Classification System for Results in Eustachian Tube Surgery

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P74-P74 ◽  
Author(s):  
Carlos Yanez ◽  
Nallely Mora
Keyword(s):  
Computed Tomography ◽  
Eustachian Tube ◽  
Classification System ◽  
Lateral Wall ◽  
New Classification ◽  
Severity Of Disease ◽  
Starting Point ◽  
Tube Dysfunction ◽  
Cartilage Grafting ◽  
Patulous Eustachian Tube

Objective To present a new classification system for reporting results and severity of disease state preoperatively of Eustachian tube (ET) obstructive (ETOD) and non-obstructive dysfunction (ETNOD) based in numerical scores, and to report the results obtained in 40 patients intervened by the author following this criteria. Methods A retrospective review of 25 patients was carried out. 20 patients presented obstructive and 5 patients presented non-obstructive (patulous) Eustachian tube dysfunction. These patients were diagnosed and treated between May 2002 and Dec 2007. Patients with ETNOD received laser endoscopic tuboplasty (LEPT) and in patients with ETOD, a cartilage grafting reconstruction of the antero-lateral wall of the ET (ETR) was carried out endonasally. Results Scores from patients were tabulated accordingly. 18 patients (90%) were symptom free, 1 patient (5%) had partial recurrence of symptoms and 1 patient (5%) had a full recurrence of symptoms at the end of the study in the obstructive dysfunction patients. 3 patients (60%) were symptom free, 2 patients (40%) had partial recurrence of symptoms after Eustachian tube reconstruction. Endoscopy, computed tomography, and audiologic results revealed the efficacy or failure of the interventions. Conclusions 1) This suggested system could serve as a starting point for Eustachian tube surgeons to develop criteria. It could be adopted if eventually accepted in the field. 2) Results obtained indicate that LEPT is effective in relieving symptoms in selected patients. 3) EPTR for patulous disease may be not effective in some cases. New experiences are further needed.

The efficacy of the Eustachian Tube Dysfunction Questionnaire (ETDQ-7) for patulous Eustachian tube patient

2017 ◽  
Vol 138 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Ryoukichi Ikeda ◽  
Toshiaki Kikuchi ◽  
Hiromitsu Miyazaki ◽  
Hiroshi Hidaka ◽  
Tetsuaki Kawase ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Eustachian Tube Dysfunction ◽  
Tube Dysfunction ◽  
Patulous Eustachian Tube

Twelve-month outcomes of Eustachian tube procedures for management of patulous Eustachian tube dysfunction

2018 ◽  
Vol 129 (1) ◽  
pp. 222-228 ◽  
Author(s):  
Bryan K. Ward ◽  
Wei-Chieh Chao ◽  
Godwin Abiola ◽  
Kosuke Kawai ◽  
Yehia Ashry ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Eustachian Tube Dysfunction ◽  
Tube Dysfunction ◽  
Patulous Eustachian Tube

Calcaneal Malunions: Results of a Prognostic Computed Tomography Classification System

1996 ◽  
Vol 17 (7) ◽  
pp. 395-401 ◽  
Author(s):  
Heidi Multhopp Stephens ◽  
Roy Sanders
Keyword(s):  
Computed Tomography ◽  
Classification System ◽  
Prognostic Significance ◽  
Lateral Wall ◽  
Nonoperative Treatment ◽  
Type I ◽  
Posttraumatic Arthritis ◽  
Significant Clinical Improvement ◽  
Calcaneal Malunion ◽  
A Prospective Study

Following nonoperative treatment of calcaneal fractures, some patients may develop a disabling malunion with associated posttraumatic arthritis of the subtalar joint, impingement of the peroneal tendons, and hindfoot malalignment. We present a computed tomography classification system for calcaneal malunions which guides treatment and is of prognostic significance. A prospective study was performed using this classification system on a series of 26 malunions treated over a 45-month period. Three distinct types of malunions were identified: type I, lateral wall exostosis without subtalar arthrosis; type II, lateral wall exostosis with subtalar arthrosis; and type III, lateral wall exostosis, subtalar arthrosis, and a varus malunion. The surgical treatment was determined by a protocol based on the specific type of malunion encountered. Results were evaluated using the Maryland Foot Score. There were 18 excellent, 5 good, and 3 fair results. Although outcomes deteriorated as malunion complexity increased, significant clinical improvement as a result of reconstructive surgery was noted in even the worst types of malunion. This algorithm is consistent, prognostic, and useful for the orthopaedic surgeon presented with a symptomatic calcaneal malunion of one of these types.

