FAKTOR RISIKO YANG MEMPENGARUHI DISFUNGSI TUBA PADAPENDERITA RINITIS ALERGI PERSISTEN

Abstract

Background: Persistent allergic rhinitis (AR) can lead to various complications. One of the complications is tubal dysfunction, leading to abnormal tympanometric patterns. However, not all patients with persistent allergic rhinitis have abnormal tympanogram, so it is possible that there are other risk factors that together with allergic rhinitis may cause tubal dysfunction. Objective: Proving that the degree of AR, AR duration, presence of chronic tonsillitis and the use of air conditioning are risk factors for tubal dysfunction in patients with persistent allergic rhinitis. Method: This cross-sectional research involves patients with persistent AR patients aged 11-54 years, who underwent tympanometric examination. Results: Sixty-eight subjects fulfilled the inclusion criteria. The largest age group was 23-34 years with mean age of 27.8 years. Twenty-six patients (26%) with persistent AR had tubal dysfunction and 42 patients (61.8%) didn’t have tubal dysfunction. Chi square test for the degree of persistent AR indicated that X2 = 0.57, df = 1, p = 0.44, RP = 1.56 (95% CI = 0.45 to 4.99), duration of AR disease X2 = 1.22 , df = 1, p = 0.26, RP = 1.88 (95% CI = 0.60 to 5.87), presence of chronic tonsillitis X2 = 0.01, df = 1, p = 0.91, RP = 1.05 (95% CI = 0.37 to 2.97) had no significant relationship with tubal dysfunction. The use of AC was significantly correlated with tubal dysfunction X2 = 5.62, df = 1, p = 0.01, RP = 4.71 (95% CI = 1.21 to 18.28). Conclusion: The use of AC becomes a risk factor for tubal dysfunction in patients with persistent allergic rhinitis. Keywords: Persistent allergic rhinitis, chronic tonsillitis, the use of air conditioners, tubal dysfunction, middle ear pressure (MEP), tympanogram.