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Eustachian Tube Dysfunction

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https://www.readbyqxmd.com/read/29619102/dynamic-slow-motion-video-endoscopy-as-an-adjunct-to-impedance-audiometry-in-the-assessment-of-eustachian-tube-function
#1
Sanoop E Sanu, Shilpa Divakaran, Sabarinath Vijayakumar, Sunil Kumar Saxena, Arun Alexander, Suryanarayanan Gopalakrishnan
Introduction  Eustachian tube (ET) dysfunction plays an important role not only in the pathophysiology of various middle ear disorders, but also in predicting the outcome of the treatment. As there is no single test that assesses both the anatomic and physiological functions of the ET, a combination of tympanometry and dynamic slow motion video endoscopy may improve the sensitivity of ET function assessment. Objective  To find out if there is any correlation between dynamic slow motion nasal video endoscopy and impedance audiometry in assessing ET function in patients with middle ear diseases...
April 2018: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29571548/analysis-of-chemosensory-function-in-patients-with-chronic-eustachian-tube-dysfunction-prior-to-and-after-balloon-dilatation
#2
Walliczek-Dworschak Ute, Schmierer Lisa, Greene Brandon, Pellegrino Robert, Dworschak Philipp, Boris Alexander Stuck, Güldner Christian
OBJECTIVE: Eustachian tube dysfunction (ETD) affects approximately 1% of adults in the general population. Non treated Eustachian tube dysfunction can result in chronic middle ear diseases, which have been shown to significantly affect taste sensitivity. A promising treatment is balloon dilatation of the Eustachian tube. The primary aim of the present study was to investigate whether individuals with ETD had impairment in chemosensory functions, and the changes of the chemosensory function after balloon dilatation of the Eustachian tube...
March 20, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29557245/comparison-of-balloon-dilation-and-laser-eustachian-tuboplasty-in-patients-with-eustachian-tube-dysfunction-a-meta-analysis
#3
Tang-Chuan Wang, Chia-Der Lin, Tzu-Ching Shih, Hsiung-Kwang Chung, Ching-Yuang Wang, Yung-An Tsou, Ching-Hsuan Huang, Ming-Hsui Tsai
Objective We aimed to perform a meta-analysis examining balloon dilatation and laser tuboplasty for the treatment of eustachian tube dysfunction (ETD). Data Sources PubMed, Cochrane, and Embase search up to April 18, 2016, with the following keywords: eustachian, middle-ear, eustachian tuboplasty, balloon tuboplasty, laser tuboplasty, laser dilatation, and balloon dilatation. Review Methods Randomized controlled trials and prospective, retrospective, and 1-arm studies of patients with ETD treated with balloon dilatation or laser tuboplasty were included...
February 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29550920/analyzing-eustachian-tube-function-in-patients-with-symptoms-of-chronical-eustachian-tube-dysfunction-by-pressure-chamber-measurements
#4
Moritz F Meyer, Christine Korthäuer, Stefanie Jansen, Karl-Bernd Hüttenbrink, Dirk Beutner
PURPOSE: The determination of Eustachian tube dysfunction (ETD) subtypes in daily routines is based on symptoms of the patient, otoscopy, nasopharyngoscopy, tympanometry, pure tone audiometry, and Valsalva's test, even though this clinical assessment is often not sufficient to clearly diagnose the subtype. In the study, we have evaluated the possibility of the determination of different subtypes of ETD by pressure chamber measurements. METHODS: In a single-person pressure chamber, we exposed 17 patients to pressure increases and decreases...
