Objective: The paper deals with the investigation of the effects of nasal septal deviation evaluated by acoustic rhinometry (ARM) in the success of tympanoplasty surgery
Subject and methods: All patients who underwent tympanoplasty surgery by the same surgeon were reviewed. The patients have nasopharyngeal or nasal masses, polyp, symptoms of allergic rhinitis or rhinosinusitis, or concha bullosa were excluded from the study. Forty patients who underwent tympanoplasty at least one year ago were included in the study. The patients were divided into two groups according to the graft success results. ARM evaluations of the patients were performed.
Results: There were 25 and 15 cases in the intact graft (group A) and re-perforated group (Group B), respectively. For the same side of the operated ear, ARM values of group A were 0.47 cm2 at the first narrowest cross-sectional area (MCA 1), 0.43 cm2 at the second narrowest cross-sectional area (MCA 2), 1.51 cm3 volume at the first 2cm of the nasal cavity (Vol 1) and 3.33 cm3 volume between the second fifth cm of the nasal cavity (Vol 2). ARM values of the group B were 0.50 cm2, 0.47 cm2, 1.60 cm3, and 3.19 cm3 for MCA 1, MCA 2, Vol 1, and Vol 2, respectively.
Conclusion: The results of this study showed that nasal septal deviation may not affect the success of tympanoplasty surgery and septoplasty may not be necessary before ear surgery.