Função da tuba auditiva em adultos com membrana timpânica íntegra

Makibara, Renata Rumy; Fukunaga, Jackeline Yumi; Gil, Daniela

doi:10.1590/s1808-86942010000300012

Cited by 15 publications

(7 citation statements)

References 9 publications

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“…[19]. Tympanometry, an objective test, is a simple manometric test that can provide an indirect measure of E-tube function by measuring the pressure of the middle ear [8]. Using tympanometry, Doyle et al reported that the Valsalva maneuver had sensitivity and specificity of 55% and 85% in discriminating between E-tube dysfunction and normal [20].…”

Section: Discussionmentioning

confidence: 99%

“…Since E-tube dysfunction can lead to diverse otologic diseases [8,12,19], it is essential to address and manage the function of the E-tube in managing patients with ear diseases. The clinical significance of our study includes that the treatment of sinusitis improves E-tube dysfunction, so clinicians should always try to seek and manage possible sinusitis that will affect E-tube function and thus influence the otologic diseases.…”

Section: Discussionmentioning

confidence: 99%

“…The changes in E-tube function after treatment of chronic sinusitis were analyzed prospectively and compared with those without sinusitis. As no E-tube function test has been set yet for a standard diagnostic method of E-tube dysfunction [7][8][9], three objective tests using an impedance audiometer were used together in this study to directly measure the E-tube functions of the patients. The symptoms of the E-tube dysfunction were also assessed and compared using the eustachian tube dysfunction questionnaire (ETDQ-7) symptom questionnaire, which has been reported and acknowledged as a validated tool [2].…”

Section: Introductionmentioning

confidence: 99%

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Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Choi

Jang

Seo

et al. 2021

JCM

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The eustachian tube (E-tube) function is known to be related with sinusitis; however, the effect of endoscopic sinus surgery (ESS) on E-tube function is not clearly documented. This study aimed to prospectively evaluate the function of the E-tube by using both subjective and objective tests in adult chronic sinusitis patients undergoing ESS, and to compare with those of the patients without sinusitis. Thirty adult patients who underwent ESS for treatment of chronic sinusitis and another thirty patients without sinusitis who underwent other nasal surgeries (septoplasty, rhinoplasty, or closed reduction) were evaluated and compared for E-tube function before and after three months of their surgeries. The E-tube function tests included the seven-item eustachian tube dysfunction questionnaire (ETDQ-7), Valsalva test, and inflation-deflation test that were compared preoperatively and postoperatively in both groups. Compared with the group without sinusitis, the ESS group showed significant improvement of E-tube function after surgery in the ETDQ-7 (p = 0.002), right Valsalva test (p = 0.015), right deflation test (p = 0.005), and left deflation test (p = 0.006). A binary logistic regression analysis revealed that ESS significantly improved E-tube function in the right Valsalva test in a univariate (p = 0.021) and multivariate analysis (p = 0.008), and E-tube function in the left deflation test in a univariate (p = 0.021) and multivariate analysis (p = 0.039). These findings indicate that E-tube function is significantly improved after ESS in adult sinusitis patients, and that the presence of sinusitis and implementation of ESS should be considered (if sinusitis is present) in managing patients with ear diseases that are affected by E-tube function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Choi

Jang

Seo

et al. 2021

JCM

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“…Although several studies have looked at functional ETD testing in children, this is the first to attempt to define a normal value for these tests (4,6,10,11). We have demonstrated that the adult norm of +20 daPa shift in pressure after Valsalva can likely be applied to children over the age of 12.5 years.…”