March 17, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29515926/the-effect-of-nasal-functions-on-the-integrity-of-grafts-after-myringoplasty
#5
Başak Çaypınar Eser, Aslı Şahin Yılmaz, Serap Şahin Önder, Sema Zer Toros, Çağatay Oysu
Objective: We aimed to evaluate the effects of nasal functions for the integrity of grafts after myringoplasty. Methods: In our study 78 patients who underwent myringoplasty operation between 2011-2013 were included. Group I was defined as the group with an intact tympanic membrane following surgery. Group II was defined as the group with a tympanic membrane perforation following surgery. Group I consisted of 44 and Group II consisted of 34 patients. Subjective and objective measurements of nasal functions, Eustachian tube function (ETF), and allergic status were performed using nasal obstruction symptom evaluation (NOSE) scale, visual analog scale (VAS), and the score for allergic rhinitis (SFAR) questionnaires and acoustic rhinometry and saccharin test...
December 2017: Turkish Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/29509831/eustachian-tube-symptoms-are-frequent-in-chronic-rhinosinusitis-and-respond-well-to-endoscopic-sinus-surgery
#6
A Maniakas, M Desrosiers, M H Asmar, M Al Falasi, L M Endam, C Hopkins, C Philpott, S Erskine, R Smith, S Kilty
BACKGROUND: Symptoms of Eustachian tube (ET) dysfunction are seldom assessed in patients with chronic rhinosinusitis (CRS). The Sino-Nasal Outcome Test (SNOT-22) quality-of-life tool includes two questions that specifically screen for symptoms of ET dysfunction (Ear Fullness; Ear Pain). OBJECTIVE: The purpose of this study was to determine the extent to which these ET symptoms were present in patients with CRS, and whether these symptoms respond to endoscopic sinus surgery (ESS)...
March 6, 2018: Rhinology
https://www.readbyqxmd.com/read/29486541/efficacy-of-tympanoplasty-without-mastoidectomy-for-treating-chronic-otitis-media-in-patients-with-mastoid-cavity-opacification-in-temporal-bone-computed-tomography-findings
#7
Hantai Kim, Ho Young Bae, Oak-Sung Choo, Yun-Hoon Choung
OBJECTIVES: Combined mastoidectomy is generally preferred to tympanoplasty alone when treating patients with chronic otitis media (COM), particularly when temporal bone computed tomography (TBCT) shows that the mastoid cavity contains opacification of soft tissue density. However, in cases with Eustachian tube dysfunction, a mastoid cavity volume may be a burden to its function. We hypothesized that tympanoplasty alone might be better than tympanoplasty combined with mastoidectomy because soft tissue in the mastoid cavity is a sequel to a protective physiological response...
March 2018: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/29447898/challenges-and-outcomes-of-cholesteatoma-management-in-children-with-down-syndrome
#8
Saied Ghadersohi, Bharat Bhushan, Kathleen R Billings
INTRODUCTION: The high incidence of chronic otitis media with effusion and Eustachian tube dysfunction in children with Down syndrome (DS) may predispose them to cholesteatoma formation. Establishing the diagnosis, choosing the appropriate operative intervention, and post-operative care can be challenging. OBJECTIVE: To describe management strategies for cholesteatoma diagnosis, surgical treatment, and post-operative management in children with Down syndrome. METHODS: Retrospective case series of 14 patients (17 total ears) with Down syndrome diagnosed with cholesteatoma over a 9-year period...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29398506/international-consensus-icon-on-management-of-otitis-media-with-effusion-in-children
#9
F Simon, M Haggard, R M Rosenfeld, H Jia, S Peer, M-N Calmels, V Couloigner, N Teissier
Otitis media with effusion (OME) is a common childhood disease defined as the presence of liquid in the middle ear without signs or symptoms of acute ear infection. Children can be impacted mainly with hearing impairment and/or co-occurring recurrent acute otitis media (AOM) thus requiring treatment. Although many meta-analyses and national guidelines have been issued, management remains difficult to standardize, and use of surgical and medical treatments continue to vary. We convened an international consensus conference as part of the 2017 International Federation of Oto-rhino-laryngological Societies Congress, to identify best practices in OME management...
