{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T23:11:39Z","timestamp":1789773099557,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T00:00:00Z","timestamp":1701302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate how eustachian tube dysfunction symptoms change following surgical treatment of nonsinusitis\u2010related nasal obstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We assessed patients who underwent septoplasty, turbinate reduction, or both for nasal obstruction. Chronic sinusitis patients were excluded. Eustachian tube dysfunction (ETD) symptoms were studied using the Eustachian Tube Dysfunction Questionnaire (ETDQ\u20107), collected preoperatively and postoperatively (1 week, 1 month, 3 months, 6 months postop). Patients with preoperative ETDQ\u20107\u2009&gt;\u200914.5 were considered to have clinically significant symptoms. Sinonasal outcomes test scores were also assessed. Pre\u2010 and postoperative ETDQ\u20107 scores were compared using <jats:italic>t<\/jats:italic> test. Multivariate linear regression analysis identified factors associated with ETDQ\u20107 change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analyzed 259 patients. Preoperatively, 37.5% of patients with nasal obstruction had clinically significant ETD symptoms. These patients exhibited significant improvement in ETDQ\u20107 at all postoperative timepoints from 23.3\u2009\u00b1\u20097.6 at baseline to 19.1\u2009\u00b1\u20099.1 at 1 week, 16.5\u2009\u00b1\u20098.0 at 1 month, 16.2\u2009\u00b1\u20097.8 at 3 months, and 16.7\u2009\u00b1\u200910.4 at 6 months (all <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01). In patients without baseline ETD symptoms, (baseline ETDQ\u20107: 9.1\u2009\u00b1\u20092.3) ETDQ\u20107 scores did not change significantly at postoperative timepoints, except for an acute worsening at 1 week postoperatively (10.7\u2009\u00b1\u20095.1, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Regression analysis showed that higher preoperative ETDQ\u20107 score (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.84, 95% confidence interval [CI]: \u22121.10 to \u22120.59) and postoperative antihistamine spray usage (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22128.70, 95% CI: \u221214.20 to \u22123.20) were associated with ETDQ\u20107 improvement, while comorbid GERD (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20097.50, 95% CI: 3.42\u201011.58) and asthma (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20095.62, 95% CI: 0.80\u201010.45) were negatively associated with improvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgical correction of nasal obstruction may improve ETD symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.607","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T01:29:17Z","timestamp":1701394157000},"page":"944-951","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Surgical Correction of Nasal Obstruction and Its Effect on Eustachian Tube Dysfunction Symptoms"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9619-852X","authenticated-orcid":false,"given":"Rachel","family":"Daum","sequence":"first","affiliation":[{"name":"Dell Medical School University of Texas at Austin Austin Texas USA"},{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Grimm","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna R.","family":"Castro Silva","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice E.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer Y.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayakar V.","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zara M.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter H.","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery Stanford University School of Medicine Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9519-5880","authenticated-orcid":false,"given":"Michael T.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; 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