Middle ear disease and eustachian tube function in patients with cleft palate.

Previous research on eustachian tube function has been devoted mainly to the study of the tubal opening ability and pressure equalization. This article summarizes a series of experimental studies focusing on the closing ability of the tube. Results support the belief that the purpose of the tube should be seen primarily as protecting the middle ear from the extensive pressure variations that physiologically take place in the nasopharynx. A number of studies of diseased ears have shown that tubal malfunction was characterized mainly by a reduced ability to withstand negative pressure in the nasopharynx. Sniffing can evacuate the middle ear, causing high negative intratympanic pressure. It seems likely that this mechanism is involved in the development of middle ear effusion and manifest retraction-type middle ear disease.

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Middle ear diseases and eustachian tube function in cleft palate patients.

Practica Oto-Rhino-Laryngologica ◽

10.5631/jibirin.80.571 ◽

1987 ◽

Vol 80 (4) ◽

pp. 571-577

Author(s):

Yasuyuki Tasaka ◽

Kyosuke Kurata ◽

Michio Kawano ◽

Iwao Honjo

Keyword(s):

Cleft Palate ◽

Eustachian Tube ◽

Middle Ear ◽

Eustachian Tube Function ◽

Ear Diseases ◽

Tube Function

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Eustachian Tube Function in 6-Year-Old Children with and without a History of Middle Ear Disease

Otolaryngology ◽

10.1177/0194599815620149 ◽

2015 ◽

Vol 154 (3) ◽

pp. 502-507 ◽

Cited By ~ 7

Author(s):

Ellen M. Mandel ◽

Margaretha L. Casselbrant ◽

Beverly C. Richert ◽

Miriam S. Teixeira ◽

J. Douglas Swarts ◽

...

Keyword(s):

Eustachian Tube ◽

Middle Ear ◽

Eustachian Tube Function ◽

Tube Function ◽

History Of ◽

Middle Ear Disease

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Eustachian Tube Ventilatory Function in Relation to Cleft Palate

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348947508400308 ◽

1975 ◽

Vol 84 (3) ◽

pp. 333-338 ◽

Cited By ~ 49

Author(s):

Charles D. Bluestone ◽

Quinter C. Beery ◽

Erdem I. Cantekin ◽

Jack L. Paradise

Keyword(s):

Cleft Palate ◽

Eustachian Tube ◽

Middle Ear ◽

Normal Subjects ◽

Eustachian Tube Function ◽

Ventilatory Function ◽

Tubal Function ◽

Tube Obstruction ◽

Tube Function ◽

Palate Repair

The ventilatory function of the Eustachian tube was assessed in a group of infants and children with cleft palate, some of whom had received palatal repair. Those whose palates had been repaired were better able, in general, to equilibrate applied positive middle ear pressures than were those with open clefts. In many of the patients whose palates had been repaired, the results of Eustachian tube function studies were similar to those in normal subjects. Differences in Eustachian tube ventilatory function are assumed to be related to differences in tubal compliance. Excessive compliance probably results in, or exaggerates, functional Eustachian tube obstruction. Improvement in tubal function following palate repair is probably related to factors resulting in greater tubal stiffness.

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Study of Eustachian Tube Function in Normal Adults And Those With Middle Ear Disease

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-1605057680 ◽

2017 ◽

Vol 16 (05) ◽

pp. 76-80

Author(s):

Prof. Dr. V. Saravanan MS ◽

Dr.R.V. Kumar ◽

Dr.M. Vasudevan ◽

Dr.Vineetha. k

Keyword(s):

Eustachian Tube ◽

Middle Ear ◽

Eustachian Tube Function ◽

Tube Function ◽

Middle Ear Disease ◽

Normal Adults

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Exercises for Improving Soft Palate and Eustachian Tube Function in Children With Ear Tubes With or Without Cleft Palate

Case Medical Research ◽

10.31525/ct1-nct03868891 ◽

2019 ◽

Author(s):

Keyword(s):

Cleft Palate ◽

Eustachian Tube ◽

Soft Palate ◽

Eustachian Tube Function ◽

Tube Function

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A Comparison of the Effects of Veau-Wardill-Kilner Palatoplasty and Furlow Double-Opposing Z-Plasty Operations on Eustachian Tube Function

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_2000_037_0266_acoteo_2.3.co_2 ◽

2000 ◽

Vol 37 (3) ◽

pp. 266-270 ◽

Cited By ~ 4

Author(s):

Ethem Güneren ◽

Zafer Özsoy ◽

Mithat Ulay ◽

Erhan Eryilmaz ◽

Haluk Özkul ◽

...

Keyword(s):

Cleft Palate ◽

Eustachian Tube ◽

Soft Palate ◽

Surgical Anatomy ◽

Eustachian Tube Function ◽

Secretory Otitis Media ◽

Significant Difference ◽

Before And After ◽

Tube Function

Objective The purpose of this study was to compare the effects of Veau-Wardill-Kilner (VWK) two-flap palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube (ET) opening in patients with cleft palate (CP). Design Twenty-six patients underwent CP repair between 1993 and 1997. VWK and Furlow operations were used in 13 patients each. All patients were examined by the otorhinolaryngologist before and after the operations; mean follow-up time was 27.3 months. Secretory otitis media (SOM), as identified by tympanograms, was the comparison criterion used. Results The prevalence of SOM was 69% (n = 18) in all CP patients pre-operatively. Among those with preoperative SOM, we did not find any statistically significant difference in the frequency of postoperative SOM between the two techniques. Conclusion This study suggests that there is no difference in postoperative ET function between patients undergoing either VWK or Furlow operations, in spite of the differences in muscle positioning in these operations. We discuss the implications of this finding in relation to surgical anatomy and histology of the soft palate muscles.

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