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Eustachian Tube Dysfunction

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https://www.readbyqxmd.com/read/28502258/balloon-eustachian-tuboplasty-treatment-of-longstanding-eustachian-tube-dysfunction
#1
T Singh, V Taneja, K Kulendra, M Farr, J Robinson, D Rejali
BACKGROUND: Eustachian tube dysfunction is a poorly defined condition associated with various symptoms and it can predispose to middle-ear disease. Balloon dilation Eustachian tuboplasty has been proposed as a treatment for Eustachian tube dysfunction. OBJECTIVE: To evaluate the subjective and objective outcomes of balloon dilation Eustachian tuboplasty in patients with recurrent, previously treated chronic Eustachian tube dysfunction. METHODS: The study was conducted on 11 patients (13 ears) who had undergone previous unsuccessful medical and surgical treatment...
May 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28485292/assessment-and-management-of-retraction-pockets
#2
Alper Cuneyt, Ewa Olszewska
This manuscript intends to review types, pathogenesis, associated risk factors, and potential methods of prevention and treatment of the retraction pockets in adults and children. The importance of retraction pockets (RP) lies in loss of original histological and anatomical structure which is associated with development of ossicular chain erosion, cho¬lesteatoma formation and potentially life threatening complications of cholesteatoma. The trans-mucosal exchange each gas in the middle ear (ME) is towards equalizing its partial pressures with the partial pressure in the environ¬ment...
February 28, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28485286/assesment-effectiveness-of-treatment-eustachian-tube-dysfunction-using-pneumatic-inhaler-amsa
#3
Iwona Zając-Ratajczak, Agata Szkiełkowska, Karina Wilhelmsen
INTRODUCTION: Upper respiratory tract infections are common childhood diseases. Children are more susceptible to middle ear infections because their Eustachian tube is short, straight and wide. As a consequence of these inflammatory changes while impaired patency of the Eustachian tube often arises conductive hearing. OBJECTIVE: The aim of this study was to Assessment effectiveness of treatment Eustachian tube dysfunction using inhaler AMSA. MATERIAL AND METHODS: The study group comprised 30 patients...
November 20, 2016: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28461039/tubotympanic-system-functioning
#4
C Martin, A Karkas, J-M Prades
The Eustachian (auditory) tube and tympanomastoid cavities form an anatomic and functional whole that cannot easily be divided, and is therefore known as the "tubotympanic system". The system has been the focus of several studies, with complex and sometimes contradictory results, making an overview of its functioning difficult to obtain. The objective of the present article is to review the current state of knowledge, as an indispensable preliminary to understanding tubotympanic system dysfunction, and notably the development of chronic otitis...
April 29, 2017: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/28390803/eustachian-tube-diameter-is-it-associated-with-chronic-otitis-media-development
#5
Ceki Paltura, Tuba Selçuk Can, Behice Kaniye Yilmaz, Mehmet Emre Dinç, Ömer Necati Develioğlu, Mehmet Külekçi
OBJECTIVE: To evaluate the effect of ET diameter on Chronic Otitis Media (COM) pathogenesis. STUDY DESIGN: Retrospective. SUBJECTS AND METHODS: Patients with unilateral COM disease are included in the study. The connection between fibrocartilaginous and osseous segments of the Eustachian Tube (ET) on axial Computed Tomography (CT) images was defined and the diameter of this segment is measured. The measurements were carried out bilaterally and statistically compared...
March 31, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28372531/panel-1-epidemiology-and-diagnosis
#6
Preben Homøe, Kari Kværner, Janet R Casey, Roger A M J Damoiseaux, Thijs M A van Dongen, Hasantha Gunasekera, Ramon G Jensen, Ellen Kvestad, Peter S Morris, Heather M Weinreich
Objective To create a literature review between 2011 and June 1, 2015, on advances in otitis media (OM) epidemiology and diagnosis (including relevant audiology studies). Data Sources Electronic search engines (PubMed, EMBASE, and Cochrane Library) with a predefined search strategy. Review Methods Articles with appropriate epidemiologic methodology for OM, including acute mastoiditis and eustachian tube dysfunction. Items included OM worldwide and in high-risk populations, OM-related hearing loss, news in OM diagnostics, prenatal risk factors and comorbidities, postnatal risk factors, genetics, microbiological epidemiology, guidelines, and quality of life...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28372527/panel-2-anatomy-eustachian-tube-middle-ear-and-mastoid-anatomy-physiology-pathophysiology-and-pathogenesis
#7
Cuneyt M Alper, Michal Luntz, Haruo Takahashi, Samir N Ghadiali, J Douglas Swarts, Miriam S Teixeira, Zsuzsanna Csákányi, Noam Yehudai, Romain Kania, Dennis S Poe
Objective In this report, we review the recent literature (ie, past 4 years) to identify advances in our understanding of the middle ear-mastoid-eustachian tube system. We use this review to determine whether the short-term goals elaborated in the last report were achieved, and we propose updated goals to guide future otitis media research. Data Sources PubMed, Web of Science, Medline. Review Methods The panel topic was subdivided, and each contributor performed a literature search within the given time frame...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28361174/eustachian-tuboplasty-and%C3%A2-shrinkage-of-ostial-mucosa-with-new-devices-including-a-proposal-of-a-classification%C3%A2-system
#8
L Di Rienzo Businco, A Di Mario, M Tombolini, A Mattei, M Lauriello
OBJECTIVE: A new combined approach to Eustachian tube dysfunction (ETD) employing new minimally invasive devices is described. STUDY DESIGN: An anatomoclinical classification of ETD was conceived to allow correct categorization of patients and enable comparative studies to be performed. Herein, the authors report on their experience with a consecutive series of obstructive ETD patients treated by balloon dilation of the Eustachian tube using AERA (Acclarent, Menlo Park, CA, USA), combined with a quantic molecular resonance (QMR)-mediated rhinopharyngeal tubal ostial mucosa shrinkage technique with a dedicated "Mitto" hand piece (Telea, Sandrigo-Vicenza, Italy)...
