{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:52:00Z","timestamp":1777071120889,"version":"3.51.4"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Septoplasty is standard surgical procedure performed for correction of deviated nasal septum; it affects middle ear ventilation through altering Eustachian tube function.<\/jats:p>\n                  <jats:p>To determine the effect of septoplasty on Eustachian tube function regarding deviation side.<\/jats:p>\n                  <jats:p>A randomized, prospective controlled trial, in which 40 adult patients who underwent septoplasty (80 ears) were divided into: group A: 40 ears in which Eustachian tube function assessment was done on the affected side (deviated nasal septum), and 40 ears in which the function of Eustachian tube assessment was done on the contralateral side \u201cgroup B\u201d. The nasal obstruction symptom evaluation (NOSE) scale was used to analyze surgical satisfaction, ventilation of middle ear was assessed via Eustachian tube functions by the 7-Item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) test scale, insufflation tests (Valsalva and Toynbee), and tympanometry. These parameters were analyzed and compared, before and after septoplasty.<\/jats:p>\n                  <jats:p>Among the 40 patients, the mean NOSE score was 13.68\u2009\u00b1\u20092.69 preoperatively and decreased to 5.76\u2009\u00b1\u20094.48 postoperatively; ETFQ-7 scores decreased from 12.48\u2009\u00b1\u20094.78 preoperatively to 7.56\u2009\u00b1\u20093.4 postoperatively; there were 22 functional Eustachian tubes (55%) preoperatively, which increased to 37 (92.5%) postoperatively, while dysfunctional Eustachian tubes decreased from 18 (45%) preoperatively to 3 (7.5%) postoperatively. Type-A curve tympanogram was (52.5%) preoperatively, which increased to (96.25%) postoperatively, while type-C tympanogram was (47.5%) preoperatively and decreased to (3.75%) postoperatively. Basal middle ear pressure was -33.56 daPA for group A and -29.24 daPA for group B preoperatively, and it changed to -18.96 daPA and \u221212.18 daPA postoperatively, respectively.<\/jats:p>\n                  <jats:p>Septoplasty had a beneficial impact on the Eustachian tube function \u201cventilation of middle ear\u201d.<\/jats:p>","DOI":"10.1055\/s-0045-1812059","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:32:17Z","timestamp":1777069937000},"page":"001-006","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Septoplasty on Eustachian Tube Function"],"prefix":"10.1055","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2991-8056","authenticated-orcid":false,"given":"Mohammed Radef","family":"Dawood","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, College of Medicine, Mustansiriyah University, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"61","DOI":"10.3342\/ceo.2009.2.2.61","article-title":"Pre-operative Evaluation of Eustachian Tube Function Using a Modified Pressure Equilibration Test is Predictive of Good Postoperative Hearing and Middle Ear Aeration in Type 1 Tympanoplasty Patients","volume":"2","author":"S H Choi","year":"2009","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.otoeng.2020.11.003","article-title":"Nasal septum deviation and Eustachian tube function: A prospective case-control study based on tympanometry, tubomanometry, and ETDQ-7","volume":"73","author":"A F Lima","year":"2022","journal-title":"Acta Otorrinolaringol Esp (Engl Ed)"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"2217","DOI":"10.1002\/lary.29995","article-title":"Screening for Eustachian Tube Dysfunction in Clinical Practice Using the Eustachian Tube Dysfunction Questionnaire-7","volume":"132","author":"E A Commesso","year":"2022","journal-title":"Laryngoscope"},{"issue":"01","key":"ref4","doi-asserted-by":"publisher","first-page":"135","DOI":"10.18203\/2320-6012.ijrms20175556","article-title":"Impact of Septoplasty on hearing and middle ear function","volume":"6","author":"M S Nanda","year":"2018","journal-title":"Int J Res Med Sci"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"102","DOI":"10.5152\/tao.2018.2671","article-title":"Does Nasal Septal Deviation Affect the Eustachian Tube Function and Middle Ear Ventilation?","volume":"56","author":"M Kaya","year":"2018","journal-title":"Turk Arch Otorhinolaryngol"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1002\/alr.22031","article-title":"Adaptation and validation of the Turkish version of the Nasal Obstruction Symptom Evaluation scale","volume":"8","author":"O O Celebi","year":"2018","journal-title":"Int