A correlative manometric and endoscopic study of tubal function in dry central perforation of the tympanic membrane

El-Guindy, Ahmed

doi:10.1017/s0022215100117116

Cited by 10 publications

(9 citation statements)

References 11 publications

(10 reference statements)

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“…4 El-Guindy also reported that normalization of tubal function was achieved in 17 out of 32 patients after correction of the nasal and peri-tubal abnormality. 8 The present study also demonstrates a strong association between adult-onset OME and atopy. Twenty-three out of 53 patients (43 per cent) had a known history of atopy.…”

Section: Discussionsupporting

confidence: 74%

Adult-onset otitis media with effusion: results following ventilation tube insertion

Yung

Arasaratnam

2001

J. Laryngol. Otol.

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The outcome of otitis media with effusion (OME) in children is generally good. However, it is less clear in adults. All adult patients who had a ventilation tube inserted for OME at the Ipswich Hospital between 1996 and 1997 were studied. Of 53 patients studied, 28 had had a previous history of ventilation tube insertion. Furthermore, at 15-27 months following ventilation tube insertion, the ventilation tube had already extruded in 31 patients and the OME had already recurred in 19 of these. Endoscopic examination revealed that many patients still had evidence of inflammation at the lateral nasal wall (26.4 per cent) and at the eustachian tube orifice (51 per cent). There is also a strong history of atopy in the studied group and the skin prick test was positive in 57 per cent of the patients. This study shows that many patients with adult-onset OME have underlying pathology that could lead to recurrence of OME following ventilation tube extrusion.

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Section: Discussionsupporting

confidence: 74%

Adult-onset otitis media with effusion: results following ventilation tube insertion

Yung

Arasaratnam

2001

J. Laryngol. Otol.

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“…The opening and closing mechanism of the tubal orifice was evaluated when the patient was asked to swallow. Fluorescein (Thilo) was instilled into the middle ear, and the tubal patency was tested by asking the patient to swallow five times whilst searching for fluorescein in the nasopharynx (El-Guindy, 1991).…”

Section: Methodsmentioning

confidence: 99%

Endoscopic transcanal myringoplasty

El-Guindy¹

1992

J. Laryngol. Otol.

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109

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The role of the rigid endoscope has been evaluated in the management of 36 cases with dry central perforation of the tympanic membrane. The graft take rate was 91.7 per cent and the air-bone gap was closed to less than 10 dB in 83.3 per cent.The use of the rigid endoscope in the management of dry central perforation of the drum represented a significant advance in middle ear surgery. It is used, in correlation with manometry, to evaluate the tubal function before ear surgery and to treat hidden causes of tubal obstruction. It replaces the operating microscope in observation and surgery of the tympanic membrane perforation. It overcomes anatomical variations that hamper access to the entire tympanic membrane during ear surgery. It provides an extremely sharp image with high resolution.

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“…Each patient was subjected to the following procedures like blood investigations, pus culture and sensitivity, plain X-ray both mastoids-Law's view, pure tone audiometry, impedance audiometry, otoendoscopy, diagnostic nasal endoscopy. [3] …”

Section: Exclusion Criteriamentioning

confidence: 99%

Evaluation of Eustachian tube function in chronic suppurative otitis media (tubotympanic type) with reference to its treatment outcome

et al. 2012

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in perforated tympanic membrane and William's test is an essential tool to assess the ETF in intact tympanic membrane. Our present study is undertaken to assess the ETF in patient with CSOM with reference to its treatment outcome. Based on impedance audiometry fi ndings, patients of tubotympanic disease are categorized as totally impaired, partially impaired, and normal ETF. Patients with normal ETF were taken up for myringoplasty. Patients with totally impaired ETF irrespective of middle ear mucosal status (dry or wet) were taken up for cortical mastoidectomy with tympanoplasty. Patients with partially impaired ETF, with dry middle ear mucosa were taken up for myringoplasty and those with wet middle ear were taken up for cortical mastoidectomy with tympanoplasty. ABSTRACT Aims and Objectives:To assess the eustachian tube function (ETF) and to evaluate the treatment outcome of chronic suppurative otitis media (CSOMtubotympanic type) in relation to eustachian tube dysfunction. Materials and Methods: Prospective study for a period of 2 years; the study comprises of 100 patients diagnosed to have CSOM (tubotympanic type). ETF was assessed by Toynbee's test. Patients with normal ETF were taken up for myringoplasty. Patients with totally impaired ETF irrespective of middle ear mucosal status (dry or wet) were taken up for cortical mastoidectomy with tympanoplasty. Patients with partially impaired ETF, with dry middle ear mucosa were taken up for myringoplasty and those with wet middle ear were taken up for cortical mastoidectomy with tympanoplasty. Results and Analysis: The ETF in these patients was analyzed and graft uptake was assessed clinically in reference to ETF status. The results are tabulated and analyzed using Chi-square test using number cruncher statistical system (NCSS) software. In our study, preoperative ETF had a highly signifi cant P value0.0005. Conclusion: Methodology of treatment adapted for CSOM patients based on ETF proves that the eustachian tube plays a major role in the uptake of graft.

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A correlative manometric and endoscopic study of tubal function in dry central perforation of the tympanic membrane

Cited by 10 publications

References 11 publications

Adult-onset otitis media with effusion: results following ventilation tube insertion

Adult-onset otitis media with effusion: results following ventilation tube insertion

Endoscopic transcanal myringoplasty

Evaluation of Eustachian tube function in chronic suppurative otitis media (tubotympanic type) with reference to its treatment outcome

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