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Objective: Pneumatization of paranasal sinuses varies greatly between patients, and certain pneumatization variants have been associated with specific clinical conditions. The present research aimed to evaluate the presence of coexistence smaller maxillary and frontal sinus volume and narrow internal nasal valve angle and whether this association is significant. Methods: Sixty patients aged above 18 years old who underwent surgery for caudal septal deviation at the ear nose throat department of a tertiary care hospital between 2018 and 2021 were included in this retrospective cross-sectional study. The internal nasal valve angle was measured from reformatted coronal computed tomography scans. The maxillary sinus volume and frontal sinus volume were calculated using a workstation. The maxillary sinus and frontal sinus volumes were classified as narrow side and wide side according to the internal nasal valve angle measurements. The narrow- and wide-side maxillary sinus and frontal sinus volumes were compared within each other. Results: There was a statistically significant difference between the maxillary sinus volumes of the narrow internal nasal valve angle side and wide internal nasal valve angle side (mean ± SD: 14.47 ± 5.45 and 15.21 ± 5.31 mL, respectively, P = .014). There was a statistically significant difference between the frontal sinus volumes of the narrow internal nasal valve angle side and wide internal nasal valve angle side (median: 2.85 and 3.08 mL, respectively, P < .001). Conclusion: The maxillary sinus and frontal sinus volumes ipsilateral to the narrow internal nasal valve angle sides were significantly decreased. This coexistence may be significant. Further studies are needed to explain the significance of this association. [ABSTRACT FROM AUTHOR]

Objective: Our aim is to determine the incidence of the contralateral ear (CLE) pathologies in patients with chronic otitis media (COM) and to review the literature. Materials and Methods: Total of 271 patients who had been diagnosed as having COM with or without cholesteatoma were evaluated. Pathologic alterations such as tympanic membrane perforations, adhesive otitis, cholesteatoma, retraction pockets, and tympanosclerosis in the CLE were determined. Results: Of all patients, 39.1 % had pathologic alterations in their CLE. The 60.9% of the CLE s were normal. The most frequent finding in these patients was dry perforation of the tympanic membrane (26.9%). The remaining pathologies were retractions (7.3%), cholesteatoma (1.9%), sclerosis (2.2%), and adhesive otitis media (0.7%). Conclusion: A considerable percentage of the CLE s of the patients with COM were affected with a spectrum of pathologies at some degree. [ABSTRACT FROM AUTHOR]

Abstract: Objective: The goal of this study is to determine the correlation between the radiographic measurements of adenoid size and tympanometric findings. Study design: Prospective study. Setting: Haydarpasa Numune Research and Education Hospital, Istanbul, Turkey. Subjects and methods: Nine five consecutive children complaining of one or more of the symptoms of upper airway obstruction (UAO) (presence of snoring, mouth breathing or difficulty in breathing during sleep, obstructive breathing or apnea during sleep) were included in the study. Symptom severity was assessed by a standardized questionnaire. All patients underwent digital lateral soft tissue radiographs. Assessment of nasopharyngeal obstruction in radiographs was done according to four different methods. Tympanometry was used to evaluate the middle ear. Results: Of 190 ears, 79 were type A, 49 were type B and 62 were type C tympanograms. The symptom severity of 14 patients was graded as mild, 56 patients as moderate and 25 patients as severe. There was no statistically significant difference between UAO symptom severity groups and tympanogram types (p >0,05). Each one of the four methods of radiologic measurements of the adenoid enlargement showed no statistically significant difference between the tympanogram types (p >0,05). Conclusion: The adenoid hypertrophy in both means of radiologic measurements and symptom severity does not correlate with the changes in tympanograms. These findings do not support the hypothesis that adenoidal size plays a major role in the etiopathogenesis of middle ear effusion (MEE). [Copyright &y& Elsevier]