March 30, 2017: HNO
https://www.readbyqxmd.com/read/28358397/cilia-distribution-and-polarity-in-the-epithelial-lining-of-the-mouse-middle-ear-cavity
#9
Wenwei Luo, Hong Yi, Jeannette Taylor, Jian-Dong Li, Fanglu Chi, N Wendell Todd, Xi Lin, Dongdong Ren, Ping Chen
The middle ear conducts sound to the cochlea for hearing. Otitis media (OM) is the most common illness in childhood. Moreover, chronic OM with effusion (COME) is the leading cause of conductive hearing loss. Clinically, COME is highly associated with Primary Ciliary Dyskinesia, implicating significant contributions of cilia dysfunction to COME. The understanding of middle ear cilia properties that are critical to OM susceptibility, however, is limited. Here, we confirmed the presence of a ciliated region near the Eustachian tube orifice at the ventral region of the middle ear cavity, consisting mostly of a lumen layer of multi-ciliated and a layer of Keratin-5-positive basal cells...
March 30, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28306652/tests-of-eustachian-tube-function-the-effect-of-testing-technique-on-tube-opening-in-healthy-ears
#10
Matthew E Smith, Andrew J C Blythe, Charlotte Baker, Charlie C Zou, Peter J A Hutchinson, James R Tysome
OBJECTIVE: There is no agreement on the best clinical test for Eustachian tube (ET) dysfunction. Numerous tests have been developed to detect ET opening, and all require a patient to perform a Valsalva, Toynbee or sniff maneuver, or to swallow on demand. We aimed to characterize existing tests of ET function in healthy ears, and identify the optimal method and patient maneuver for each test. Our own normative data is presented alongside published comparisons. STUDY DESIGN: Diagnostic test cohort study...
June 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28294083/tensor-veli-palatini-electromyography-for-monitoring-eustachian-tube-rehabilitation-in-otitis-media
#11
P M Picciotti, G Della Marca, L D'Alatri, D Lucidi, M Rigante, E Scarano
BACKGROUND: The pathogenesis of otitis media is related to Eustachian tube dysfunction. The tensor veli palatini muscle actively opens the Eustachian tube and promotes middle-ear ventilation. This study describes a technique for paratubal electromyography that uses a surface, non-invasive electrode able to record tensor veli palatini muscle activity during swallowing. METHODS: Twenty otitis media patients and 10 healthy patients underwent tensor veli palatini electromyography...
May 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28283791/balloon-eustachian-tuboplasty-in-children
#12
A Leichtle, D Hollfelder, B Wollenberg, K-L Bruchhage
Endonasal ballon dilatation of the Eustachian tube (BET) is a promising treatment for Eustachian tube dysfunction with encouraging results over the last years in adults. In addition, in children, single studies demonstrated promising results, but revealed the necessity for broader and additional studies. Our retrospective analysis presents outcomes with BET in children with chronic obstructive dysfunction of the Eustachian tube, showing resistance to the conventional therapy after adenotomy with paracentesis or grommets (ventilation tubes)...
June 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28229292/laser-eustachian-tuboplasty-for-eustachian-tube-dysfunction-a-case-series-review
#13
REVIEW
Benjamin John Miller, Mustafa Jaafar, Hassan A Elhassan
The authors reviewed the literature regarding the safety and efficacy of Laser Eustachian Tuboplasty (LETP) in the treatment of Eustachian tube dysfunction (ETD). Medline via Pubmed, OvidSP and Science Direct were consulted, with a supplementary manual review of citations. English language case series constituted a baseline for inclusion. Primary outcome measures were pre- and post-operative tympanometry, otoscopy findings, subjective symptoms and pure tone audiometry, and findings were stratified into short term (≤6 months) and long term (>6 months-5 years)...
