Presentation and eustachian tube function test results in children evaluated at a specialty clinic

2018 ◽  
Vol 129 (5) ◽  
pp. 1218-1228 ◽  
Author(s):  
Cuneyt M. Alper ◽  
Miriam S. Teixeira ◽  
Beverly C. Richert ◽  
J. Douglas Swarts
Keyword(s):  
Eustachian Tube ◽  
Test Results ◽  
Eustachian Tube Function ◽  
Specialty Clinic ◽  
Function Test ◽  
Tube Function ◽  
Eustachian Tube Function Test

The efficacy of dynamic slow motion video endoscopy as a test of eustachian tube function

2013 ◽  
Vol 127 (7) ◽  
pp. 650-655 ◽  
Author(s):  
A M Augustine ◽  
L Varghese ◽  
R C Michael ◽  
R R Albert ◽  
A Job
Keyword(s):  
Eustachian Tube ◽  
Slow Motion ◽  
Eustachian Tube Dysfunction ◽  
Test Results ◽  
Eustachian Tube Function ◽  
Video Endoscopy ◽  
Clinically Normal ◽  
Tube Dysfunction ◽  
Tube Function ◽  
Motion Video

AbstractObjective:To assess the efficacy of dynamic slow motion video endoscopy as a test of eustachian tube function based on its correlation with the eustachian tube swallow test.Method:The eustachian tube swallow test and dynamic slow motion video endoscopy were performed on 100 clinically normal middle ears of adults undergoing rigid nasal endoscopy for various indications. The dynamic slow motion video endoscopy findings were interpreted by three observers who were blind to the results of the eustachian tube swallow test, and the findings of both techniques were compared.Results:There was a statistically significant correlation between the dynamic slow motion video endoscopy and eustachian tube swallow test results for some of the more lenient criteria. Five of the 100 eustachian tubes had a floppy medial cartilaginous lamina which appeared to contribute to the eustachian tube dysfunction.Conclusion:Dynamic slow motion video endoscopy appeared to over-diagnose eustachian tube dysfunction when used as a standalone test of eustachian tube function. However, when used in combination with other tests of eustachian tube function, it can provide valuable information regarding the structural and functional status of the pharyngeal end of the eustachian tube.

scholarly journals Influence of repetitive diving in freshwater on pressure equalization and Eustachian tube function in recreational scuba divers

2017 ◽  
Vol 47 (4) ◽  
pp. 223-227
Author(s):  
Stefanie Jansen ◽  
◽  
Manuela Boor ◽  
Moritz F Meyer ◽  
Eberhard D Pracht ◽  
...  
Keyword(s):  
Eustachian Tube ◽  
Middle Ear ◽  
Peak Pressure ◽  
Eustachian Tube Function ◽  
Pressure Equalization ◽  
Negative Shift ◽  
Scuba Divers ◽  
Tube Function ◽  
Eustachian Tube Function Test ◽  
Recreational Scuba

Introduction: We investigated the effect of repetitive pressure exposure during freshwater dives on Eustachian tube function and the middle ear, assessed by the Eustachian tube function test (ETFT). Methods: This prospective observational cohort study included 23 divers over three consecutive days of diving in freshwater lakes in Nordhausen, Germany. Participants underwent otoscopy and ETFT before the first dive, between each dive and after the last dive. ETFT included regular tympanometry (R-tymp), tympanometry after Valsalva (V-tymp) and after swallowing (S-tymp). The peak pressure difference between the R-tymp and the V-tymp (R-VdP) defined effectiveness of pressure equalization after Valsalva manoeuvres. We evaluated the change in compliance and peak pressure and correlated the results to the otoscopic findings and diving experience. Results: Twenty-three divers performed 144 dives. Middle ear barotrauma was assessed using the Edmonds modification of the TEED scoring system. In the ETFT, the R-tymp peak pressure displayed a negative shift from day one to three (P = 0.001) and differed significantly between the experience groups (P = 0.01). R-VdP did not change significantly on any of the three days of diving (all P > 0.05). Participants without MEBt showed significantly lower R-tymp values than did those with barotrauma (P = 0.019). Conclusion: Repetitive pressure exposure during three consecutive days of freshwater diving led to a negative shift of the peak pressure in the middle ear. Less experienced divers showed significantly higher middle ear peak pressure and higher pressure differences after equalization manoeuvres. Higher middle ear peak pressure was also associated with a higher prevalence of barotrauma.

