Patulous Eustachian Tube Patients with Respiratory Fluctuation of Tympanic Membrane in Both Sitting and Supine Positions

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Yusuke Kusano ◽  
Yoshinobu Kawamura ◽  
Ryoukichi Ikeda ◽  
Hidetoshi Oshima ◽  
Toshiaki Kikuchi ◽  
...  
Keyword(s):  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Patulous Eustachian Tube

Paper patching of the tympanic membrane as a symptomatic treatment for patulous eustachian tube syndrome

2014 ◽  
Vol 128 (3) ◽  
pp. 228-235 ◽  
Author(s):  
M Boedts
Keyword(s):  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Symptomatic Relief ◽  
Effective Means ◽  
Symptomatic Treatment ◽  
Subjective Improvement ◽  
Patulous Eustachian Tube

AbstractBackground:Application of one or several paper patches on the tympanic membrane can improve autophony and other symptoms in some patients with a patulous eustachian tube.Method:The charts of 21 patients treated for patulous eustachian tube syndrome between 2006 and 2011 were studied for subjective improvement of symptoms following the application of paper patches.Results:Paper patching of the tympanic membrane provided symptomatic relief in 76.2 per cent of patients; relief was permanent in 50 per cent of these patients.Conclusion:Paper patching of the tympanic membrane is a simple and effective means of temporarily or permanently alleviating patulous eustachian tube syndrome symptoms. It is postulated that the patches decrease the admittance of low- to mid-frequency acoustic input at the tympanic membrane by increasing the stiffness of the tympanic membrane, thereby counteracting the middle-ear cushion effect caused by the open eustachian tube.

scholarly journals Diagnosis of the Patulous Eustachian Tube

2020 ◽  
pp. 014556132092593
Author(s):  
Ryoukichi Ikeda ◽  
Toshiaki Kikuchi ◽  
Hidetoshi Oshima ◽  
Toshimitsu Kobayashi
Keyword(s):  
Computed Tomography ◽  
Tympanic Membrane ◽  
Diagnostic Criteria ◽  
Eustachian Tube ◽  
Accurate Diagnosis ◽  
Postural Change ◽  
Precise Evaluation ◽  
Function Tests ◽  
Patulous Eustachian Tube

Objectives: To review the diagnosis of patulous Eustachian tube (PET) based on the diagnostic criteria for the PET proposed by Japan Otological Society (JOS). Methods: We reviewed typical aural symptoms of PET, Eustachian tube (ET) obstruction procedure to confirm diagnosis of PET, objective findings of a patent ET obtainable from observation of the movement of the tympanic membrane, and by ET function tests (tubo-tympano-aerodynamic graphy, sonotubometry). In addition, usefulness of other tests such as patulous Eustachian tube handicap inventory-10 (PHI-10), sonotubometry with postural change (Ohta method), and sitting computed tomography (CT) to diagnose PET is described. Results and Conclusions: We have described the diagnosis of PET based on the diagnostic criteria for PET proposed by JOS; PHI-10, Ohta method, and sitting CT are also useful for the diagnosis of PET. Further investigation is needed for an accurate diagnosis and precise evaluation of the pathophysiology of this challenging disease.

Comparison of patulous Eustachian tube patients with and without a concave defect in the anterolateral wall of the tubal valve

2020 ◽  
Vol 134 (6) ◽  
pp. 526-532
Author(s):  
S-W Choi ◽  
J-H Park ◽  
S Lee ◽  
S-J Oh ◽  
S-K Kong
Keyword(s):  
Weight Loss ◽  
Nasal Cavity ◽  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Conservative Management ◽  
Symptom Severity ◽  
Defect Identification ◽  
Endoscopic Findings ◽  
Anterolateral Wall ◽  
Patulous Eustachian Tube

AbstractObjectivePatulous Eustachian tube appears to be caused by a concave defect in the anterolateral wall of the tubal valve of the Eustachian tube. This study aimed to compare the clinical features of patulous Eustachian tube patients with or without a defect in the anterolateral wall of the tubal valve.MethodsSixty-six patients with a patulous Eustachian tube completed a questionnaire, which was evaluated alongside endoscopic findings of the tympanic membrane, nasal cavity and Eustachian tube orifice.ResultsFemales were more frequently diagnosed with a patulous Eustachian tube, but the valve defect was more common in males (p = 0.007). The ratio of patulous Eustachian tube patients with or without defects in the anterolateral wall of the tubal valve was 1.6:1. Weight loss in the previous six months and being refractory to conservative management were significantly associated with the defect (p = 0.035 and 0.037, respectively). Symptom severity was significantly higher in patients with the defect.ConclusionPatulous Eustachian tube patients without a defect in the anterolateral wall of the tubal valve can be non-surgically treated more often than those with the defect. Identification of the defect could assist in making treatment decisions for patulous Eustachian tube patients.

Tympanic Membrane Manipulation to Treat Symptoms of Patulous Eustachian Tube

2014 ◽  
Vol 35 (7) ◽  
pp. 1201-1206 ◽  
Author(s):  
Matthew D. Brace ◽  
Peter Horwich ◽  
David Kirkpatrick ◽  
Manohar Bance
Keyword(s):  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Patulous Eustachian Tube

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.

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.

Causes of failure of combined approach tympanoplasty in the treatment of acquired cholesteatomas of the middle ear and the mastoid

1995 ◽  
Vol 109 (8) ◽  
pp. 710-712 ◽  
Author(s):  
T. R. Kapur
Keyword(s):  
Tympanic Membrane ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Squamous Epithelium ◽  
Combined Approach ◽  
Tube Obstruction ◽  
Incomplete Removal ◽  
Tube Dysfunction ◽  
Cause Of Failure ◽  
Causes Of Failure

AbstractForty cases of failed combined approach tympanoplasty were analysed. The commonest cause of failure was adhesions between the facial ridge and the tympanic membrane, causing segmental attico-mastoid malaeration in 51.3 per cent of cases followed-up continually. Other causes were, large dermoids, incomplete removal of squamous epithelium, and eustachian tube obstruction. Eustachian tube dysfunction did not appear to be a major cause of failure.

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