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