Authors Fazle Elahi Jonaed Senior Registrar, ENT- HNS, KhwajaYunus Ali Medical College and Hospital, Enayetpur, Sirajgonj, Bangladesh M Alamgir Chowdhury Head of the department of ENT-HNS, Anwer Khan Modern Medical College and Hospital, Dhaka, Bangladesh Md Iqbal Hossen ENT-HNS, Anwer Khan Modern Medical College and Hospital, Dhaka, Bangladesh Milon Kazi Assistant Registar, ENT-HNS, Bangladesh Medical College and Hospital, Dhaka, Bangladesh Shaikh Nurul Fattah Rumi Head of the department, ENT-HNS, Dhaka Medical College and Hospital, Dhaka, Bangladesh Husne Qumer Osmany Associate Professor, ENT-HNS, Dhaka Medical College and Hospital, Dhaka, Bangladesh DOI: https://doi.org/10.3329/bjo.v28i2.64296 Keywords: ANS packing, middle ear pressure, otological symptom Abstract

Background: Bilateral anterior nasal packing is often done after septal surgery for hemostatic reasons and mechanical splinting. It has been suggested that nasal packing following septal surgery is a frequent cause of short term eustachian tube dysfunction such as ear fullness and mild pain.

Objectives: To evaluate the effect of anterior nasal packing on middle ear pressure.

Methods: For this prospective, longitudinal study, ninety-two (92) patients admitted for routine septal surgeries were selected according to inclusion and exclusion criteria from the in-patient Department of ENT and Head &Neck Surgery, Dhaka Medical College and Hospital, Dhaka during 1st January 2020 to 31st July 2021. Following informed written consent, the patients were interviewed three times: preoperative, after 24 hours of ANS pack and 6 days after pack removal. During each time, middle ear pressure was measured by an impedance audiometer. Any otological symptoms produced when ANS pack was in place for 24 hours and 6 days after pack removal were also observed and recorded.

Results: Among 92 patients in this study, mean preoperative middle ear pressure was -5.5 (± 30.14) daPa. After 24 hours of anterior nasal packing, 70 ears (38%) showed abnormal middle ear pressure among 184 ears. Mean middle ear pressure after 24 hours of ANS pack was -76.5 (± 58.8) daPa. Middle ear pressure again measured after 6 days of removal of ANS pack and showed that the middle ear pressure of all the patients were within normal range. Mean middle ear pressure was -12.4(± 36.5) daPa after 6 days of pack removal. Some otological symptoms developed due to change in middle ear pressure following ANS pack like ear fullness, earache and tinnitus. All these symptoms subsided after 6 days of pack removal.

Conclusion: Anterior nasal packing decreases middle ear pressure which is reversible and returns to normal 6 days after pack removal. Some otological symptoms developed due to change in middle ear pressure which were transient and all came to normal after 6 days of pack removal.

Bangladesh J Otorhinolaryngol 2022; 28(2): 135-140

Downloads

Download data is not yet available.

How to Cite

Jonaed, F. E. ., Chowdhury, M. A. ., Hossen, M. I. ., Kazi, M. ., Rumi, S. N. F. ., & Osmany, H. Q. . (2023). Effect of Anterior Nasal Packing on Middle Ear Pressure. Bangladesh Journal of Otorhinolaryngology, 28(2), 135–140. https://doi.org/10.3329/bjo.v28i2.64296

Issue Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).