A Conceptual Study on Kaphaja Shiroroga with Special Reference to Sinusitis

Abstract

The Eustachian tube (ET) plays an important role in the function of the middle ear, stimulating drainage and ventilation. The drainage of secretions from the middle ear is carried out by the mucociliary system of the tube (and the mucus membrane of the middle ear), the muscular system of the tube and the tension of the tubal lumen. The ET is normally closed by periluminal pressure which is greater than the outside pressure, while it is rhythmically opened by muscle activity to which it is directly or indirectly linked. There are six muscles recognised as having an active role in the functions of the tuba: tensor veli palatini; levator veli palatini; tensor tympani; salpingopharyngeus; lateral and medial pterygoids. Literature available on an osteopathic approach to treating the ET is lacking. The article reviews the literature on the osteopathic treatment of the Eustachian tube and proposes a new hypothesis of treatment for a non-pediatric population. This may lead to new scientific findings and improved results to the patient's overall health.