Eustachian Tube Function of Patients with Nasopharyngeal Carcinoma

1995 ◽  
Vol 104 (6) ◽  
pp. 453-455 ◽  
Author(s):  
Mow-Ming Hsu ◽  
Yi-Ho Young ◽  
Kun-Lin Lin
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Otitis Media With Effusion ◽  
Local Treatment ◽  
Test Results ◽  
Eustachian Tube Function ◽  
Ventilation Tube ◽  
Hearing Improvement ◽  
Tube Function

Prolonged observations of the eustachian tube (ET) function were made on 40 ears of 20 patients with nasopharyngeal carcinoma (NPC) who survived more than 5 years after radiotherapy in a state of remission. The ET function tests included passive opening, inflation-deflation, and clearance, and were performed before, at 6 months, and at 5 years after radiotherapy. The test results were found to be worst at 6 months after radiotherapy and improved at 5 years after radiotherapy. Tubal obstruction and inflammation are the main causes of the ET malfunction that results in otitis media with effusion (OME) in NPC patients after radiotherapy. Insertion of a ventilation tube into the ear with OME can relieve tubal obstruction but can aggravate inflammation. Thus, myringotomy and aspiration of effusion and local treatment may be preferable to insertion of a ventilation tube in NPC patients with OME. When hearing improvement in prolonged survival of NPC patients with OME is needed, the use of amplification is recommended.

scholarly journals Effect of nasal obstruction surgery on eustachian tube function and middle ear ventilation

2020 ◽  
Vol 6 (6) ◽  
pp. 1054
Author(s):  
Shiv Kumar Rathaur ◽  
Jagram Verma
Keyword(s):  
Nasal Obstruction ◽  
Eustachian Tube ◽  
Middle Ear ◽  
Favourable Effect ◽  
Middle Ear Surgery ◽  
Eustachian Tube Function ◽  
Middle Ear Pressure ◽  
Middle Ear Ventilation ◽  
Tube Function ◽  
Eustachian Tube Function Test

<p class="abstract"><strong>Background:</strong> The purpose of this study was to assess the effect of surgery for nasal obstruction in improving Eustachian tube function and middle ear ventilation.</p><p class="abstract"><strong>Methods:</strong> This prospective study involved 60 patients with different nasal pathologies causing nasal obstruction along with complaints of ear fullness. In required cases the nasal pathologies were surgically managed. Pre and postoperative impedance audiometric evaluation and nasal endoscopy were done to assess the eustachian tube function, changes the value of middle ear pressure and ear fullness sensation at 1 month and at 3 months after surgery.  </p><p class="abstract"><strong>Results:</strong> Preoperatively, 56 (93.3%) patients had sensation of ear fullness, postoperatively at 1 month and at 3 months after nasal surgery only 20 (33.3%) patient and 18 (30%) respectively, has sensation of ear fullness, with significant improvement (p&lt;0.05). Preoperatively, 74 (61.6%) ears were type A tympanogram, 50 ears of them had poor eustachian tube function and 24 ears had good Eustachian tube function. 42 (35%) ears were type C, 4 (3.3%) ear were type B tympanogram, all of them had poor eustachian tube function. The postoperative results of eustachian tube function test and tympanometric value were significantly better than preoperative results (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> We find out that nasal obstruction has a definite relationship with eustachian tube function. Surgery for nasal obstruction has a favourable effect on the middle ear pressure and eustachian tube function. Corrective surgery for nasal obstruction should be considered at least 1 month before undertaking the middle ear surgery to improve middle ear ventilation.</p>

scholarly journals Evaluation of eustachian tube function in chronic suppurative otitis media with reference to its treatment outcome

2020 ◽  
Vol 6 (2) ◽  
pp. 297
Author(s):  
Sucheta Gupta ◽  
Mohit Goel ◽  
Padam Singh Jamwal
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Pure Tone Audiometry ◽  
Neck Surgery ◽  
Chronic Suppurative Otitis Media ◽  
Eustachian Tube Function ◽  
Suppurative Otitis Media ◽  
Mean Values ◽  
Tube Function ◽  
Eustachian Tube Function Test

<p class="abstract"><strong>Background:</strong> The study was undertaken to find out Eustachian tube function in safe type of chronic suppurative otitis media and to study the comparison of graft uptake in normal, partially impaired and grossly impaired Eustachian tube function in safe type of chronic suppurative otitis media.</p><p class="abstract"><strong>Methods:</strong> The present prospective study was conducted in the Department of Otorhinolaryngology and Head and Neck surgery, Sri Maharaja Gulab Singh Hospital, Jammu during the period from November 2016 to October 2017. Patients were diagnosed clinically and also audiometrically by pure tone audiometry and impedance audiometry. Eustachian tube function test- Toynbee test was done in all the patients.  </p><p class="abstract"><strong>Results:</strong> Out of 20 patients with normal Eustachian tube function, 19(95%) showed graft uptake. Out of 20 patients with partially impaired Eustachian tube function, 18 (90%) showed graft uptake. Out of 20 patients with grossly impaired Eustachian tube functions 13 (65%) showed graft uptake. Comparison of mean values of pre and post- operative air-bone (AB) gap with respect to normal, partially impaired and grossly impaired Eustachian tube functions is highly significant statistically with (p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> As seen in our study, functioning Eustachian tube is an important requirement for optimum outcome of myringoplasty. Testing the functions of Eustachian tube before surgery provides a possibility of predicting the possible outcome of myringoplasty or tymapanoplasty. This is also concluded that a partially functioning Eustachian tube should not be considered to be a contraindication to these surgeries as in many of these cases graft uptake and AB gap closure was good (90%).</p>

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