Evaluationof Eye Safety Protocolfor Dentistsand PatientsinOperative Dentistry Setup-ACross-Sectional Analysis

Background- Although there is correlation of deviated nasal septum with etiopathogenesis of unilateral tubotympanic chronic otitis media, however studies reviewed have not identified type of deviated nasal septum correlation with unilateral tubotympanic chronic otitis media. This study was conducted to study deviated nasal septum findings and classify DNS in patients of unilateral tubotympanic chronic otitis media and to correlate between deviated nasal septum type with unilateral tubotympanic chronic otitis media. Methodology-The present study was conducted as a cross sectional observational study on a total of 120 patients of unilateral tubotympanic chronic otitis media visiting ENT OPD of People’s college of Medical Sciences and Research centre and associated Peoples Hospital during the study period of 15 months. All the patients were subjected to thorough history taking and detailed ENT examination. Results-This study was conducted on a total of 120 cases with unilateral tubotympanic chronic otitis media with mean age of 35.20±12.8 years. About 65.8% cases had ipsilateral DNS (right affected ear with right DNS and left affected ear with left DNS) whereas 34.2% cases had contralateral DNS. In present study, significantly higher proportions of cases with large central perforation (81.5%), type 1, type 2 as well as type 4 to 7 had ipsilateral hearing loss (p<0.05). Conclusions- Ipsilateral DNS especially type II and III DNS are associated with more severe obstruction, thereby affecting ventilatory functions and ET dysfunction can lead to ear pathology on ipsilateral side. Thus it is of utmost importance to assess the co-existent nasal pathology in all the cases presenting with CSOM and to correct the nasal pathology prior to middle ear surgery so as to improve the outcome of ear surgery.