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Eustachian Tube Dysfunction

Miki Ikehata, Shigeto Ohta, Yasuo Mishiro, Hirokazu Katsura, Shinya Miuchi, Kenzo Tsuzuki, Masafumi Sakagami
OBJECTIVE: The eustachian tube (ET) has two important functions, ventilation and clearance of the middle ear. We evaluated the ET ventilator function by the sonotubometry and the inflation-deflation test that are widely used today, and the ET clearance function by the saccharin test. Results of both tests were compared with surgical outcomes, and assessed which test was more closely related to the surgical outcomes. STUDY DESIGN: Prospective case series. SETTING: A single university hospital...
October 12, 2016: Otology & Neurotology
Matthew E Smith, James R Tysome
OBJECTIVE: Balloon eustachian tuboplasty (BET) has entered clinical use as a treatment for eustachian tube dysfunction. Some surgeons perform myringotomy prior to BET due to concerns that the increase in middle ear (ME) pressure caused by BET may cause otic barotrauma. We investigated the ME pressure changes occurring during BET in cadavers. STUDY DESIGN: Human cadaver investigation of a surgical technique SETTING: Laboratory study at a tertiary referral center...
October 11, 2016: Otolaryngology—Head and Neck Surgery
Ashley M Dao, Steven L Goudy
Repair of the cleft palate intends to establish the division between the oral and nasal cavity, thereby improving feeding, speech, and eustachian tube dysfunction all while minimizing the negative impact on maxillary growth. Before palate repair candidacy, timing and surgical method of repair is dependent on comorbid conditions, particularly cardiac disease, mandibular length, and palate width. Additionally, management of the alveolar cleft and the indications for gingivoperiosteoplasty versus secondary alveolar bone grafting is a controversial topic that weighs the risks and benefits of potentially sparing the patient an additional surgery against iatrogenic restriction of facial growth and malocclusion...
November 2016: Facial Plastic Surgery Clinics of North America
Mira A Patel, David J Mener, Esther Garcia-Esquinas, Ana Navas-Acien, Yuri Agrawal, Sandra Y Lin
OBJECTIVES: To describe the association between active, environmental tobacco smoke (ETS) exposure and the prevalence of eustachian tube dysfunction (ETD) in the U.S. pediatric population. STUDY DESIGN: Cross-sectional. SETTING: U.S. representative demographic and audiometric data from the National Health and Nutrition Examination Survey (NHANES);2005-2010. SUBJECTS AND METHODS: The study consisted of 2,977 children aged 12-19 years...
2016: PloS One
Melisa Melek Tuncer, Seda Turkoglu Babakurban, Erdinc Aydin
BACKGROUND: Barotrauma is a frequent problem in aviation medicine. Eustachian tube dysfunction plays a critical role in the pathogenesis of barotrauma. Function of the Eustachian tube can be indirectly assessed by multifrequency tympanometry, which provides valuable information about the resistance and permeability of the middle ear in a wide frequency range. The aim of this study was to research whether multifrequency tympanometry could be used for assessing middle ear impairments in pilots...
2016: Aerospace Medicine and Human Performance
Shirley J Pérez Pérez, Carlos Almódovar Álvarez, José Diego Contreras Sánchez, Alberto Iñiguez de Onzoño
No abstract text is available yet for this article.
August 24, 2016: Acta Otorrinolaringológica Española
S Y Hwang, S Kok, J Walton
BACKGROUND: Eustachian tube dysfunction is a disorder for which there are limited medical and surgical treatments. Recently, eustachian tube balloon dilation has been proposed as a potential solution. METHOD: A systematic literature review was performed. Abstracts were selected for relevance, and pooled data analysis and qualitative analysis was conducted. RESULTS: Nine prospective studies, describing 713 eustachian tube balloon dilations in 474 patients (aged 18-86 years), were identified...
