Otoscopic appearances and tympanometric changes in narghile smokers

J Laryngol Otol. 2004 Oct;118(10):818-21. doi: 10.1258/0022215042450706.


Narghile (water-pipe) smoking requires the generation of significant negative intrapharyngeal pressure, which may be transmitted to the middle ear through the Eustachian tube. A total of 80 ears from regular narghile smokers were examined otoscopically and by tympanometry. Seventy ears from heavy cigarette smokers were similarly examined and served as a control group. There was a highly significant increase in the prevalence of attic retractions (P < 0.01) in the narghile smokers. The tympanometric changes were not significantly different between the two groups (P > 0.05).

MeSH terms

  • Acoustic Impedance Tests / methods
  • Adult
  • Ear Canal / pathology
  • Ear, Middle / pathology*
  • Ear, Middle / physiology
  • Eustachian Tube / physiology
  • Humans
  • Male
  • Middle Aged
  • Otoscopy / methods
  • Pharynx / physiology
  • Smoking / adverse effects*