February 2, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29395489/multi-scale-modeling-of-an-upper-respiratory-airway-effect-of-mucosal-adhesion-on-eustachian-tube-function-in-young-children
#10
REVIEW
Jennifer Malik, Samir N Ghadiali
BACKGROUND: The Eustachian tube is a collapsible upper respiratory airway that is periodically opened to maintain a healthy middle ear. Young children, <10 years old, exhibit reduced Eustachian tube opening efficiency and are at risk for developing middle ear infections. Although these infections increase mucosal adhesion, it is not known how adhesion forces alters the biomechanics of Eustachian tube opening in young children. This study uses computational techniques to investigate how increased mucosal adhesion alters Eustachian tube function in young children...
January 27, 2018: Clinical Biomechanics
https://www.readbyqxmd.com/read/29390789/pressurized-transient-otoacoustic-emissions-measured-using-click-and-chirp-stimuli
#11
Douglas H Keefe, M Patrick Feeney, Lisa L Hunter, Denis F Fitzpatrick, Chris A Sanford
Transient-evoked otoacoustic emission (TEOAE) responses were measured in normal-hearing adult ears over frequencies from 0.7 to 8 kHz, and analyzed with reflectance/admittance data to measure absorbed sound power and the tympanometric peak pressure (TPP). The mean TPP was close to ambient. TEOAEs were measured in the ear canal at ambient pressure, TPP, and fixed air pressures from 150 to -200 daPa. Both click and chirp stimuli were used to elicit TEOAEs, in which the incident sound pressure level was constant across frequency...
January 2018: Journal of the Acoustical Society of America
https://www.readbyqxmd.com/read/29360407/otolaryngology-service-usage-in-children-with-cleft-palate
#12
Kenneth R Whittemore, Jenna M Dargie, Briana K Dornan, Brian Boudreau
OBJECTIVES: To determine the usage of otolaryngology services by children with cleft palate at a pediatric tertiary care facility. DESIGN: Retrospective case series. SETTING: Specialty clinic at a pediatric tertiary care hospital. PATIENTS: Children born between January 1, 1999, and December 31, 2002, with the diagnosis of cleft palate or cleft lip and palate. A total of 41 female and 48 male patients were included. MAIN OUTCOME MEASURES: Total number of otolaryngology clinic visits and total number of otolaryngologic surgeries (tympanostomy tube placements and other otologic or upper airway procedures)...
May 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29343305/relationship-between-eustachian-tube-dysfunction-and-otitis-media-with-effusion-in-radiotherapy-patients
#13
K Akazawa, H Doi, S Ohta, T Terada, M Fujiwara, N Uwa, M Tanooka, M Sakagami
OBJECTIVE: This study evaluated the relationship between radiation and Eustachian tube dysfunction, and examined the radiation dose required to induce otitis media with effusion. METHODS: The function of 36 Eustachian tubes in 18 patients with head and neck cancer were examined sonotubometrically before, during, and 1, 2 and 3 months after, intensity-modulated radiotherapy. Patients with an increase of 5 dB or less in sound pressure level (dB) during swallowing were categorised as being in the dysfunction group...
February 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29336126/effects-of-smoking-on-eustachian-tube-and-hearing
#14
Matteo Pezzoli, Denise Lofaro, Alessandro Oliva, Monica Orione, Daniela Cupi, Andrea Albera, Guido Bongioannini, Roberto Albera
OBJECTIVE: The purpose of this study was to evaluate the effect of tobacco use on the Eustachian tube and inner ear function. STUDY DESIGN: Case-control study. SUBJECTS AND SETTINGS: Thirty-one nonsmoking volunteers and 34 smoking subjects recruited in an University Hospital, submitted to an audiological evaluation including pure tone audiometry, basal tympanogram, stapedial reflexes analysis, and nine-step eustachian tube (ET) function test...