July 2016: Journal of Laryngology and Otology
Giannicola Iannella, Marco Lucertini, Benedetta Pasquariello, Alessandra Manno, Diletta Angeletti, Massimo Re, Giuseppe Magliulo
The aim of the study is to evaluate the Eustachian tube functionality in a group of aviators to underline a subclinical dysfunction and the related risk of ear fullness or barotitis. Hypobaric chamber allows to simulate the pressure variation of the flight. This prospective study enrolled 42 aviation pilots, members of the Italian Air Force, to whom were evaluated Eustachian tube functionality by Tubomanometry, patients subjective assessments concerning feasibility of Valsalva's and Toynbee's clinical symptoms, tympanometry, and objective Valsalva before and after exposure to hypobaric chamber...
July 19, 2016: European Archives of Oto-rhino-laryngology
Heidi Olander, Jorma Järnstedt, Dennis Poe, Ilkka Kivekäs
During the last decade, endoscopic surgery of the Eustachian tube (ET) has been advocated for ET dilatory dysfunction and for patulous ET. The internal carotid artery (ICA) and the ET are closely related, and knowledge of their surgical anatomy has become essential. This study was designed to establish the anatomical relationships between the endoscopically critical area along the full length of the cartilaginous ET and its closest association with the ICA. The perpendicular distance between the ET lumen and the ICA was measured from head magnetic resonance images (MRI) at three levels: (A) cartilaginous and bony ET junctional point, (B) mid cartilaginous ET point, and (C) the nasopharyngeal orifice of the cartilaginous ET...
July 8, 2016: European Archives of Oto-rhino-laryngology
Yoshihisa Nakamura, Yuki Hamajima, Motohiko Suzuki, Shinichi Esaki, Makoto Yokota, Masanori Oshika, Ippei Takagi, Keiko Yasui, Naoya Miyamoto, Kazuko Sugiyama, Meiho Nakayama, Shingo Murakami
OBJECTIVE: Conventional treatment for acute otitis media mainly targets bacteria with antibiotics, neglecting to control for mediators of inflammation. Mediators of inflammation, such as leukotrienes, have been identified in patients with acute otitis media (AOM) or subsequent secretory otitis media (SOM). They can cause functional eustachian tube dysfunction or increase mucous in the middle ear, causing persistent SOM following AOM. The objective of the present study was to evaluate whether or not administration of pranlukast, a widely used leukotriene C4, D4, and E4 antagonist, together with antibiotics could inhibit the progression to SOM...
August 2016: International Journal of Pediatric Otorhinolaryngology
Yaw Amoako-Tuffour, Nicholas Jufas, Jack Quach, Lisa Le, Guy Earle, Akhilesh A Kotiya, Manohar Bance
OBJECTIVE: To assess the acoustic transmission characteristics of the Eustachian tube (ET) in living subjects in verified patent and closed ET states to facilitate the detection and quantification of ET function using acoustic measures such as sonotubometry. PATIENTS: The two subjects in this study had no history of ear disease nor previous ear surgery and were capable of volitionally opening and closing their ET. INTERVENTIONS: Tympanometry and otologic examinations were used to confirm ET patent and closed states by observing tympanic membrane movement with respiration and by acoustic immitance measurements during forced respiration...
September 2016: Otology & Neurotology
Shari Van Roeyen, Paul Van de Heyning, Vincent Van Rompaey
OBJECTIVE: Baro-challenge-induced Eustachian tube (ET) dysfunction is defined as the presence of aural discomfort, popping, or pain, which only arises in case of ambient pressure changes, without abnormalities on otoscopy or tympanometry. Our primary aim was to determine the discriminative power of the 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) in patients with baro-challenge-induced ET dysfunction in comparison with that in healthy controls. The secondary aim was to determine the responsiveness of ETDQ-7 in patients with baro-challenge-induced obstructive ET dysfunction who underwent balloon dilation tuboplasty (BDET)...
April 2016: Journal of International Advanced Otology
K Sharma, M S Pannu, A Arora, V Sharma
A late detection of hearing impairment in children can affect speech and language development. Otitis media with effusion (OME) associated with risk factors like recurrent upper respiratory tract infections (URTI) is considered the most common cause of silent hearing impairment among children. So this study was carried out to screen such at risk children for hearing impairment. The study was conducted on 1000 children in the age group of 2-12 years who presented to the OPD of ENT and Pediatrics Department, Govt Medical College with the complaint of recurrent URTI...