Section: Discussionmentioning

confidence: 99%

When Can Children Perform Valsalva and Toynbee Maneuvers? An Exploratory Study

Alsayegh,

Silver,

Agnihotram

et al. 2024

Otol Neurotol

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Objectives Barochallenge-induced Eustachian tube dysfunction (ETD) is difficult to diagnose because the examination is often normal during clinical assessment. In adults, functional tympanometry testing, performed by asking the patient to Valsalva and Toynbee while measuring the pressure shift, can aid in the diagnosis of ETD. However, standardized values do not exist in children. We aim to determine the age at which children can perform these maneuvers and the normative values in this population. Methods Patients with a normal basic ear examination 4 years and older, presenting to the pediatric Otolaryngology clinic, were recruited. Otoscopy, baseline tympanometry, followed by Valsalva and Toynbee maneuvers were performed. Because there are no pediatric norms, we hypothesized that children would achieve the same minimum normal pressure shift as cited in the adult literature (+20 daPa or higher for Valsalva and −20 daPa or lower for Toynbee). The data were analyzed using receiver operating characteristic curves and logistic regression. Results One hundred sixty-eight children (276 ears) were assessed. Participants as young as 4 years old were able to perform a Valsalva and Toynbee. Age cut-offs at which children achieved adult norms were 12.5 years (p = 0.016) and 8.5 years (p = 0.071) for Valsalva and Toynbee maneuvers, respectively. Mean pressure shift ranged from +29 to −36 daPa, and males were 2.5 times more likely to achieve Toynbee compared with females (p = 0.006). Conclusions Functional tympanometry testing may be used to help diagnose barochallenge-induced ETD in older children.

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“…The only muscle responsible for opening the tube is the tensor muscle of the soft palate, which when contracted promotes ventilation of the middle ear 6 . This mechanism protects the ear from rapid pressure changes, keeps the mucosa preserved and allows the eardrum -ossicular unit to vibrate uneventfully 7 . Muscular changes in the palate may entail a reduction of tubal functioning 8 .…”

Section: Introductionmentioning

confidence: 99%

Maloclusões e disfunção da tuba auditiva em crianças: uma revisão integrativa

et al. 2016

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This integrative literature review aimed to conducted in order to analyze the available scientific evidence about the relationship between malocclusion and the Eustachian Tube Dysfunction. A search was carried out in the Virtual Health Library / Bireme, using the following keywords: "malocclusion", "eustachian tube", "otitis media". Articles published in English, Portuguese and Spanish, without publication date limit were included in the research. Repeated articles in databases, case reports and those who had not scientific paper format, such as reviews, theses, editorials, essays and letters were excluded. After analysis, it was selected 09 articles that accoplished criteria inclusion; the majority was conducted in Europe Continent and only one was conducted in Brazil. The lack of articles about the relationship between malocclusion and the Eustachian Tube Dysfunction was found. Among the available studies, there was no consensus about the relationship between the middle ear disorders and malocclusions. Intervention studies have shown that rapid maxillary expansion has a positive effect on the functioning of the Eustachian Tube. It can be concluded that, because of shortage of articles, there is need for more studies on this topic, for Dentistry, along with the other areas of health, can contribute to the choice of treatments that aim a better quality of life for this population. Keywords: Malocclusion; Eustachian Tube; Otitis Media RESUMO Esta revisão integrativa da literatura objetivou analisar as evidências científicas disponíveis sobre a relação entre as maloclusões e a disfunção da tuba auditiva. Através dos descritores "malocclusion","eustachian tube", "otitis media", fez-se uma busca na Biblioteca Virtual em Saúde / Bireme, incluindo artigos publicados em inglês, português e espanhol, sem limite de data de publicação. Os artigos repetidos nas bases de dados, relatos de caso e os que não se apresentaram em formato de artigo científico, tais como resenhas, teses, editoriais, dissertações e cartas foram excluídos. Após análise foram selecionados 09 artigos que preenchiam os critérios de inclusão estabelecidos, sendo que a maioria foi conduzido no continente Europeu e apenas um estudo foi realizado no Brasil. Foi possível verificar uma escassez de artigos sobre a relação entre as maloclusões e a disfunção da tuba auditiva. Não houve um consenso entre os estudos disponíveis sobre a relação entre as desordens da orelha média e as maloclusões, no entanto os estudos de intervenção mostraram que a expansão rápida da maxila tem efeito positivo no funcionamento da tuba auditiva. Em meio a escassez de artigos, verifica-se a necessidade de mais estudos sobre essa temática para que a Odontologia e a Fonoaudiologia, juntamente com as demais áreas da saúde, possam contribuir na escolha de tratamentos que possibilitem uma melhora na qualidade de vida desta população.

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Função da tuba auditiva em adultos com membrana timpânica íntegra

Cited by 15 publications

References 9 publications

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

Effect of Endoscopic Sinus Surgery on Eustachian Tube Function in Adult Sinusitis Patients: A Prospective Case-Control Study

When Can Children Perform Valsalva and Toynbee Maneuvers? An Exploratory Study

Maloclusões e disfunção da tuba auditiva em crianças: uma revisão integrativa

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