The Effects of Smoking on Eustachian Tube Function and Surgical Outcomes in Patients with Chronic Otitis Media Sigaranın Kronik Otitis Media Hastalarında Östaki Tüpü Fonksiyonu ve Cerrahi Sonuçlar Üzerindeki Etkileri

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Şahin Ş., Aktaş B., Erkmen B., Duymaz Y. K., Tekin A. M., Önder S., ...Daha Fazla

Journal of Ear Nose Throat and Head Neck Surgery, cilt.31, sa.4, ss.194-199, 2023 (Scopus, TRDizin)

Özet

Objective: Effect of smoking on the Eustachian tube (ET) function is unknown specifically in humans. The literature about smoking as a prognostic factor in chronic otitis media (COM) surgery is showing discrepancies. We evaluated the ET function by the saccharin test. Test results compared between smokers and nonsmokers. Surgical outcomes were assessed between groups according to smoking status and ET function. Material and Methods: A prospective case series was conducted at a tertiary referral center on 83 COM patients undergoing endoscopic Type 1 cartilage tympanoplasty. Patients were classified based on saccharin test results into 3 groups; normal function, partial dysfunction, and gross dysfunction. Smoking status was used to evaluate ET function, and perforations were categorized as anterior, central, or posterior. Surgical success rates were compared between smokers and non-smokers. Results: The saccharin test showed no significant difference in ET function between smokers and non-smokers. Patients with gross dysfunction had more anteriorly localized perforations. Surgical success rates did not significantly differ between smokers and non-smokers, and ET function did not affect out-comes. Conclusion: Anteriorly localized perforations in tympanic membrane should bring to mind the ET dysfunction. Tragal cartilage is a reliable graft material for patients with smoking history and ET dysfunction.