Autophonia in anorexia nervosa

Abstract

Ward based clinical examination revealed a normal tympanic membrane in our very low weight anorexic patients. Our results emphasise the possibility of loss of fatty tissue surrounding the Eustachian tube to be the primary cause for their otolaryngological symptoms. We have attempted to increase awareness among clinicians treating anorexic patients with similar symptoms.

Rare medical manifestations of severe restricting and purging: “Zebras,” missed diagnoses, and best practices

“…Autophonia refers to hearing one's own voice or breathing, in this case as a result of patulous Eustachian tubes, in which the Eustachian tubes, normally closed, remain open as a result of extreme underweight and loss of physiologic fat . The laying of the head forward may allow gravity to close the tubes transiently and bring relief of the symptom.…”

Dysphagia in Severe Anorexia Nervosa and Potential Therapeutic Intervention: A Case Series

“…While no formal evaluation was completed, the otolaryngologist suspected patulous eustachian tubes resulting in autophonia, a condition in which the eustachian tube is abnormally patent, resulting from loss of the physiologically normal fat pad that prevents such hyperperception of one's own voice and breathing. 31 Weight loss with ensuing tissue pressure reduction and fat loss around the eustachian tube region is one suspected cause of this symptom. 31 Before initiation of dysphagia treatment intervention, patient 2 underwent a VFSS.…”

“…31 Weight loss with ensuing tissue pressure reduction and fat loss around the eustachian tube region is one suspected cause of this symptom. 31 Before initiation of dysphagia treatment intervention, patient 2 underwent a VFSS. Peroral trials of thin liquids, nectar-thick liquids, puree, mechanicalsoft, and regular textures were administered (Table 2).…”

The patulous Eustachian tube syndrome: the current state-of-the-art and an original clinical observation. Second communication

“…Процесс этот с большой долей вероятности имеет необратимый характер, что препятствует восстановлению объема жировых тел Остмана после возврата к исходной массе тела [5]. Тем не менее некоторые исследователи отмечают достоверное уменьшение «ушных» симптомов по мере нормализации массы тела, в частности при лечении нервной анорексии [8].…”