Ligation of eustachian tube for intractable patulous eustachian tube: a preliminary report

被引:0
作者
Atsushi Takano
Haruo Takahashi
Kensuke Hatachi
Haruo Yoshida
Satoru Kaieda
Tomoyuki Adachi
Kenji Takasaki
Hidetaka Kumagami
Naoki Tsukasaki
机构
[1] Nagasaki University Graduate School of Biomedical Sciences,Division of Otorhinolaryngology, Department of Translational Medical Sciences
来源
European Archives of Oto-Rhino-Laryngology | 2007年 / 264卷
关键词
Eustachian tube; Gas exchange function; Patulous tube; Pressure regulation; Surgical treatment;
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摘要
Pharyngeal orifice of the eustachian tube was ligated on ten patients, 15 ears with intractable patulous eustachian tube. While the eustachian tube orifice was observed by an endoscope inserted through the contralateral nostril, the orifice was ligated transnasally and/or transorally using instruments usually used in the endoscopic nasal surgery. Now 13–27 months after the surgery, the outcome was excellent (both symptoms and sonotubometry were normalized) in two ears, good (either symptoms or sonotubometry was improved) in seven ears, and unchanged in the remaining six ears. In one of the ears with an outcome of unchanged, the ligation was found to be spontaneously released soon after surgery, but the symptom was improved after the second operation 2.5 months after the first operation. Temporary otitis media with effusion was seen in one ear, mild inflammation around the ligated site also in one ear, but no other serious complication has been observed. Although further improvement in the surgical procedure and further discussion about its long-term outcome should be required, this procedure appeared to be one of the therapeutic options for intractable patulous eustachian tube.
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页码:353 / 357
页数:4
相关论文
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