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An Objective Method for Evaluation of the Patulous Eustachian Tube by Using the Middle Ear Analyzer

An Objective Method for Evaluation of the Patulous Eustachian Tube by Using the Middle Ear Analyzer Abstract • Patulous eustachian tube is more common than is usually presumed. The symptoms of this condition can paradoxically simulate an obstruction of the eustachian tube. The characteristic eardrum movements synchronized with breathing can be overlooked or be absent altogether and, therefore, the diagnosis in many cases is missed. We suggest using the middle ear analyzer for diagnosis and objective evaluation of the patent eustachian tube by adjusting it as for acoustic reflex testing. Our method is more sensitive than the more common method of tympanometry. Information is supplied for the patient's evaluation before and after treatment. (Arch Otolaryngol Head Neck Surg 1988;114:1134-1138) References 1. Moore PM, Miller JB: Patulous eustachian tube . Arch Otolaryngol Head Neck Surg 1951; 54:643-650.Crossref 2. Miller JB: Patulous eustachian tube . Arch Otolaryngol Head Neck Surg 1961;73:310-321.Crossref 3. Jago J: Functions of the tympanum . Br For M Chir Rev 1870;45:229. 4. Hartmann A: Experimentelle Studien über die Funktion der Eustachischen Röhre . Leipzig, Germany, Veit, 1879. 5. Suehs OW: The abnormally open eustachian tube . Laryngoscope 1960;70:1418-1426.Crossref 6. Perlman HB: The eustachian tube: Abnormal patency and normal physiologic state . Arch Otolaryngol Head Neck Surg 1939;30:212-238.Crossref 7. Politzer A: Textbook of the Diseases of the Ear , ed 3, O Dodd (trans). Philadelphia, Lea Brothers & Co, 1894, p 63. 8. Chan KH, Cantekin EI, Karnavas WJ, et al: Autoinflation of eustachian tube in young children . Laryngoscope 1987;97:668-674.Crossref 9. Metz O: Influence of the patulous eustachian tube on the acoustic impedance of the ear . Acta Otolaryngol 1953;43( (suppl 109) ):105-112.Crossref 10. Bluestone CD: Assessment of eustachian tube function , in Jerger J, Northern J (eds): Clinical Impedance Audiometry . New York, American Electromedics Corp, 1980, pp 83-108. 11. Zöllner F: Anatomie, physiologie, pathologie und klinik der Ohrtrompete . New York, Springer-Verlag NY Inc, 1942. 12. Jauman MP, Steiner W, Berg M: Endoscopy of the pharyngeal eustachian tube . Ann Otol Rhinol Laryngol 1980;89( (suppl 68) ):54-55. 13. Pitman LK: The open eustachian tube . Arch Otolaryngol Head Neck Surg 1929;9:494-500.Crossref 14. Skolnick ML, McCall GN, Barnes M: The sphincteric mechanism of velopharyngeal closure . Cleft Palate J 1973;10:286-305. 15. Shambaugh GE Jr: Continuously open eustachian tube . Arch Otolaryngol Head Neck Surg 1938;27:420-425.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

An Objective Method for Evaluation of the Patulous Eustachian Tube by Using the Middle Ear Analyzer

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860220068026
Publisher site
See Article on Publisher Site

Abstract

Abstract • Patulous eustachian tube is more common than is usually presumed. The symptoms of this condition can paradoxically simulate an obstruction of the eustachian tube. The characteristic eardrum movements synchronized with breathing can be overlooked or be absent altogether and, therefore, the diagnosis in many cases is missed. We suggest using the middle ear analyzer for diagnosis and objective evaluation of the patent eustachian tube by adjusting it as for acoustic reflex testing. Our method is more sensitive than the more common method of tympanometry. Information is supplied for the patient's evaluation before and after treatment. (Arch Otolaryngol Head Neck Surg 1988;114:1134-1138) References 1. Moore PM, Miller JB: Patulous eustachian tube . Arch Otolaryngol Head Neck Surg 1951; 54:643-650.Crossref 2. Miller JB: Patulous eustachian tube . Arch Otolaryngol Head Neck Surg 1961;73:310-321.Crossref 3. Jago J: Functions of the tympanum . Br For M Chir Rev 1870;45:229. 4. Hartmann A: Experimentelle Studien über die Funktion der Eustachischen Röhre . Leipzig, Germany, Veit, 1879. 5. Suehs OW: The abnormally open eustachian tube . Laryngoscope 1960;70:1418-1426.Crossref 6. Perlman HB: The eustachian tube: Abnormal patency and normal physiologic state . Arch Otolaryngol Head Neck Surg 1939;30:212-238.Crossref 7. Politzer A: Textbook of the Diseases of the Ear , ed 3, O Dodd (trans). Philadelphia, Lea Brothers & Co, 1894, p 63. 8. Chan KH, Cantekin EI, Karnavas WJ, et al: Autoinflation of eustachian tube in young children . Laryngoscope 1987;97:668-674.Crossref 9. Metz O: Influence of the patulous eustachian tube on the acoustic impedance of the ear . Acta Otolaryngol 1953;43( (suppl 109) ):105-112.Crossref 10. Bluestone CD: Assessment of eustachian tube function , in Jerger J, Northern J (eds): Clinical Impedance Audiometry . New York, American Electromedics Corp, 1980, pp 83-108. 11. Zöllner F: Anatomie, physiologie, pathologie und klinik der Ohrtrompete . New York, Springer-Verlag NY Inc, 1942. 12. Jauman MP, Steiner W, Berg M: Endoscopy of the pharyngeal eustachian tube . Ann Otol Rhinol Laryngol 1980;89( (suppl 68) ):54-55. 13. Pitman LK: The open eustachian tube . Arch Otolaryngol Head Neck Surg 1929;9:494-500.Crossref 14. Skolnick ML, McCall GN, Barnes M: The sphincteric mechanism of velopharyngeal closure . Cleft Palate J 1973;10:286-305. 15. Shambaugh GE Jr: Continuously open eustachian tube . Arch Otolaryngol Head Neck Surg 1938;27:420-425.Crossref

Journal

Archives of Otolaryngology - Head & Neck Surgery – American Medical Association

Published: Oct 1, 1988

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