthesia in tympanomastoidectomy

Nima Hosseinzadeh1, Shahram Samadi2, Amin Amali3

  • 1Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. nima_hd87@yahoo.com.

Acta Medica Iranica
|December 23, 2014
PubMed

Insights

Asthma is significantly more common in patients with chronic suppurative otitis media (CSOM). This highlights the need for careful attention to asthma and bronchospasm risk in CSOM patients undergoing tympanomastoidectomy.

Area of Science:

  • Otolaryngology
  • Allergy and Immunology
  • Anesthesiology

Background:

  • Chronic suppurative otitis media (CSOM) is a common ear infection.
  • The association between CSOM and allergic diseases like asthma is debated.
  • Anesthesia induction in CSOM patients has shown high rates of bronchospasm.

Purpose of the Study:

  • To investigate the prevalence of asthma in patients with CSOM.
  • To determine the coincidence of asthma and allergic rhinitis in CSOM patients.

Main Methods:

  • A cross-sectional study comparing 106 CSOM patients (tympanomastoidectomy) with 95 age- and sex-matched controls.
  • Medical records were reviewed for demographic data, allergic rhinitis (AR), and asthma history.
  • Data collected from Valiasr Hospital, Tehran, Iran (April 2011 – March 2013).

Main Results:

  • Asthma prevalence was significantly higher in the CSOM group (P=0.03) with an odds ratio of 7.67.
  • Allergic rhinitis prevalence was slightly higher in CSOM patients (19.8%) than controls (15.8%), but not statistically significant (P>0.05).
  • No significant association was found between allergic rhinitis history and chronic ear infections.

Conclusions:

  • Asthma is significantly more prevalent in patients with CSOM.
  • Anesthesia management for CSOM patients undergoing tympanomastoidectomy requires heightened awareness of asthma and bronchospasm risks.
  • Further research may clarify the underlying mechanisms connecting CSOM and asthma.

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