title: Coincidence of asthma and bronchospasm during anesthesia in tympanomastoidectomy.
abstract: High prevalence of asthma and bronchospasm was observed during induction of anesthesia in patients with chronic suppurative otitis mMedia (CSOM) who underwent tympanomastoidectomy. Although several studies have proposed association of allergic diseases with CSOM but no consensus about it has been established. Current study was designed to determine the coincidence of asthma in CSOM patients. In a cross-sectional study, authors investigated medical records of 106 CSOM patients underwent tympanomastoidectomy, aged 15 to 65 years, and 95 controls, which were matched by age and sex. Participants were admitted to Valiasr Hospital, Tehran, Iran, from April of 2011 to March of 2013. Required information, such as demographic characteristics and history of allergic rhinitis (AR) and asthma were obtained from patients' medical records. The prevalence of AR in the CSOM group was higher than controls' group (19.8% and 15.8%, respectively) (P>0.05). Asthma prevalence was significantly higher in patients with CSOM (P=0.03) (OR=7.67, 95% CI:  0.9-62.5). No significant association was found between history of AR and chronic ear infections. However, asthma was significantly more common in CSOM patients. Current study indicates that asthma and risk of bronchospasm need particular attention in patients with CSOM underwent tympanomastoidectomy before and during anesthesia.
authors.affiliation: Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. nima_hd87@yahoo.com.
authors.forename: Nima
authors.initials: N
authors.lastname: Hosseinzadeh
authors.affiliation: Department of Anesthesiology and Intensive Care, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. sh_samadi@sina.tums.ac.ir.
authors.forename: Shahram
authors.initials: S
authors.lastname: Samadi
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. a_amali@sina.tums.ac.ir.
authors.forename: Amin
authors.initials: A
authors.lastname: Amali
authors.affiliation: Department of Anesthesiology and Intensive Care, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. mihanjavid@yahoo.com.
authors.forename: Mihan
authors.initials: M
authors.lastname: Jafari Javid
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods*; D001249:Asthma / Q000453:epidemiology*; D001986:Bronchial Spasm / Q000453:epidemiology*; D016022:Case-Control Studies; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010035:Otitis Media, Suppurative / Q000601:surgery*; D015995:Prevalence; D065631:Rhinitis, Allergic / Q000453:epidemiology; D012306:Risk; D055815:Young Adult