Seasonal variation of patulous Eustachian tube diagnoses using climatic and national health insurance data

2021 ◽  
pp. 1-7
Author(s):  
S Lee ◽  
S-W Choi ◽  
J Kim ◽  
H M Lee ◽  
S-J Oh ◽  
...  
Keyword(s):  
Relative Risk ◽  
Eustachian Tube ◽  
Climatic Factors ◽  
Data Sets ◽  
National Data ◽  
Health Insurance Data ◽  
Number Of Patients ◽  
Autumn And Winter ◽  
Insurance Data ◽  
Patulous Eustachian Tube

Abstract Objectives This study aimed to analyse if there were any associations between patulous Eustachian tube occurrence and climatic factors and seasonality. Methods The correlation between the monthly average number of patients diagnosed with patulous Eustachian tube and climatic factors in Seoul, Korea, from January 2010 to December 2016, was statistically analysed using national data sets. Results The relative risk for patulous Eustachian tube occurrence according to season was significantly higher in summer and autumn, and lower in winter than in spring (relative risk (95 per cent confidence interval): 1.334 (1.267–1.404), 1.219 (1.157–1.285) and 0.889 (0.840–0.941) for summer, autumn and winter, respectively). Temperature, atmospheric pressure and relative humidity had a moderate positive (r = 0.648), negative (r = –0.601) and positive (r = 0.492) correlation with the number of patulous Eustachian tube cases, respectively. Conclusion The number of patulous Eustachian tube cases was highest in summer and increased in proportion to changes in temperature and humidity, which could be due to physiological changes caused by climatic factors or diet trends.

Use of Middle Ear Immittance Testing in the Evaluation of Patulous Eustachian Tube

2011 ◽  
Vol 22 (04) ◽  
pp. 201-207 ◽  
Author(s):  
Andrew P. McGrath ◽  
Elias M. Michaelides
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Standardized Protocol ◽  
Evaluation Protocol ◽  
Data Collection And Analysis ◽  
Number Of Patients ◽  
Uncommon Condition ◽  
Age Range ◽  
Audiologic Evaluation ◽  
Patulous Eustachian Tube

Background: Patulous Eustachian tube is the uncommon condition of a persistently open Eustachian tube, which causes the disturbing symptoms of autophony and respiratory-synchronous tinnitus. We review this condition and propose a specific evaluation protocol that can be performed quickly and easily using standard audiologic test equipment. We have used this protocol in the evaluation of a number of patients and will discuss our findings. Purpose: To establish a standardized protocol for the audiologic evaluation of patulous Eustachian tube using a standard clinical tympanometer and to establish norms with respect to tympanic membrane movement during breathing tasks. Research Design: Quantitative analysis of test results obtained during clinical evaluation of patients referred for suspected patulous Eustachian tube during 2008 and 2009. Study Sample: The cohort was 35 individuals including 25 patients referred for suspected patulous Eustachian tube and 10 control (normal) patients. Of the total group, 25 individuals were female, 10 were male, and the overall age range was 8 yr to 82 yr. Data Collection and Analysis: Patients underwent audiologic and otologic testing including quantitative measurement of middle ear compliance during breathing and nasal endoscopy. Two tympanometers were used to assess middle ear compliance: the Grason-Stadler Instruments Model 33 and Tympstar. Endoscopy was performed using either a Storz Endoskope Xenon Nova 175 or a Pentax EPM 1000. Results of middle ear immittance tests performed during breathing tasks were compared with results of endoscopy as well as the impressions of the examining physician. Magnitude of middle ear compliance was examined for mean and standard deviation, and the control/normal group results were compared with those of individuals complaining of symptoms suggestive of patulous Eustachian tube. Results: We found that slightly greater than 75% of individual ears with patulous Eustachian tube exhibited middle ear compliance greater than 0.07 ml during breathing tasks. All ears with patulous Eustachian tube exhibited a respiratory-synchronous compliance pattern during breathing tasks. Of individual ears without patulous Eustachian tube, 97% exhibited middle ear compliance during breathing of less than 0.07 ml with no respiratory-synchronous pattern. Conclusions: Measurement of middle ear compliance during breathing appears to be a sensitive and specific tool in the examination of patulous Eustachian tube, particularly when both the magnitude of compliance and the pattern of compliance are considered.

