title: Does Nasal Septal Deviation Affect the Success of Tympanoplasty Surgery?
abstract: OBJECTIVE
  This paper deals with the investigation of the effects of nasal septal deviation evaluated by acoustic rhinometry (ARM) in the success of tympanoplasty surgery.
  
  
  METHODS
  All patients who underwent tympanoplasty surgery by the same surgeon were reviewed. The patients with nasopharyngeal or nasal masses, polyps, symptoms of allergic rhinitis or rhinosinusitis, or concha bullosa were excluded from the study. Forty patients who underwent tympanoplasty at least one year ago were included in the study. The patients were divided into two groups according to the graft success results. Acoustic rhinometry evaluations of the patients were performed.
  
  
  RESULTS
  There were 25 and 15 cases in the intact graft (group A) and re-perforated group (group B), respectively. For the same side of the operated ear, ARM values of group A were 0.47 cm², at the first narrowest cross-sectional area (MCA 1), 0.43 cm² at the second narrowest cross-sectional area (MCA 2), 1.51 cm³ volume at the first 2 cm of the nasal cavity (Vol 1) and 3.33 cm³ volume between the second and fifth cm of the nasal cavity (Vol 2). Acoustic rhinometry values of group B were 0.50 cm², 0.47 cm², 1.60 cm³ and 3.19 cm³ for MCA 1, MCA 2, Vol 1 and Vol 2, respectively.
  
  
  CONCLUSIONS
  The results of this study showed that nasal septal deviation may not affect the success of tympanoplasty surgery, and septoplasty may not be necessary before ear surgery.
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Inonu University, Malatya, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Tan
authors.affiliation: Istanbul Medeniyet University, Medical Faculty, Kadikoy 34722, Istanbul, Turkey. mtkalcioglu@hotmail.com.
authors.forename: M T
authors.initials: MT
authors.lastname: Kalcioglu
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Izmir University, Izmir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Akarcay
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Inonu University, Malatya, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Toplu
authors.affiliation: Department of Otorhinolaryngology, School of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Karaca