Forum Allergy Rhinol"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.otohns.2003.09.016","article-title":"Development and validation of the nasal obstruction symptom evaluation (NOSE) scale","volume":"130","author":"M G Stewart","year":"2004","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s13005-020-00238-y","article-title":"Is there a relationship between Eustachian tube dysfunction and nasal septal deviation in a sample of the Lebanese population?","volume":"16","author":"V Al Karaki","year":"2020","journal-title":"Head Face Med"},{"issue":"01","key":"ref9","first-page":"63","article-title":"Is Middle Ear Pressure Effected by Nasal Packings after Septoplasty?","volume":"11","author":"M \u015eereflican","year":"2015","journal-title":"J Int Adv Otol"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.bjorl.2018.03.010","article-title":"Translation, validation and cultural adaptation of\u201d the Eustachian tube dysfunction Questionnaire-\u201d (ETDQ-7) to Brazilian Portuguese (BR)","volume":"85","author":"F P Gallardo","year":"2019","journal-title":"Braz J Otorhinolaryngol"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"63","DOI":"10.35420\/jcohns.2023.34.3.63","article-title":"A study on the relationship between septal deviation and eustachian tube function","volume":"34","author":"C Y Hoon","year":"2023","journal-title":"J Clin Otolaryngol Head Neck Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1111\/j.1365-2273.1993.tb00854.x","article-title":"The relationship between middle ear pressure and deviated nasal septum","volume":"18","author":"W K Low","year":"1993","journal-title":"Clin Otolaryngol Allied Sci"},{"issue":"01","key":"ref13","first-page":"7","article-title":"Septal surgery and tubal function: early and late results","volume":"33","author":"P Deron","year":"1995","journal-title":"Rhinology"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/j.1365-2273.2005.01052.x","article-title":"Nasal surgery and eustachian tube function: effects on middle ear ventilation","volume":"30","author":"F Salvinelli","year":"2005","journal-title":"Clin Otolaryngol"},{"issue":"08","key":"ref15","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1097\/SCS.0000000000003927","article-title":"Impact of septoplasty on Eustachian tube functions","volume":"28","author":"M Y Akyildiz","year":"2017","journal-title":"J Craniofac Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/1012-5574.138462","article-title":"Effect of nasal obstruction surgery on middle ear ventilation","volume":"30","author":"O GAN Awad","year":"2014","journal-title":"Egypt J Otolaryngol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"75","DOI":"10.4236\/ijohns.2014.32016","article-title":"Clinical Study on Deviated Nasal Septum and Its Associated Pathology","volume":"3","author":"P Moorthy","year":"2014","journal-title":"Int J Otolaryngol Head Neck Surgery"},{"issue":"01","key":"ref18","doi-asserted-by":"publisher","first-page":"10","DOI":"10.21608\/ejnso.2019.57900","article-title":"Effect of sinonasal surgery on middle ear pressure","volume":"5","author":"A EA El-bary","year":"2019","journal-title":"EJNSO"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"e636","DOI":"10.1055\/s-0041-1740161","article-title":"Cross-Cultural Adaptation, Validation, and Arabic Translation of the Eustachian Tube Dysfunction Questionnaire (ETDQ-7)","volume":"26","author":"F Alkholaiwi","year":"2022","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"06","key":"ref20","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.18203\/issn.2454-5929.ijohns20202032","article-title":"Effect of nasal obstruction surgery on eustachian tube function and middle ear ventilation","volume":"6","author":"S K Rathaur","year":"2020","journal-title":"Int J Otorhinolaryngol Head Neck Surg."},{"issue":"01","key":"ref21","first-page":"26","article-title":"[The effect of operation success on middle ear ventilation in patients with nasal septal deviation]","volume":"23","author":"H Eyig\u00f6r","year":"2013","journal-title":"Kulak Burun Bogaz Ihtis Derg"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1812059.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T22:32:22Z","timestamp":1777069942000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1812059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":21,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,4,24]]},"published-print":{"date-parts":[[2026,4]]}},"alternative-id":["s00451812059"],"URL":"https:\/\/doi.org\/10.1055\/s-0045-1812059","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}