Health insurance data analysis on home nursing care in Hungary

2014 ◽  
Vol 155 (15) ◽  
pp. 597-603 ◽  
Author(s):  
Zoltán Cs. Horváth ◽  
Andor Sebestyén ◽  
Bálint Molics ◽  
István Ágoston ◽  
Dóra Endrei ◽  
...  
Keyword(s):  
Health Insurance ◽  
Nursing Care ◽  
Speech Therapy ◽  
Insurance Fund ◽  
Home Nursing ◽  
Health Insurance Data ◽  
Geographical Inequalities ◽  
Number Of Patients ◽  
Home Nursing Care ◽  
Insurance Data

Introduction: Home nursing care was introduced in Hungary in 1996. Aim: The aim of this study was to analyse health insurance data and utilization indicators of the Hungarian home nursing care. Method: Data derived from the database of the National Health Insurance Fund Administration (2001–2012). The number of patients and visits, and the ratio of special nursing and special therapy (physiotherapy, speech therapy) were analysed. Results: The number of patients increased by 41.3% from 36.560 (2001) to 51.647 (2012). The number of visits also increased by 41.9% from 841.715 (2011) to 1.194.670 (2012). Significant geographical inequalities were found in the ratio of special nursing and special therapy as well as nursing needs. The ratio of reimbursement for special nursing was the highest in county Nógrád (80.4%), Szabolcs-Szatmár-Bereg (79.7%) and Komárom-Esztergom (74.6%), while the lowest in county Zala (53.0%), Csongrád (52.7%) and Budapest (47.9%). Conclusions: There are significant inequalities in the home nursing care in Hungary. In order to decrease these inequalities, specific guidelines should be developed for home nursing care. Orv. Hetil., 2014, 155(15), 597–603.

A study on the health effects of residents in Namhae and Hadong - Centered on health insurance data

2020 ◽  
Vol 19 (3) ◽  
pp. 268-277
Author(s):  
YoonDeok Han ◽  
◽  
Sunghyeon Jung ◽  
Kwang-tae Ha ◽  
Seung-Mi Kwon ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Effects ◽  
Health Insurance Data ◽  
Insurance Data

A Novel Approach for Labelling Health Insurance Data for Cardiovascular Disease Risk Classification

2016 ◽  
Author(s):  
César L. C. Mattos ◽  
Amauri H. Souza Júnior ◽  
Ajalmar R. Rocha Neto ◽  
Guilherme A. Barreto ◽  
Ronaldo F. Ramos ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Health Insurance ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Risk Classification ◽  
Health Insurance Data ◽  
Novel Approach ◽  
Insurance Data

scholarly journals Salvage Eustachian Tube Cartilage Chip Insertion After Multiple Transnasal Shim Operations in Intractable Patulous Eustachian Tube

2021 ◽  
pp. 014556132199500
Author(s):  
Wei-Ting Lee ◽  
Heng-Jui Hsu
Keyword(s):  
Surgical Technique ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Repeat Surgery ◽  
Ear Infection ◽  
Middle Ear Infection ◽  
Tube Lumen ◽  
Management Method ◽  
Patulous Eustachian Tube

This article presents 2 cases of extremely intractable patulous Eustachian tube following multiple transnasal shim insertion. These cases highlight the disadvantages of repeat transnasal shim operations, including enlargement of the Eustachian tube lumen, frequent dislocation, repeat surgery, recurrent middle ear infection, and shim misswallowing. The patients in these cases were successfully treated with Eustachian tube cartilage chip insertion through a postauricular approach. We describe the surgical technique and advantages of this promising management method.

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