DOI: 10.36347/sjams.2024.v12i03.017

Pages: 308-311

Background: The existence of a pathophysiologic connection between nose and rniddle ear is widely accepted so that chronic purulent middle ear disease (CPMED) could be expected to be usually associated with chronic nasal disease or impaired function. Nevertheless such association is less frequently observed in clinical practice than one could expect, possibly because of inadequate evaluation of nasal function. Objective: To observe the association of deviated nasal septum with COM Methods: Two hundred patients complaining of middle ear discharge and or nasal symptoms were included in this study, to see the association of COM with nasal disorders. This cross sectional study was conducted in Dhaka Medical College Hospital from July 2012 to June 2014.Sample was taken by purposive sampling. Sample was divided into four groups as exposed and diseased, exposed and not diseased, not exposed diseased and not exposed and not diseased. Results: Along with DNS age, sex, smoking and abusing of nasal drug were compared. Number of patients with septal deviation with a convexity to the same side as affected ear in COM was compared with Chi-square test. Septal deviation founded more frequently on the same side of ear pathology (p<00l), Therefore, septal deviations must be carefully investigated during the management patients with COM. Conclusion: Septal deviations must be carefully investigated during the preoperative assessment of patients with COM. Along with DNS age, sex, smoking and abusing of nasal drugs were evaluated. Smoking was found to be associated with the development of COM.