Trans-tympanic silicone plug insertion for chronic patulous Eustachian tube

Sato, Toshiharu; Kawase, Tetsuaki; Yano, Hisakazu; Suetake, Mitsuko; Kobayashi, Toshimitsu

doi:10.1080/00016480510038167

Cited by 65 publications

(51 citation statements)

References 16 publications

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“…Procedimiento aplicado en el orificio de la trompa de Eustaquio, con un éxito del 100% reportado en una serie de 22 oídos, sin embargo, se vio una tasa de recurrencia del 27% a un mes del tratamiento, incluso después de una segunda infusión 41 .…”

Section: A) Métodos No-quirúrgicosunclassified

Trompa patulosa

2009

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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RESUMENLa trompa patulosa es aquella trompa de Eustaquio que permanece permanentemente abierta y se asocia a ciertas condiciones como baja de peso y embarazo, entre otras, que tienen como denominador común la pérdida de tejido en la porción cartilaginosa de la tuba auditiva (trompa de Eustaquio). Tiene manifestaciones clínicas diversas, siendo la autofonía la principal de ellas. El diagnóstico se basa en la historia clínica, examen físico y un alto grado de sospecha por parte del examinador. Para esto, es indispensable el examen clínico mediante otoscopía e idealmente endoscopía nasal, eventualmente se requiere de otras técnicas, cuya utilidad está aún en investigación. Desde su reconocimiento como entidad clínica se han intentado diversos tratamientos médico-quirúrgicos, con resultados también diversos. Por este motivo, se requiere una evaluación de cada paciente en particular para definir su manejo específico. Esperamos con este artículo, presentar una revisión actualizada de la literatura acerca de una patología de importancia creciente, con énfasis en las alternativas de tratamiento que han demostrado mayor efectividad.Palabras clave. Tuba auditiva, trompa patulosa, autofonía, disfunción tubaria. ABSTRACTA patulous auditory tube is a condition in which the Eustachian tube remains constantly open, and it is associated to certain conditions such as weight loss and pregnancy, among others, which have in common tissue loss in the cartilaginous portion of the Eustachian tube. Its clinical manifestations are varied, the main one being autophony. Diagnosis is based on clinical history and physical examination. For the health professional to suspect the condition, an otoscopy and ideally a nasal endoscopy are necessary. Eventually, other diagnosing techniques may be required, but their usefulness is still under discussion. Since its acceptance as a clinical entity, several surgical and medical treatments have been tried, with varied results. For this reason, each patient should be individually evaluated in order to decide a specific management. We present an updated literature review of a pathology of increasing importance, emphasizing the treatment alternatives that have demonstrated to be more effective.

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Section: A) Métodos No-quirúrgicosunclassified

Trompa patulosa

2009

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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“…Plugging of the ET via transtympanic or transnasal approaches has been reported and the devices used include transvenous angiocatheter or silicone plug [42][43][44]. Eustachian tube injection was frequently applied to PET patients as a method of occlusion of ET orifice.…”

Section: ) Tympanostomy Tube and Mass Loading Of The Tympanic Membranementioning

confidence: 99%

“…3) Eustatian tube plugging, injection, and cautery [41][42][43][44]. Plugging of the ET via transtympanic or transnasal approaches has been reported and the devices used include transvenous angiocatheter or silicone plug [42][43][44].…”

Section: ) Tympanostomy Tube and Mass Loading Of The Tympanic Membranementioning

confidence: 99%

Objective Tinnitus

Park

2016

Hanyang Med Rev

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Objective tinnitus originates from the para-auditory structures of the head and neck and can be heard or documented by examiner. Three representative forms of objective tinnitus, according to the causal organs are myoclonic tinnitus, vascular tinnitus and tinnitus caused by the patulous Eustachian tube. Etiologies, pathologic mechanisms, diagnostic approaches, and proper treatment methods of objective tinnitus are comprehensively discussed with a review of literatures. Objective tinnitus can be cured in many cases. Clinicians need to be well aware of the clinical characteristics of objective tinnitus since early, correct diagnosis with proper management are mandatory for its cure.

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“…Injection of botulinum toxin into the palate has been successful for patients with tinnitus secondary to palatal muscle myoclonus 76 . Eustachian tube dysfunction may be managed by treatment with mucosal irritants such as tetracycline to the nose that cause disruption of the orifice of the eustachian tube 15 ; alternatively, the nasopharyngeal orifice may be surgically closed 77 or silicone plugs placed through the middle ear 78 . Unfortunately, there are very few effective treatments specifically for tinnitus.…”

Section: Managementmentioning

confidence: 99%