Chronic rhinosinusitis with nasal polyps is associated with chronic otitis media in the elderly

Seung No Hong, Woo Hyun Lee, Seung Hoon Lee, Chae Seo Rhee, Chul Hee Lee, Jeong Whun Kim

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)


Chronic rhinosinusitis (CRS) and chronic otitis media (COM) are common diseases in the otorhinolaryngology field. Although clinicians frequently encounter patients presenting both diseases simultaneously, a few studies have shown relationships between them. We examined whether CRS was associated with COM in adults who participated in the Korea National Health and Nutrition Examination Survey from 2009 to 2012. A total of 27,492 participants were examined in this cross-sectional epidemiological study. Regression analyses was performed and adjusted for socio-demographics, general health behavior, and other comorbidities. All analyses used complex sampling designs; subgroup analyses were performed according to age, hearing loss, and the presence of cholesteatoma or nasal polyps. The weighted prevalence of COM and CRS was 3.6 ± 0.2 and 6.0 ± 0.2%, respectively. COM prevalence was significantly higher in subjects with CRS (5.1%) than in those without (3.5%). In the multivariate analysis, COM was more prevalent in subjects with CRS (adjusted odds ratio = 1.738; P = 0.038) after adjusting for other factors. The subgroup analysis showed that this association was significant only in older subjects (≥50 years) with nasal polyps. Non-serviceable hearing and cholesteatoma were not significantly associated with CRS. Our findings demonstrated that CRS with nasal polyps might be associated with COM in older patients.

Original languageEnglish
Pages (from-to)1463-1470
Number of pages8
JournalEuropean Archives of Oto-Rhino-Laryngology
Issue number3
Publication statusPublished - 2017 Mar 1
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016, Springer-Verlag Berlin Heidelberg.


  • Association
  • Multivariate analysis
  • Nasal polyps
  • Otitis media
  • Prevalence
  • Sinusitis

ASJC Scopus subject areas

  • Otorhinolaryngology


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