ROLE OF TYMPANIC MEMBRANE IN SYMPTOMS OF PATULOUS EUSTACHIAN TUBE SYNDROME: A NEW TREATMENT WITH USE OF ADHESIVE TAPE ON THE TYMPANIC MEMBRANE

Otalgia during airplane flights is a common complaint among patients. This occurs due to the changes in air pressure during take-off and landing that affect middle ear and inner ear. The eustachian tube is responsible with equalizing pressure but in many cases, it happens insufficiently leading to mild to severe pain, hearing loss, tympanic membrane rupture and even inner ear lesions. The aim of this paper is to asses the efficacy of two decongestants, oral pseudoephedrine versus topical xylometazoline in preventing otic barotrauma.

Download Full-text

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215114000036 ◽

2014 ◽

Vol 128 (3) ◽

pp. 228-235 ◽

Cited By ~ 14

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.

Download Full-text

Diagnosis of the Patulous Eustachian Tube

Ear Nose & Throat Journal ◽

10.1177/0145561320925938 ◽

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.

Download Full-text

Patulous Eustachian Tube: A New Treatment With Infusion of Absorbable Gelatin Sponge Solution

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.1976.00780100062006 ◽

1976 ◽

Vol 102 (5) ◽

pp. 276-280 ◽

Cited By ~ 37

Author(s):

S. Ogawa ◽

I. Satoh ◽

H. Tanaka

Keyword(s):

Eustachian Tube ◽

Gelatin Sponge ◽

New Treatment ◽

Patulous Eustachian Tube

Download Full-text

O.071 The patulous eustachian tube – New treatment options

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/s1010-5182(06)60100-5 ◽

2006 ◽

Vol 34 ◽

pp. 20

Author(s):

S. Sehhati-Chafai-Leuwer ◽

R. Schmelzle ◽

R. Leuwer ◽

S. Wenzel

Keyword(s):

Eustachian Tube ◽

Treatment Options ◽

New Treatment ◽

Patulous Eustachian Tube

Download Full-text

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215120001048 ◽

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.

Download Full-text

Patulous Eustachian tube: A radiological perspective

The Journal of Laryngology & Otology ◽

10.1017/s0022215100112526 ◽

1990 ◽

Vol 104 (4) ◽

pp. 291-293 ◽

Cited By ~ 10

Author(s):

N. S. Tolley ◽

P. Phelps

Keyword(s):

Nasopharyngeal Carcinoma ◽

Eustachian Tube ◽

Tomographic Imaging ◽

Hemifacial Microsomia ◽

Computed Tomographic ◽

Objective Tests ◽

Clinical Awareness ◽

Patulous Eustachian Tube ◽

Computed Tomographic Imaging

AbstractThe diagnosis of a patulous Eustachian tube relies mainly upon the history, examination and a clinical awareness of the condition. More recently, objective tests such as tympanometry and sonotubometry have been shown to be useful in confirming the diagnosis. This paper describes how computed tomographic imaging may also be useful in aiding the diagnosis. Supporting this, clinical cases of patulous tubes are demonstrated radiologically associated with congenital hemifacial microsomia and following radiotherapy for a nasopharyngeal carcinoma. The role of computed tomographic imaging in the diagnosis, research and monitoring of treatment for his condition is discussed.

Download Full-text