A simple apparatus for the assessment of Eustachian tube patency before myringoplasty

Moustafa, Hassan M.; Abdel-Latif, Salem M.; Shaaban, B. M.

doi:10.1017/s0022215100086692

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…In our study post-operatively we found the graft success rate was 96% among patients with normal ET function, whereas it was 83% in partial dysfunction of ET and 64% in total ET dysfunction and so we found a statistical significant association between the ET function and the tympanoplasty success rate and a similar type of findings was also quoted by Holmquist et al, Mackinnon et al, Moustafa et al 16,21,22 These studies had been conducted more than 3 decades ago but even the recent studies done by Shiromany and Belaldavar et al, Prasad et al had also mentioned a similar percentage of success and failure rates. 12,14 Few other controversial results were also observed in few studies done by Sheehy and Glasscock, Sharp, Ekvall, Bluestone, Anderson where they observed a poor association between Eustachian tube function and Tympanoplasty results in which they found more than 70% success rate in patients with poor tubal function.…”

Section: Discussionsupporting

confidence: 89%

Eustachian tube functional assessment among patients with CSOM undergoing tympanoplasty surgery

Pasupuleti

Vikram

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Pre-operative test of eustachian tube (ET) function is important for achieving a satisfactory result of tympanoplasty for CSOM patients. The saccharin test and methylene blue test seems to provide adequate information of the mucociliary function and patency of the ET. The aim was to study the ventilatory and mucociliary function of Eustachian tube in patients with chronic suppurative otitis media planned for tympanoplasty surgery and to assess the success rate of tympanoplasty in relation to the Eustachian tube functionMethods: A prospective longitudinal study was conducted for a period of one year. Patients aged more than 15 years with features of chronic suppurative otitis media of either tubotympanic type or atticoantral type were included in the study. The total number of study subjects included in our study was 82 patients with CSOM. The ventilatory and the mucociliary functions of the auditory tube were assessed preoperatively using saccharin test and methylene blue test. All patients with CSOM underwent tympanoplasty surgery and the outcome of the surgery was assessed. Results: The overall success rate of tympanoplasty surgery was 76.8%. It was observed in our study that the success rate of tympanoplasty was higher among patients with normal eustachian tube function.Conclusions: Preoperative evaluation of eustachian tube function is mandatory for all the patients planned for tympanoplasty. Preoperative and intraoperative corrective measures should be taken in patients with partial and absent tubal function to improve the success rate of tympanoplasty surgeries.

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Section: Discussionsupporting

confidence: 89%

Eustachian tube functional assessment among patients with CSOM undergoing tympanoplasty surgery

Pasupuleti

Vikram

2019

Int J Otorhinolaryngol Head Neck Surg

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“…The results of present study are comparable with Mackinnon (19) who observed 81% success rate in patients with normal ETF and 40% in patients with impaired ETF. Study results were compared with other studies in table No 3 (20)(21)(22)(23)(24). After applying the tests of significance it was found that there is no significant association between Eustachian tube function and successful graft take up (P > 0.05).…”

Section: Role Of Impedance Audiometry In Evaluation Of Eustachian Tubmentioning

confidence: 96%

Role of Impedance Audiometry in Evaluation of Eustachian Tube Function and Its Correlation with Tympanoplasty Surgery Outcome: Our Experience

Tadke¹,

Lahane²,

Wakode³

2017

IOSR JDMS

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“…The major cause of abnormal tubal function appears to be obstruction which is either mechanical or functional. Manometry (Miller, 1965;Bluestone etal., 1972;Moustafa et al, 1979;Cantekin et al, 1979), radiography (Ferber and Holmquist, 1973), fluorescein (Rogers et al, 1962) and radioisotope studies (Lafaye et al, 1974) have been used to diagnose tubal obstruction. Whenever the tubal obstruction was diagnosed and the aetiology was obscure, it was considered as functional or idiopathic (Bluestone, 1990).…”

Section: Introductionmentioning

confidence: 99%

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

El-Guindy¹

1991

J. Laryngol. Otol.

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Since good ventilation of the middle ear is a pre-requisite for successful myringoplasty, it was our policy to investigate the tubal function in dry central perforation of the eardrum and to correlate the manometric and endoscopic findings. Nasal endoscopy proved to be indispensable in diagnosing mechanical tubal obstruction and in localizing and even treating ‘hidden’ lesions in key areas, with probable normalization of the tubal function. The correction of the mechanical tubal obstruction must precede ear surgery. Whenever tubal obstruction is diagnosed as functional or idiopathic, the ventilation of the middle ear should be guaranteed during ear surgery by addition of a tympanostomy tube to the graft or drum remnant, and a guarded prognosis given.

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A simple apparatus for the assessment of Eustachian tube patency before myringoplasty

Cited by 6 publications

References 14 publications

Eustachian tube functional assessment among patients with CSOM undergoing tympanoplasty surgery

Eustachian tube functional assessment among patients with CSOM undergoing tympanoplasty surgery

Role of Impedance Audiometry in Evaluation of Eustachian Tube Function and Its Correlation with Tympanoplasty Surgery Outcome: Our Experience

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

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