The role of allergic and nonallergic rhinitis on success of type 1 cartilage tympanoplasty El papel de la rinitis alérgica y no alérgica en el éxito de la timpanoplastia de cartílago tipo 1

Çallıoğlu E. E., BOZDEMİR K., SOYYİĞİT Ş., Atalay S., Arslan B.

Acta Otorrinolaringologica Espanola, vol.75, no.2, pp.102-107, 2024 (ESCI) identifier

  • Publication Type: Article / Review
  • Volume: 75 Issue: 2
  • Publication Date: 2024
  • Doi Number: 10.1016/j.otorri.2023.07.003
  • Journal Name: Acta Otorrinolaringologica Espanola
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, MEDLINE, DIALNET
  • Page Numbers: pp.102-107
  • Keywords: Allergic rhinitis, Chronic otitis media, Graft, Tympanoplasty
  • Ankara Yıldırım Beyazıt University Affiliated: Yes


Objective: To investigate the role of allergic rhinitis (AR) and non-allergic rhinitis (NAR) on success of type 1 cartilage tympanoplasty. Methods: This prospective study was conducted on 60 patients who had type 1 cartilage tympanoplasty. The patients were divided into three groups as no-rhinitis (n = 28), NAR (n = 18) and AR (n = 14) groups, based on their symptoms, skin prick tests and/or serum specific IgE levels. AR and NAR groups were treated for their rhinitis symptoms both pre- and postoperatively. The patients were followed up for a minimum of 6 months and compared for graft success rates and audiological outcomes. Results: Three study groups were similar for age, gender distributions and preoperative air-bone gaps (p = 0.780, p = 0.167 and p = 0.676, respectively). Postoperative graft perforation rate was 0% in no-rhinitis and AR groups while it was 16.7% in NAR group, with a significant difference among three groups (p = 0.034). The comparison of three study groups for change in the postoperative air bone gaps in comparison with preoperative air bone gaps did not yield any statistically significant result (p = 0.729). Conclusion: Although AR does not result in failure of type 1 cartilage tympanoplasty in patients treated for rhinitis compared to the control group, NAR does. Pre- and postoperative treatment of patients for rhinitis and employment of cartilage graft may be the key factors for success of surgery in patients with AR. Further studies with a larger sample size are needed.