Dynamic cine imaging of the Eustachian tube using four-dimensional computed tomography

2016 ◽  
Vol 130 (12) ◽  
pp. 1162-1164 ◽  
Author(s):  
N Jufas ◽  
N Deveau ◽  
M Bance
Keyword(s):  
Computed Tomography ◽  
Eustachian Tube ◽  
Imaging Techniques ◽  
Dynamic Structure ◽  
Dynamic Imaging ◽  
Valsalva Manoeuvre ◽  
Cine Imaging ◽  
Area Detector ◽  
Tomography Scanners ◽  
Tube Dysfunction

AbstractBackground:Imaging the Eustachian tube has proven difficult as it has an anatomical orientation that is not aligned with standard planes. In addition, the Eustachian tube is a dynamic structure, opening briefly during a variety of physiological manoeuvres.Case report:A 54-year-old healthy and asymptomatic man underwent computed tomography utilising an area detector scanner. Multiplanar reconstruction was performed at 1 mm intervals. In addition, dynamic clips were constructed to demonstrate air and its movement in the field. Images and video were acquired whilst a Valsalva manoeuvre was being performed.Conclusion:Although imaging techniques have been able to visualise the Eustachian tube well in the closed state, it may be more useful to have it imaged whilst open. Area detector computed tomography scanners can be used to acquire four-dimensional images. This allows dynamic imaging of the region, to assist in the diagnosis of various types of Eustachian tube dysfunction.

Patulous Eustachian Tube Dysfunction

2017 ◽  
Vol 38 (9) ◽  
pp. 1362-1369 ◽  
Author(s):  
Bryan K. Ward ◽  
Yehia Ashry ◽  
Dennis S. Poe
Keyword(s):  
Eustachian Tube ◽  
Eustachian Tube Dysfunction ◽  
Tube Dysfunction ◽  
Patulous Eustachian Tube

A novel, computed tomography guided, trans-cutaneous approach to treat refractory autophony in a patient with a patulous eustachian tube

2014 ◽  
Vol 128 (2) ◽  
pp. 182-184 ◽  
Author(s):  
J C L Rodrigues ◽  
A Waddell ◽  
J-L Cook
Keyword(s):  
Computed Tomography ◽  
Eustachian Tube ◽  
Symptomatic Relief ◽  
Therapeutic Benefit ◽  
Silicone Elastomer ◽  
Endoscopic Management ◽  
Superior Semicircular Canal Dehiscence ◽  
Implant Placement ◽  
Endoscopic Placement ◽  
Patulous Eustachian Tube

AbstractObjective:We report a novel, computed tomography guided treatment for autophony associated with a patulous eustachian tube.Methods:Case report and literature review of the management of patulous eustachian tube.Results:A 36-year-old woman presented with disabling autophony. Otoscopic examination revealed a poorly mobile right tympanic membrane. High resolution temporal bone computed tomography excluded superior semicircular canal dehiscence. The patient was diagnosed with patulous eustachian tube but failed to achieve therapeutic benefit from conventional endoscopic placement of a silicone elastomer suspension implant adjacent to the eustachian tube. Subsequently, she underwent further silicone elastomer suspension implant placement via a trans-cutaneous, computed tomography guided approach. The patient achieved prompt symptomatic relief and remained symptom-free at six-month follow up.Conclusion:This is the first published description of treatment of patulous eustachian tube using a computed tomography guided, trans-cutaneous approach. It serves to highlight to otolaryngologists the fact that computed tomography guided treatment of patulous eustachian tube may control disabling symptoms in patients who have failed to respond to convention endoscopic management.

scholarly journals Valsalva computed tomography in visualization of Eustachian tube in patients with patulous Eustachian tube

2021 ◽  
Author(s):  
Suleyman Aksoy ◽  
Yavuz Selim Yıldırım ◽  
Işıl Yurdaışık
Keyword(s):  
Computed Tomography ◽  
Eustachian Tube ◽  
Volume Rendering ◽  
Supine Position ◽  
Valsalva Maneuver ◽  
Case Series ◽  
Air Volume ◽  
Design Case ◽  
First Time ◽  
Patulous Eustachian Tube

Abstract Objectives: There is no study in the literature that patients with clinically-proven PET were evaluated by Valsalva CT. We aimed to evaluate the merit of Valsalva computed tomography (CT) in patients who had clinically-proven patulous Eustachian tube (PET). Design: Case-series Setting and participants: We recruited patients with clinically-proven PET. Participants: Main outcome measures: All participants underwent temporal bone CTs while they were performing the Valsalva maneuver in the supine position. Standard axial plane CT images, along with multiplanar reconstruction and 3D Air volume rendering, were used to visualize the ET in its entirety. Results: Three patients (2 females, one male) with a total of 6 ears were included in the study. All patients had suggestive symptoms of PET, including aural fullness, aerophony, and autophony and underwent clinical examination and audiologic tests. In all ears, the whole Eustachian tube could be visualized with Valsalva CT. Conclusion: For the first time, we demonstrated the merit of Valsalva CT in visualization of the Eustachian tube in its entirety in patients with clinically diagnosed PET.

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