February 22, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28224679/the-repeatability-of-tests-of-eustachian-tube-function-in-healthy-ears
#14
Matthew E Smith, Charlie C Zou, Charlotte Baker, Andrew J C Blythe, Peter J A Hutchinson, James R Tysome
OBJECTIVES/HYPOTHESIS: Many objective tests of eustachian tube (ET) function have been devised for clinical and research use but they have not been directly compared or characterized. As a first step to identifying tests to incorporate into an outcome set for ET dysfunction, we assessed repeatability of a panel of eight of these tests in healthy ears. STUDY DESIGN: Comparison of eight tests of ET function. METHODS: The following tests were investigated in combination with Valsalva, Toynbee, swallow, or sniff maneuvers: 1) patient-reported ET opening, 2) observed tympanic membrane movement, 3) continuous impedance, 4) canal manometry, 5) sonotubometry, 6) nine-step test, 7) tubomanometry, and 8) tympanometry at rest...
February 22, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28167017/hearing-sensitivity-in-adults-with-a-unilateral-cleft-lip-and-palate-after-two-stage-palatoplasty
#15
I F P M Kappen, J B S Schreinemakers, K P Q Oomen, D Bittermann, M Kon, C C Breugem, A B Mink van der Molen
OBJECTIVE: To evaluate long-term hearing and middle ear status in patients treated for a unilateral complete cleft lip and palate (UCLP) by two-stage palatoplasty. METHODS: Forty-nine UCLP patients aged 17 years and older were included in this retrospective study. Patients were invited for a multidisciplinary long-term follow-up of their treatment at a tertiary center for craniofacial surgery in the Netherlands. ENT assessment included tympanometry and pure-tone audiometry...
March 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28167002/intranasal-fluticasone-associated-with-delayed-tympanostomy-tube-placement-in-children-with-eustachian-tube-dysfunction
#16
Matthew G Crowson, Marisa A Ryan, Vaibhav H Ramprasad, Kevin J Choi, Eileen Raynor
OBJECTIVES: Pediatric patient caregivers may prefer to avoid a surgical intervention and request a medical management option for eustachian tube dysfunction (ETD). However, there are limited published data evaluating the efficacy of intranasal fluticasone in the medical management of ETD as an alternative to tympanostomy tube placement. The objectives of this study were to: 1) determine if intranasal fluticasone (INF) prevented tympanostomy tube placement in children with ETD, and 2) describe differences in patient response to INF related to cleft lip and/or palate (CLP) and Down syndrome...
March 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28116997/the-burden-and-epidemiology-of-eustachian-tube-dysfunction-in-adults
#17
Peter M Vila, Tom Thomas, Carrie Liu, Dennis Poe, Jennifer J Shin
Objectives Pediatric eustachian tube dysfunction (ETD), otitis media with effusion (OME), and tympanic membrane retraction (TMR) have been well studied, but no large analyses have described the associated burden beyond childhood. The potential impact and feasibility of prospective trials designed to optimize management of affected adults are thus unclear. Our objectives were therefore (1) to determine the national visit burden associated with ETD/OME/TMR beyond childhood and (2) to examine risk factors specific to adults, highlighting differences in comparison with children...
February 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28116975/tuboimpedance-a-new-test-of-eustachian-tube-function
#18
Matthew E Smith, Charlie C Zou, Andrew J C Blythe, James R Tysome
Objective Eustachian tube (ET) dysfunction is most frequently caused by a failure of the ET to adequately open; however, there is currently no reliable method of assessing this. Tubomanometry has recently shown good interindividual repeatability as a measure of ET function by measuring middle ear pressure after the application of regulated nasopharyngeal pressures during swallowing. We present the first reports of a novel test: middle ear impedance measurements during standard nasopharyngeal pressure application (tuboimpedance)...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28109500/is-routine-audiometric-testing-necessary-for-children-with-isolated-preauricular-lesions
#19
Grace T Wu, Conor Devine, Allen Xu, Katie Geelan-Hansen, Samantha Anne
INTRODUCTION: Preauricular lesions, including tags, pits, sinuses, and cysts are commonly seen. Some studies have shown increased incidence of hearing loss in these patients but other studies have failed to corroborate this finding. The purpose of this study is to evaluate the incidence of hearing loss in patients with isolated preauricular lesions. METHODS: Retrospective chart review of all pediatric otolaryngology patients seen at a tertiary academic center between 2008 and 2014...
February 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28025605/evidence-and-evidence-gaps-in-the-treatment-of-eustachian-tube-dysfunction-and-otitis-media
#20
REVIEW
Magnus Teschner
Evidence-based medicine is an approach to medical treatment intended to optimize patient-oriented decision-making on the basis of empirically proven effectiveness. For this purpose, a classification system has been established to categorize 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...
2016: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
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