Effect of severity of Allergic Rhintis on tympanic membrane status : A Correlational Study

Abstract

Background: Allergic rhinitis (AR) is a common inflammatory condition affecting the nasal mucosa and often associated with Eustachian tube dysfunction, which may influence middle ear status and tympanic membrane (TM) findings.Objective: To evaluate the correlation between tympanic membrane findings and the severity of allergic rhinitis among 246 patients.Methods: This cross-sectional observational study was conducted in a tertiary care center. A total of 246 patients diagnosed with allergic rhinitis were included. Severity of AR was classified based on ARIA guidelines into mild and moderate–severe categories. Otoscopic examination was performed to assess TM findings. Statistical analysis was done to determine correlation.Results: Among 246 patients, abnormal TM findings were significantly higher in moderate–severe AR patients (p < 0.05). Retraction and dull TM were the most common findings. A strong association was observed between severity of AR and middle ear changes.Conclusion: Increased severity of allergic rhinitis is significantly associated with abnormal tympanic membrane findings, suggesting the role of Eustachian tube dysfunction in AR.