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We know that chronic rhinosinusitis (CRS) and Eustachian tube dysfunction (ETD) are both very common, and that the two often co-exist but this paper looks to establish the prevalence and severity of ETD in CRS patients, and how much treatment for CRS can improve ETD symptoms. Using a SNOT-22 questionnaire to establish the severity of CRS symptoms in a cohort of patients undergoing FESS, and an ETDQ-7 questionnaire to establish severity of ETD symptoms, the authors sought to establish how these symptom scores correlated and how they responded to FESS. It is unsurprising that they found a correlation between the ear/facial subdomain of the SNOT-22 and the ETDQ-7 as the questions are very similar. It is interesting to note that the mean ETDQ-7 score in this entire patient group was 15.8 +/- 8.8, and that 47.6% of patients had an ETDQ-7 score greater than 14.5 which signifies clinically significant ETD symptoms. In these who returned their questionnaires, the mean ETDQ-7 score improved from 16.8 to 12.7 following FESS. I wonder if there is a role for concurrent FESS and ET balloon surgery to try to further improve symptom scores in these patients; a study to look at this would be very interesting.

Eustachian Tube Quality of Life and Severity of Disease in Patients with Chronic Rhinosinusitis.
Wu AW, Walgama ES, Higgins TS, et al.
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Joanna Stephens

United Lincolnshire Hospitals NHS Trust, UK.

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