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Background: Rhinosinusitis is characterised by inflammation affecting the respiratory mucosa of the nose and sinuses. Since the Eustachian tube and the middle ear cavity are also lined by the same mucosa, it is likely that the pathophysiological processes that give rise to rhinosinusitis will also affect these areas. Eustachian tube dysfunction (ETD) is a common condition, but it is often dismissed as a "minor" symptom in rhinology patients. Objective: The aim of this study was to determine the frequency of otologic symptoms in patients attending the rhinology clinic. The seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), a validated disease-specific instrument was used to assess symptoms with respect to ETD7. Study design: 119 patients attending the rhinology outpatient clinic completed ETDQ-7, a SNOT 22 and had their PNIF measured. Results: The results showed a significantly higher rate of ETD (p<0.01 paired t-test) in the rhinology patients (mean score 3.1, SD 1.64) as compared to a control population (mean 1.3, SD 0.3). Conclusion: Eustachian tube dysfunction is more common in rhinology patients then the general population, and within the rhinology population. The classification of this as a "minor" symptom of rhinosinusitis should be re-evaluated and the effect of treatment of sinonasal disease on ETD needs to be investigated.

Investigation of the incidence of Eustachian tube dysfunction in patients with sinonasal disease