December 1, 2017: International Tinnitus Journal
https://www.readbyqxmd.com/read/29327736/balloon-dilation-of-the-eustachian-tube-clinical-experience-in-the-management-of-126-children
#15
M Tisch, H Maier, H Sudhoff
Balloon dilation of the Eustachian tube has been recently introduced as a novel and minimally invasive method for treating chronic obstructive Eustachian tube dysfunction. For the first time worldwide, we assessed the role of this technique in the treatment of children with Eustachian tube dysfunction who did not respond to other treatments. We retrospectively analysed the medical records of 60 children (mean age: 6.3 years, range: 28 months to 12 years) who underwent balloon dilation of the Eustachian tube using the Bielefeld balloon catheter...
December 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/29315176/outcome-measures-for-baro-challenge-induced-eustachian-tube-dysfunction-a-systematic-review
#16
Bhavesh V Tailor, Matthew E Smith, Peter J A Hutchinson, James R Tysome
OBJECTIVES: Baro-challenge-induced Eustachian tube dysfunction (baro-induced ETD) is characterized by failure of the Eustachian tube (ET) to open adequately to permit middle-ear pressure regulation during ambient pressure changes. There are no well-characterized tests for identifying the condition, which makes both patient diagnosis and research into treatment efficacy challenging. This systematic review evaluates ET function tests as potential outcome measures for baro-induced ETD. DATA SOURCES: MEDLINE and CENTRAL were searched (database inception to March 2017) and reference lists reviewed for all relevant English Language articles...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29313115/-diagnosis-and-treatment-of-eustachian-tube-dysfunction
#17
S Schröder, J Ebmeyer
The Eustachian tube protects against secretion, germs and sound pressure from the nasopharynx, it acts as a drain, and serves pressure equalization in both directions so that the ear drum and sound-conducting apparatus can vibrate optimally. The incidence of Eustachian tube dysfunction in adults is about 1%, in children almost 40%. Symptoms are often unspecific. For diagnosis, the Eustachian tube score (ETS-5) can be used in patients with a perforated ear drum, and the ETS-7 score in patients with intact ear drum...
February 2018: HNO
https://www.readbyqxmd.com/read/29301162/milbenallergie-im-hno-bereich-bedeutung-diagnostik-und-therapieoptionen
#18
Ludger Klimek, Moritz Gröger, Sven Becker
Allergic rhinitis (AR) affects ca. 20% of the population. Approximately one third of patients affected by AR are suffering from perennial rhinitis due to mite allergy. Perennial rhinitis is the form of the disease that is most frequently associated with other allergy-related comorbidities such as asthma and atopic dermatitis, sleep disorders, chronic sinusitis, eustachian tube dysfunction and others.The often non-specific symptoms and the insidious course may lead to misinterpretations in diagnosing the disease...
January 2018: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29296165/skull-base-and-craniocervical-bone-pneumatisation-two-case-reports-of-differing-presentations-and-a-review-of-the-literature
#19
Olivia Francies, Simon Morley, Tim Beale
We report two patients with increased central skull base and craniocervical junction bone pneumatisation complicated by extra-osseous gas. One patient presented with symptoms of increasing nasal blockage and 'sinus pressure' on a background of extensive nasal polyposis. He was subsequently found to have a history of repeated Valsalva's manoeuvre, the cessation of which resulted in a rapid decrease in the amount of extra-osseous gas on imaging. The second patient presented following a minor head trauma with dysarthria from a hypoglossal nerve palsy and neck pain, with extensive intra- and extra-cranial gas including within the spinal canal (pneumorrhachis)...
November 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/29289487/medium-term-assessment-of-eustachian-tube-function-after-balloon-dilation
#20
D Schmitt, M Akkari, T Mura, M Mondain, A Uziel, F Venail
There is at present no consensus on the treatment of obstructive Eustachian tube dysfunction. In case of failure of well-conducted drug and pressure therapy, some authors recommend balloon dilation; the present study aimed to assess the efficacy and safety of Eustachian tube balloon dilation. MATERIALS AND METHODS: A single-center retrospective study assessed clinical and tubomanometric results of Eustachian tube balloon dilation, complications and satisfaction in a consecutive series managed between June 2012 and February 2015...
April 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
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