Clinical Feature of Patulous Eustachian Tube and Correlation with Nasal Cavity Volume

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.

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“Talking through a Fog”: The Impact of Hearing Dysfunction Related to Patulous Eustachian Tube on Hospice Patients with Advanced Cancer

10.26226/morressier.5c76c8bbe2ea5a7237612593 ◽

2019 ◽

Author(s):

Holly McGuigan

Keyword(s):

Advanced Cancer ◽

Eustachian Tube ◽

Hospice Patients ◽

The Impact ◽

Patulous Eustachian Tube

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

Ear Nose & Throat Journal ◽

10.1177/0145561321995009 ◽

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215121001596 ◽

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.

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Patulous Eustachian Tube Diagnostic Evaluation by Sonotubometry

Acta Oto-Laryngologica ◽

10.3109/00016487809107519 ◽

1978 ◽

Vol 86 (5-6) ◽

pp. 401-407 ◽

Cited By ~ 2

Author(s):

H. Virtanen

Keyword(s):

Eustachian Tube ◽

Diagnostic Evaluation ◽

Patulous Eustachian Tube

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Mastoid Pneumatization of the Patulous Eustachian Tube

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940010901107 ◽

2000 ◽

Vol 109 (11) ◽

pp. 1028-1032 ◽

Cited By ~ 14

Author(s):

Tomihiko Tsuji ◽

Nobumasa Yamaguchi ◽

Yukie Mitani ◽

Kazuhiro Aoki ◽

Hiroshi Moriyama

Keyword(s):

Eustachian Tube ◽

Mastoid Pneumatization ◽

Patulous Eustachian Tube

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Otitis media with effusion in adults with patulous Eustachian tube

Journal of International Medical Research ◽

10.1177/0300060519875381 ◽

2019 ◽

Vol 48 (2) ◽

pp. 030006051987538

Author(s):

Tao Fu ◽

Caili Ji ◽

Zhiyuan Wang ◽

Xiaowen Zhang ◽

Min Zhang ◽

...

Keyword(s):

Gastroesophageal Reflux ◽

Otitis Media ◽

Eustachian Tube ◽

Otitis Media With Effusion ◽

Duration Of Disease ◽

Patulous Eustachian Tube

Highlight 1. Patients with patulous Eustachian tube (PET) were older, had a shorter duration of disease, and were more likely to develop bilateral otitis media with effusion. 2. Patients with PET were more likely to develop comorbidities of gastroesophageal reflux and allergies.

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