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Abstract
Objectives: We evaluated the relationship between pathological nasal conditions and pathological middle ear conditions on a large-scale epidemiological basis, conducted as a cross-sectional study at the population level using Korean National Health and Nutrition Examination Survey (KNHANES) data.
Study design: A cross-sectional study.
Methods: In a retrospective cohort study, we analyzed data from the KNHANES (2008–2012), which used a stratified, multi-stage, probability-cluster sampling method in a rolling sampling survey of South Korean citizens.
Results: The prevalences of nasal and middle ear pathologies were evaluated. Chronic postnasal drip, chronic hypertrophic rhinitis, and nasal polyps were correlated with the presence of middle ear pathologies; allergic rhinitis was negatively correlated. The prevalences of chronic otitis media and septal deviation showed no relationship. Only nasal polyps showed a tendency to be associated with cholesteatomatous otitis media in patients with COM.
Conclusions: Our results indicate the need for a nasal assessment when evaluating COM. Additionally, correction of nasal pathologies may be useful with the surgical treatment of COM to improve patient success rates and satisfaction.
Chinese abstract
目的：基于大范围流行病学, 我们评估了病理性鼻病和病理性中耳病之间的关系, 采用韩国国家健康和营养检查调查（KNHANES）数据进行居群级的横向研究。
研究设计：横向研究。
方法：回顾性队列研究中, 我们分析了KNHANES（2008-2012）的数据, 该调查采用了分层、多阶段、概率聚类抽样方法进行南韩公民滚动抽样调查。
结果：评估了鼻及中耳病变的患病率。慢性鼻后滴、慢性肥大性鼻炎和鼻息肉与中耳病变的存在是相关的；与过敏性鼻炎呈负相关。慢性中耳炎和隔片偏差的患病率无显著关系。只有鼻息肉在COM患者中显示出有与胆脂瘤中耳炎相关的倾向。
结论：我们的结果表明, 在评估COM时需要进行鼻腔检测。此外, 鼻腔病理学矫正可能有助于COM的手术治疗, 以提高患者的成功率和满意度。
Disclosure statement
No potential conflict of interest was reported by the authors.
Informed consent
Informed consent was obtained from all individual participants included in the study