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Chronic otitis media with effusion in chronic sinusitis with polyps.
Mary Daval1, Hervé Picard, Emilie Bequignon
1Department of Otorhinolaryngology-Head and Neck Surgery, Hôpital Intercommunal de Créteil, Créteil, France.
Ear, Nose, & Throat Journal
|August 24, 2018
Summary
Otitis media with effusion (OME) frequently occurs in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP), often causing conductive hearing loss. This suggests a shared inflammatory process affecting the upper airway and middle ear.
Area of Science:
- Otolaryngology
- Respiratory Medicine
- Inflammatory Diseases
Background:
- The association between otitis media with effusion (OME) and chronic rhinosinusitis with nasal polyposis (CRSwNP) is not well understood.
- CRSwNP is a common condition affecting the upper airway, while OME impacts the middle ear.
Purpose of the Study:
- To determine the prevalence of OME in CRSwNP patients.
- To investigate if CRSwNP severity influences OME.
- To identify risk factors for OME in the context of CRSwNP.
Main Methods:
- A cross-sectional study of 80 CRSwNP patients.
- Assessment of CRSwNP severity using symptoms, endoscopic exams, and Lund-Mackay scores.
- Evaluation of OME through otoscopy, audiometry, and tympanometry.
Main Results:
- OME was present in 25% of CRSwNP patients (20 out of 80).
- Conductive hearing loss was found in 80% of CRSwNP patients with OME.
- No significant correlation was found between CRSwNP severity, nasal polyp grade, or various risk factors (e.g., asthma, allergies) and the presence of OME.
Conclusions:
- OME is a frequent comorbidity in CRSwNP patients, irrespective of nasal disease control.
- The findings suggest a potential shared inflammatory pathway affecting both the middle ear and upper airway epithelium in OME and CRSwNP.
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