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Inicio Acta Otorrinolaringológica Española The role of allergic and nonallergic rhinitis on success of type 1 cartilage tym...
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Vol. 75. Issue 2.
Pages 102-107 (March - April 2024)
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Vol. 75. Issue 2.
Pages 102-107 (March - April 2024)
Review article
The role of allergic and nonallergic rhinitis on success of type 1 cartilage tympanoplasty
El papel de la rinitis alérgica y no alérgica en el éxito de la timpanoplastia de cartílago tipo 1
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Elif Ersoy Çallıoğlua,
Corresponding author
elifersoy78@hotmail.com

Corresponding author.
, Kazım Bozdemirb, Şadan Soyyiğitc, Saliha Atalaya, Bengi Arslana
a Ankara Bilkent City Hospital, Department of Otolaryngology-Head and Neck Surgery, Ankara, Turkey
b Yıldırım Beyazıt University, Department of Otolaryngology-Head and Neck Surgery, Ankara, Turkey
c Yıldırım Beyazıt University, Department of Allergy and İmmunology, Ankara, Turkey
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Tables (2)
Table 1. The demographic characteristics and preoperative air-bone gaps of no-rhinitis, NAR and AR groups.
Table 2. Preoperative and postoperative air bone gaps and change in the postoperative air bone gaps in comparison with preoperative air bone gaps in the study groups.
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Abstract
Objective

To investigate the role of allergic rhinitis (AR) and non-allergic rhinitis (NAR) on success of type 1 cartilage tympanoplasty.

Methods

This prospective study was conducted on 60 patients who had type 1 cartilage tympanoplasty. The patients were divided into three groups as no-rhinitis (n = 28), NAR (n = 18) and AR (n = 14) groups, based on their symptoms, skin prick tests and/or serum specific IgE levels. AR and NAR groups were treated for their rhinitis symptoms both pre- and postoperatively. The patients were followed up for a minimum of 6 months and compared for graft success rates and audiological outcomes.

Results

Three study groups were similar for age, gender distributions and preoperative air-bone gaps (p = 0.780, p = 0.167 and p = 0.676, respectively). Postoperative graft perforation rate was 0% in no-rhinitis and AR groups while it was 16.7% in NAR group, with a significant difference among three groups (p = 0.034). The comparison of three study groups for change in the postoperative air bone gaps in comparison with preoperative air bone gaps did not yield any statistically significant result (p = 0.729).

Conclusion

Although AR does not result in failure of type 1 cartilage tympanoplasty in patients treated for rhinitis compared to the control group, NAR does. Pre- and postoperative treatment of patients for rhinitis and employment of cartilage graft may be the key factors for success of surgery in patients with AR. Further studies with a larger sample size are needed.

Keywords:
Allergic rhinitis
Chronic otitis media
Tympanoplasty
Graft
Resumen
Objetivo

Investigar el papel de la rinitis alérgica (AR) y la rinitis no alérgica (NAR) en el éxito de la timpanoplastia de cartílago tipo 1.

Métodos

Este estudio prospectivo se realizó en 60 pacientes con timpanoplastia de cartílago tipo 1. Los pacientes se dividieron en tres grupos como libres de rinitis (n = 28), NAR (n = 18) y AR (n = 14) según sus síntomas, pruebas cutáneas y/o niveles de IgE específica en suero. Los grupos AR y NAR fueron tratados antes y después de la operación por síntomas de rinitis. Los pacientes fueron seguidos durante al menos 6 meses y se compararon las tasas de éxito del injerto y los resultados audiológicos.

Resultados

Los tres grupos de estudio fueron similares en cuanto a la edad, la distribución por sexos y el espacio entre el aire y el hueso preoperatorio (p = 0,780, p = 0,167 y p = 0,676, respectivamente). Mientras que la tasa de perforación del injerto postoperatorio fue del 0 % en el grupo sin rinitis y AR, fue del 16,7 % en el grupo NAR, y hubo una diferencia significativa entre los tres grupos (p = 0,034). La comparación de los tres grupos de estudio con los espacios óseos aéreos preoperatorios para el cambio en los espacios óseos aéreos posoperatorios no arrojó un resultado estadísticamente significativo (p = 0,729).

Conclusión

Aunque AR no falla en la timpanoplastia de cartílago tipo 1 en pacientes tratados por rinitis en comparación con el grupo control, NAR sí lo hace. El tratamiento pre y postoperatorio de pacientes con rinitis y el uso de injertos de cartílago pueden ser factores clave para el éxito de la cirugía en pacientes con RA. Se necesitan más estudios con tamaños de muestra más grandes.

Palabras clave:
Rinitis alérgica
Otitis media crónica
Timpanoplastia
Injerto

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