Cartilage tympanoplasty combined with eustachian tube balloon dilatation in the treatment of adhesive otitis media

2018 ◽  
Vol 129 (6) ◽  
pp. 1462-1467 ◽  
Author(s):  
Yu Si ◽  
Yubin Chen ◽  
Guo Xu ◽  
Ximing Chen ◽  
Wuhui He ◽  
...  
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Balloon Dilatation ◽  
Cartilage Tympanoplasty ◽  
Adhesive Otitis Media

scholarly journals A comprehensive study on cartilage tympanoplasty in adhesive otitis media

2017 ◽  
Vol 3 (3) ◽  
pp. 650
Author(s):  
V. Saravana Selvan ◽  
C. Karuppasamy
Keyword(s):  
Otitis Media ◽  
Hearing Results ◽  
Randomised Study ◽  
Ossicular Reconstruction ◽  
Medical College ◽  
Cartilage Reconstruction ◽  
Cartilage Tympanoplasty ◽  
Madras Medical College ◽  
Adhesive Otitis Media

<p class="abstract"><strong>Background:</strong> The surgical management of adhesive otitis media is debatable. Adhesive otitis media progressing to cholesteatoma cannot be predicted, and hearing remains normal until later in the disease course. Hence surgery is done only when there is hearing loss or frank cholesteatoma develops, where an extensive surgery may be needed. Earlier intervention is often avoided due to near normal hearing levels at this stage in some cases. Aim of the study was to hearing results and intactness of neotympanum who have undergone cartilage tympanoplasty with or without ossicular reconstruction are reported for patients with adhesive otitis media</p><p class="abstract"><strong>Methods:</strong> This is an open labelled randomised study conducted in Madras Medical College after getting approval from the Institutional Ethical Committee. The study was conducted during the period of November 2011 to April 2013. A total of thirty patients (thirty one ears) aged thirteen-forty eight years underwent cartilage tympanoplasty with or without ossicular reconstruction. Tympanotomy was followed by cartilage reconstruction of the tympanic membrane, with ossicular reconstruction if there is any ossicular discontinuity</p><p class="abstract"><strong>Results:</strong> The outcome measures were post-operative pure tone average, air-bone gap for three frequencies (five hundred, thousand, two thousand hertz) compared to pre-operative levels. There was a statistically significant improvement in hearing. Neotympanum was found to be stable significantly during follow up.</p><p><strong>Conclusions:</strong> Therefore cartilage tympanoplasty with or without ossiculoplasty is effective for adhesive otitis media.</p>

scholarly journals Utilization potential of intraluminal optical coherence tomography for the Eustachian tube

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hayoung Byun ◽  
Yeon Hoon Kim ◽  
Jingchao Xing ◽  
Su-Jin Shin ◽  
Seung Hwan Lee ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Eustachian Tube ◽  
Balloon Dilatation ◽  
Optical Coherence ◽  
Cross Sectional ◽  
Anatomical Structures ◽  
Complex Anatomy ◽  
Before And After ◽  
Tubal Lumen ◽  
Oct Image

AbstractImaging the Eustachian tube is challenging because of its complex anatomy and limited accessibility. This study fabricated a fiber-based optical coherence tomography (OCT) catheter and investigated its potential for assessing the Eustachian tube anatomy. A customized OCT system and an imaging catheter, termed the Eustachian OCT, were developed for visualizing the Eustachian tube. Three male swine cadaver heads were used to study OCT image acquisition and for subsequent histologic correlation. The imaging catheter was introduced through the nasopharyngeal opening and reached toward the middle ear. The OCT images were acquired from the superior to the nasopharyngeal opening before and after Eustachian tube balloon dilatation. The histological anatomy of the Eustachian tube was compared with corresponding OCT images, The new, Eustachian OCT catheter was successfully inserted in the tubal lumen without damage. Cross-sectional images of the tube were successfully obtained, and the margins of the anatomical structures including cartilage, mucosa lining, and fat could be successfully delineated. After balloon dilatation, the expansion of the cross-sectional area could be identified from the OCT images. Using the OCT technique to assess the Eustachian tube anatomy was shown to be feasible, and the fabricated OCT image catheter was determined to be suitable for Eustachian tube assessment.

Anatomical Features Around Eustachian Tube in Eosinophilic Otitis Media With Eosinophilic Sinusitis

2021 ◽  
Author(s):  
Shinya Ohira ◽  
Manabu Komori ◽  
Hidehito Matsui ◽  
Hanae Furuya ◽  
Riko Kajiwara ◽  
...  
Keyword(s):  
Otitis Media ◽  
Eustachian Tube ◽  
Anatomical Features
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