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Eustachian Tube Dysfunction in Submariners and Divers

Eustachian Tube Dysfunction in Submariners and Divers Abstract • Fifty-four recruit volunteers to the submarine and diving branches of the Royal Navy, and 35 nonvolunteers to the submarine branch who acted as control subjects, had their conditions assessed. All were unable to attain middle ear pressure equilibration when exposed to an increase in ambient pressure of 3 m H2O in the compression chamber. All the subjects suffered from the nose-ear distress syndrome, which is defined as the combination of Eustachian tube dysfunction and septal deviation in the absence of any other pathological conditions. The volunteer group were submitted to submucosal resection of the nasal septum, while the nonvolunteers were treated conservatively. Six weeks after operation 51 subjects (94.4%) who had had a submucosal resection were able to equilibrate their middle ear pressures at 10 m H2O. All the nonvolunteer group failed to equilibrate at 3 m H2O. (Arch Otolaryngol 1982;108:279-283) References 1. McNicoll WD, Scanlan SG: Submucous resection: The treatment of choice in the nose-ear distress syndrome . J Laryngol Otol 1979;93:357-367.Crossref 2. McNicoll WD, Scanlan SG: The nose-ear distress syndrome . J R Nav Med Serv 1975;61:27-29. 3. Jerger J, Jerger S, Maudlin L: Studies in impedance audiometry . Arch Otolaryngol 1972;95:513-523.Crossref 4. Holmquist J, Miller J: Eustachian tube evaluation using the impedance bridge , in Mayo Foundation Impedance Symposium . Rochester, Minn, Mayo Foundation, 1972, p 297. 5. Feldman AS: Acoustic impedance-admittance measurements , in Bradford LJ (ed): Physiological Measures of the Audio-Vestibular System . New York, Academic Press Inc, 1975, chap 4. 6. Porter BP: Normative otoadmittance values for three populations . J Aud Res 1972;12:1. 7. Holmquist J: Eustachian tube anatomy and physiology . J Am Aud Soc 1976;2:115-119. 8. Hamilton WJ, Harrison RJ: Anatomy of the nose , in Scott Brown WG (ed): Diseases of the Ear, Nose and Throat , ed 3. London, Butterworth & Co Ltd, 1971, p 140. 9. Breathnach AS: The individual bones of the skull , in Breathnach AS (ed): Frazer's Anatomy of the Human Skeleton , ed 6. London, J&A Churchill, 1965, p 218. 10. Togawa K, Konno A: Aerodynamic studies on the effect of nasal septal plasty . Rhinology 1977;15:173-182. 11. Slome D: Physiology of the nose and paranasal , in Scott Brown WG (ed): Diseases of the Ear, Nose and Throat , ed 3. London, Butterworth & Co Ltd, 1971, chap 5. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Eustachian Tube Dysfunction in Submariners and Divers

McNicoll, William D.
Archives of Otolaryngology , Volume 108 (5) – May 1, 1982
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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1982.00790530015005
Publisher site
See Article on Publisher Site

Abstract

Abstract • Fifty-four recruit volunteers to the submarine and diving branches of the Royal Navy, and 35 nonvolunteers to the submarine branch who acted as control subjects, had their conditions assessed. All were unable to attain middle ear pressure equilibration when exposed to an increase in ambient pressure of 3 m H2O in the compression chamber. All the subjects suffered from the nose-ear distress syndrome, which is defined as the combination of Eustachian tube dysfunction and septal deviation in the absence of any other pathological conditions. The volunteer group were submitted to submucosal resection of the nasal septum, while the nonvolunteers were treated conservatively. Six weeks after operation 51 subjects (94.4%) who had had a submucosal resection were able to equilibrate their middle ear pressures at 10 m H2O. All the nonvolunteer group failed to equilibrate at 3 m H2O. (Arch Otolaryngol 1982;108:279-283) References 1. McNicoll WD, Scanlan SG: Submucous resection: The treatment of choice in the nose-ear distress syndrome . J Laryngol Otol 1979;93:357-367.Crossref 2. McNicoll WD, Scanlan SG: The nose-ear distress syndrome . J R Nav Med Serv 1975;61:27-29. 3. Jerger J, Jerger S, Maudlin L: Studies in impedance audiometry . Arch Otolaryngol 1972;95:513-523.Crossref 4. Holmquist J, Miller J: Eustachian tube evaluation using the impedance bridge , in Mayo Foundation Impedance Symposium . Rochester, Minn, Mayo Foundation, 1972, p 297. 5. Feldman AS: Acoustic impedance-admittance measurements , in Bradford LJ (ed): Physiological Measures of the Audio-Vestibular System . New York, Academic Press Inc, 1975, chap 4. 6. Porter BP: Normative otoadmittance values for three populations . J Aud Res 1972;12:1. 7. Holmquist J: Eustachian tube anatomy and physiology . J Am Aud Soc 1976;2:115-119. 8. Hamilton WJ, Harrison RJ: Anatomy of the nose , in Scott Brown WG (ed): Diseases of the Ear, Nose and Throat , ed 3. London, Butterworth & Co Ltd, 1971, p 140. 9. Breathnach AS: The individual bones of the skull , in Breathnach AS (ed): Frazer's Anatomy of the Human Skeleton , ed 6. London, J&A Churchill, 1965, p 218. 10. Togawa K, Konno A: Aerodynamic studies on the effect of nasal septal plasty . Rhinology 1977;15:173-182. 11. Slome D: Physiology of the nose and paranasal , in Scott Brown WG (ed): Diseases of the Ear, Nose and Throat , ed 3. London, Butterworth & Co Ltd, 1971, chap 5.

Journal

Archives of Otolaryngology – American Medical Association

Published: May 1, 1982

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