Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

The Abnormally Patent Eustachian Tube: Alterations in Psychological Status Resulting From Polytef Paste Injections

The Abnormally Patent Eustachian Tube: Alterations in Psychological Status Resulting From Polytef... Abstract • Several authors have noted that patients with an abnormally patent Eustachian tube (APET) seem to be psychologically disturbed. We investigated the psychological status of these patients before and after treatment with polytef paste (Teflon) injections. Twelve women were evaluated by a series of tests designed to catalog the nature and intensity of the symptoms, the degree to which symptoms affected the patient, psychopathological trends, and an assessment by the patients of improvement. Results prior to treatment indicated that the patients' symptoms were quite disturbing and were moderately disabling; such symptoms affected concentration, and a marked decrease in the enjoyment of life was noted. After treatment, a notable decrease in APET symptoms was reported, with a parallel decline in emotional disturbances. Patients felt less depressed, anxious, and angry, and they reported that the quality of life was much improved. These findings indicate that physical symptoms can have profound effects on emotional status. In such cases, the most effective psychological treatment is control of physical symptoms rather than psychiatric referral. (Arch Otolaryngol 105:21-23, 1979) References 1. Pulec JL, Simonton KM: Abnormal patency of the Eustachian tube: Report on 41 cases . Laryngoscope 74:267-271, 1964.Crossref 2. Pulec JL, Hahn FW: The abnormally patulous Eustachian tube . Otolaryngol Clin North Am 3:131-140, 1970. 3. Pulec JL: Abnormally patent Eustachian tubes: Treatment with injection of polytetrafluoroethylene (Teflon) paste . Laryngoscope 77:1543-1554, 1967.Crossref 4. Miller JB: Patulous Eustachian tube: Report of 30 cases . Arch Otolaryngol 73:310-321, 1961.Crossref 5. Moore PM, Miller JB: Patulous Eustachian tube . Arch Otolaryngol 54:643-650, 1951.Crossref 6. Shambaugh GF Jr: Continuously open Eustachian tube . Arch Otolaryngol 27:420-425, 1938.Crossref 7. Perlman HB: The Eustachian tube: Abnormal patency and normal physiologic state . Arch Otolaryngol 30:212-238, 1939.Crossref 8. Thaler S, Yanagisawa E: The abnormally patent Eustachian tube . Arch Otolaryngol 84:418-421, 1966.Crossref 9. Crary WG, Wexler M: Meniere's disease: A psychosomatic disorder? Psychol Rep 41( (suppl) ): 603-645, 1977. 10. Ogawa S, Satoh I, Tanaka H: Patulous Eustachian tube: A new treatment with infusion of absorbable gelatin sponge solution . Arch Otolaryngol 102:276-280, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

The Abnormally Patent Eustachian Tube: Alterations in Psychological Status Resulting From Polytef Paste Injections

Loading next page...
 
/lp/american-medical-association/the-abnormally-patent-eustachian-tube-alterations-in-psychological-yiuI6Ckb5K
Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1979.00790130025006
Publisher site
See Article on Publisher Site

Abstract

Abstract • Several authors have noted that patients with an abnormally patent Eustachian tube (APET) seem to be psychologically disturbed. We investigated the psychological status of these patients before and after treatment with polytef paste (Teflon) injections. Twelve women were evaluated by a series of tests designed to catalog the nature and intensity of the symptoms, the degree to which symptoms affected the patient, psychopathological trends, and an assessment by the patients of improvement. Results prior to treatment indicated that the patients' symptoms were quite disturbing and were moderately disabling; such symptoms affected concentration, and a marked decrease in the enjoyment of life was noted. After treatment, a notable decrease in APET symptoms was reported, with a parallel decline in emotional disturbances. Patients felt less depressed, anxious, and angry, and they reported that the quality of life was much improved. These findings indicate that physical symptoms can have profound effects on emotional status. In such cases, the most effective psychological treatment is control of physical symptoms rather than psychiatric referral. (Arch Otolaryngol 105:21-23, 1979) References 1. Pulec JL, Simonton KM: Abnormal patency of the Eustachian tube: Report on 41 cases . Laryngoscope 74:267-271, 1964.Crossref 2. Pulec JL, Hahn FW: The abnormally patulous Eustachian tube . Otolaryngol Clin North Am 3:131-140, 1970. 3. Pulec JL: Abnormally patent Eustachian tubes: Treatment with injection of polytetrafluoroethylene (Teflon) paste . Laryngoscope 77:1543-1554, 1967.Crossref 4. Miller JB: Patulous Eustachian tube: Report of 30 cases . Arch Otolaryngol 73:310-321, 1961.Crossref 5. Moore PM, Miller JB: Patulous Eustachian tube . Arch Otolaryngol 54:643-650, 1951.Crossref 6. Shambaugh GF Jr: Continuously open Eustachian tube . Arch Otolaryngol 27:420-425, 1938.Crossref 7. Perlman HB: The Eustachian tube: Abnormal patency and normal physiologic state . Arch Otolaryngol 30:212-238, 1939.Crossref 8. Thaler S, Yanagisawa E: The abnormally patent Eustachian tube . Arch Otolaryngol 84:418-421, 1966.Crossref 9. Crary WG, Wexler M: Meniere's disease: A psychosomatic disorder? Psychol Rep 41( (suppl) ): 603-645, 1977. 10. Ogawa S, Satoh I, Tanaka H: Patulous Eustachian tube: A new treatment with infusion of absorbable gelatin sponge solution . Arch Otolaryngol 102:276-280, 1976.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jan 1, 1979

References