June 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
Naoharu Kitajima, Akemi Sugita-Kitajima, Seiji Kitajima
OBJECTIVES: We investigated the relationship between Eustachian tube function and incidence of inner-ear barotrauma (IEBt) in recreational divers. METHODS: Sixteen patients who experienced a scuba diving injury affecting the inner ear and 20 healthy volunteers who had not experienced a diving injury participated. Healthy volunteers and divers with IEBt received impedance tests regularly to assess Eustachian tube function. Test results from these groups were compared...
June 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
Glenn Isaacson
Accurate diagnosis of otitis media is important to prevent suffering and complications when infection is present, and unnecessary antibiotic use when infection is absent. The usual signs and symptoms of acute otitis media are unreliable guides in infants and young children. Similarly, middle ear effusions may present with little discomfort in older children. We therefore depend on examination of the tympanic membrane with an otoscope to make most diagnoses. This article aims to improve the accuracy of middle ear diagnosis by pneumatic otoscopy...
December 2016: Minerva Pediatrica
Inesângela Canali, Letícia Petersen Schmidt Rosito, Bruno Siliprandi, Cláudia Giugno, Sady Selaimen da Costa
INTRODUCTION: The diagnosis of Eustachian tube dysfunctions is essential for better understanding of the pathogenesis of chronic otitis media. A series of tests to assess tube function are described in the literature; however, they are methodologically heterogeneous, with differences ranging from application protocols to standardization of tests and their results. OBJECTIVE: To evaluate the variation in middle ear pressure in patients with tympanic membrane retraction and in normal patients during tube function tests, as well as to evaluate intra-individual variation between these tests...
April 25, 2016: Brazilian Journal of Otorhinolaryngology
David S P Heidsieck, Bram J A Smarius, Karin P Q Oomen, Corstiaan C Breugem
OBJECTIVE: Otitis media with effusion is common in infants with an unrepaired cleft palate. Although its prevalence is reduced after cleft surgery, many children continue to suffer from middle ear problems during childhood. While the tensor veli palatini muscle is thought to be involved in middle ear ventilation, evidence about its exact anatomy, function, and role in cleft palate surgery is limited. This study aimed to perform a thorough review of the literature on (1) the role of the tensor veli palatini muscle in the Eustachian tube opening and middle ear ventilation, (2) anatomical anomalies in cleft palate infants related to middle ear disease, and (3) their implications for surgical techniques used in cleft palate repair...
September 2016: Clinical Oral Investigations
M Teschner
Evidence-based medicine is an approach to medical treatment intended to optimise patient-oriented decision-making on the basis of empirically proven effectiveness. For this purpose, a classification system has been established to categorise studies - and hence therapy options - in respect of associated evidence according to defined criteria. The Eustachian tube connects the nasopharynx with the middle ear cavity. Its key function is to ensure middle ear ventilation. Compromised ventilation results in inflammatory middle ear disorders...
April 2016: Laryngo- Rhino- Otologie
Noriko Ogasawara, Keisuke Yamamoto, Kenichi Takano, Tetsuo Himi
Nose- or nasopharynx-associated lymphoid tissue (NALT) has a unique role that is distinct from that of other lymphoid tissues. During upper airway mucosal immune response, NALT induces a variety of responses, including cytokine and chemokine production and innate immune response, to establish acquired immunity. NALT consists of epithelial cells, epithelium-associated lymphoid tissues such as IgA-committed B cells, innate lymphocytes, T helper cells and dendritic cells. Intranasal immunization has recently been shown to effectively induce a proactive immune response in the local mucosa in addition to a systemic immune response...
2016: Advances in Oto-rhino-laryngology
Chul Ho Jang, Seung Hyun Ahn, Geun Hyung Kim
Silicone sheet is a material which is commonly used in middle ear surgery to prevent the formation of adhesions between the tympanic membrane and the medial bony wall of the middle ear cavity. However, silicone sheet can induce a tight and hard fibrous capsule in the region of the stapes, and this is particularly common in cases of eustachian tube dysfunction. As a result of the fibrous encapsulation around the silicone sheet, postoperative aeration of the stapes can be interrupted causing poor hearing gain...
April 13, 2016: International Journal of Biological Macromolecules
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