Eustachian tube dysfunction in allergic rhinitis

Otolaryngol Head Neck Surg. 2005 Apr;132(4):626-9. doi: 10.1016/j.otohns.2005.01.029.

Abstract

Objective: To assess eustachian tube function in patients with allergic rhinitis and compare them with a control group.

Study design and setting: Tympanometry was performed in 130 patients (260 ears), divided into 2 groups: 80 cases with allergic rhinitis and 50 healthy controls. Cases underwent skin hypersensitivity tests.

Results: Cases, age 21.1 +/- 14.9; Controls, age 23.9 +/- 15.6. Most frequent skin hypersensitivity: Dermatophagoides pt (62%), Zea Maiz (44%), and Cockroach (37%). Tympanometry of cases showed negative values of peak tympanometric pressure in both children and adults (P < or = 0.05). Among children under 11 years of age, 15.5% tympanograms showed abnormal curves (13% C curves and 3% B curves); among the control group only normal curves were found (type A).

Conclusion: Allergic rhinitis patients have a higher risk of eustachian tube dysfunction, particularly during childhood. Tympanometry is a noninvasive, readily available procedure that may be useful in these patients to prevent chronic middle-ear disease.

MeSH terms

  • Acoustic Impedance Tests
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Eustachian Tube / physiopathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Otitis Media with Effusion / etiology*
  • Otitis Media with Effusion / physiopathology
  • Reference Values
  • Rhinitis, Allergic, Perennial / complications*
  • Rhinitis, Allergic, Perennial / physiopathology
  • Rhinitis, Allergic, Seasonal / complications*
  • Rhinitis, Allergic, Seasonal / physiopathology
  • Risk Factors