Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-07T23:03:46.681Z Has data issue: false hasContentIssue false
  • English
  • Français

Patulous Eustachian tube syndrome: The relationship with sensorineural hearing loss Treatment by Eustachian tube diathermy

Published online by Cambridge University Press:  29 June 2007

P. J. Robinson  and
J. W. P. Hazell
P. J. Robinson*
Affiliation:
London
J. W. P. Hazell
Affiliation:
London
*
P. J., Robinson, F.R.C.S., Royal Ear Hospital, Huntley Street, London WC1E 6AU.
Get access Rights & Permissions [Opens in a new window]

Abstract

The patulous Eustachian tube syndrome has previously been regarded as a troublesome but benign condition. Nine out of 13 patients reported here had evidence of cochlear damage similar to that caused by acoustic trauma. These patients also had vestibular symptoms which improved with treatment of the patulous tube.

It is postulated that abnormal patency of the Eustachian tube may allow excessive middle ear pressure changes to occur which may be transmitted by abnormal ossicular movement to the cochlea.

Eustachian tube diathermy using a ureteric diathermy probe is a safe and effective method of treating this condition.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 8 , August 1989 , pp. 739 - 742
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aschan, G., Ekvall, L. and Magnusson, B. (1980) Reverse aspiratory middle ear disease; a neglected pathogenic principal. In “Physiology and Pathophysiology of Eustachian tube and middle ear”, International Symposium, Frieburg (Breisgau 1977) ed. Munker, G. & Arnold, W., published by Georg Theime Verlag, Stuttgart, New York.Google Scholar
Bezold, F. and Sibebenmann, F. (1908) Textbook of otology for physicians and students (trans. Hollinger, J.) page 151. Published by E. H. Colgrove, Chicago, Ill.Google Scholar
Bluestone, C. D., Cantekin, E. I. and Beery, Q. C. (1975) Certain effects of adenoidectomy on Eustachian tube ventilatory function. Laryngoscope 85: 113–127.CrossRefGoogle ScholarPubMed
Bluestone, C. D., Cantekin, E. I. (1981) Management of the patulous Eustachian tube. Laryngoscope, 91: 149–152.CrossRefGoogle ScholarPubMed
Cantekin, E. I., Phillips, E. C. and Doyle, W. J. (1980) The effect of surgical alterations of the tensor veli palatini muscle on Eustachian tube function. Annals of Otology, Rhinology and Laryngology, 89: Supplement 68: 47–53.CrossRefGoogle ScholarPubMed
Crary, G. C., Murray, W. and Berliner, K. (1979) The abnormally patent Eustachian tube. Archives of Otolaryngology, 105: 21–23.CrossRefGoogle ScholarPubMed
Eisner, M. F. and Alexander, M. H. (1957) Silver nitrate cautery. Otolaryngology, Vol. 1 Ch. 10 17–19 ed. Coates, G. M., Schenck, H. P.Miller, M. F.Published by Prior & Co. Hagerstown, MD.Google Scholar
Halstead, T. H. (1926) Pathology and surgery of the Eustachian tube. Archives of Otolaryngology, 4: 189–195.CrossRefGoogle Scholar
Hazell, J. W. P. (1984) Spontaneous cochlear emissions and tinnitus; clinical experience in the tinnitus patient. Journal of Laryngology and Otology, Supplement 9: 106–110.CrossRefGoogle Scholar
Heerman, J. (1988) Einseitig weite tuba auditiva mit tinnitus, innenohrschaden, schwindel und horsturz—kollageninjection. HNO, 36: 13–15.Google Scholar
Jago, J. (1867) Function of the tympanum. British & Foreign Medicochirurgical Review, 39: 496–520.Google ScholarPubMed
Jauman, M. P., Steiner, W. and Berg, M. (1980) Endoscopy of the pharyngeal Eustachian tube. Annals of Otology, Rhinology and Laryngology, 89: Supplement 68: 54–55.Google Scholar
Leclerc, J. E., Doyle, W. J. and Karnavas, W. (1987) Physiological modulation of Eustachian tube function. Acta Otolaryngologica, 104: 500–510.CrossRefGoogle ScholarPubMed
Malm, L. (1987) The influence of pregnancy on the Eustachian tube function in rats. Acta Otolaryngologica, 104: 251–254.CrossRefGoogle ScholarPubMed
Misurya, P. K. (1974) Surgical treatment of the abnormally patulous Eustachian tube. Journal of Laryngology and Otology, 88: 877–883.CrossRefGoogle ScholarPubMed
O'Connor, A. F. and Shea, J. J. (1981) Autophony and the patulous Eustachian tube. Laryngoscope, 91: 1427–1435.CrossRefGoogle ScholarPubMed
Ogawa, S., Satoh, I. and Tanaka, H. (1976) Patulous Eustachian tube syndrome; a new treatment with infusion of absorbable gelatine sponge solution. Archives of Otolaryngology, 102: 276–280.CrossRefGoogle Scholar
Perlmann, H. D. (1939) The Eustachian tube; abnormal patency and normal physiologic state. Archives of Otolaryngology, 30: 212.CrossRefGoogle Scholar
Plate, S., Johnsen, N. J., Nodskov, Pedersen S. and Thomsen, K. A. (1979) The frequency of patulous Eustachian tube in pregnancy. Clinical Otolaryngology, 4: 393–400.CrossRefGoogle ScholarPubMed
Pulec, J. L. (1967) Abnormally patent Eustachian tube; treatment with injection of polytetrafluoroethylene (Teflon paste). Laryngoscope, 77: 1543–1554.CrossRefGoogle ScholarPubMed
Stroud, M. H., Spector, G. J. and Maisel, R. H. (1974) Patulous Eustachian tube syndrome; a preliminary report of the use of the tensor veli palatini transposition procedure. Archives of Otolaryngology, 99: 419–421.CrossRefGoogle ScholarPubMed
Suehs, O. W. (1960) The abnormally open Eustachian tube. Laryngoscope 70: 1418–1426.CrossRefGoogle Scholar
Virtanen, H. (1978) Patulous Eustachian tube; diagnostic evaluation by sonotubometry. Acta Otolaryngologica, 86: 401–407.Google ScholarPubMed
Virtanen, H. and Palva, T. (1982) Surgical treatment of patulous Eustachian tube. Archives of Otolaryngology, 108: 735–739.CrossRefGoogle ScholarPubMed
Zollner, F. (1937) Die Klaffende Ohrtrompete, Storungen dadurch und vorschlage zu ihrer Behebung. Zeitschrift fur Hals Nasen und Ohrenheilkunde, 42: 287–298.Google Scholar