Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-27T22:22:15.050Z Has data issue: false hasContentIssue false

Valve section of the eustachian tube

Published online by Cambridge University Press:  29 June 2007

Chih-Ying Su*
Affiliation:
Department of Otolaryngology, Chang Gung Medical College and Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, R.O.C.
*
Address for correspondence: Dr Chih-Ying Su, Department of Otolaryngology, Chang Gung Memorial Hospital, 123 Ta Pei Road, Niao Surg Hsiang, Kaohsiung Hsein, Taiwan(R.O.C.) Fax: (07) 7318762

Abstract

Research on the eustachian tube (ET) and related paratubal structures was carried out by serial section of the temporal bone-ET specimens. In the cadaveric studies, the mid-cartilaginous section of the ET presented a curved slit-like lumen. It is believed that this section functions principally as a valve mechanism and acts like an active sphincter of the ET. This report illustrates the dynamic movement of the valve section in a living ET which can be observed by using a superfine fibreoptic videomicroendoscope. Disorders of the open-close mechanism of the valve section in a diseased ET due to different aetiologies are also discussed. This study indicated that transtympanic ET microendoscopy had considerable potential for exploring fascinating new aspects of the physiology, pathophysiology and anatomy dynamics of the ET.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1995

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.)

Footnotes

Presented in part at the Fourth Research Workshop on the Biology, Prevention, and Treatment of Head and Neck Cancer, Arlington, Virginia, 9 September 1994.

References

Bluestone, C. D. (1983) Eustachian tube function: physiology, pathophysiology and role of allergy in pathogenesis of otitis media. Journal of Allergy and Clinical Immunology 72: 242251.CrossRefGoogle ScholarPubMed
Bremond, G. A., Magnan, J., Chays, A., De Gasquet, R. (1990) Endoscope de la trompe d'eustache; Premier bilan. Annals of Oto-Laryngology 107: 1519 (in French).Google Scholar
Cundy, R. L., Sando, I., Hemenway, W. G. (1973) Middle ear extension of nasopharyngeal carcinoma via eustachian tube–a temporal bone report. Archives of Otolaryngology 98: 131133.CrossRefGoogle ScholarPubMed
Doyle, W. J., Cantekin, E. L., Bluestone, C. D., Phillips, D. C., Kimes, K. K., Siegel, M. I. (1980) Eustachian tube and cleft palate. Annals of Otology, Rhinology and Laryngology 68: 4146.CrossRefGoogle Scholar
Edelstein, D. R., Magnan, J., Parisier, S. C., Chays, A. C., Isaacs, R. S., Gignac, D., Bushkin, S., Han, J. G. (1994) Microfibreoptic evaluation of the middle ear cavity. American Journal of Otology 15(1): 5055.Google ScholarPubMed
Hopf, J., Linnarz, M., Gundlach, P., Schafer, E., Leege, N., Scherer, H., Schols, C., Muller, G. (1991) Die Mikroendoskopie der eustachischen rohre und des mittelohres. Laryngo-Rhino-Otology 70: 391394 (in German).CrossRefGoogle Scholar
Jaumann, M. P., Steiner, W. (1978) Endoscopy of the nose and nasopharynx. Endoscopy 10: 240247.CrossRefGoogle ScholarPubMed
Proctor, B. (1973) Anatomy of the eustachian tube. Archives of Otolaryngology 97: 28.CrossRefGoogle ScholarPubMed
Rood, S. R., Doyle, W. J. (1982) The nasopharyngeal orifice of the auditory tube: implications for tubal dynamics anatomy. Cleft Palate Journal 19: 119128.Google ScholarPubMed
Sade, J., Luntz, M. (1989) Eustachian tube lumen: comparison between normal and inflamed specimens. Annals of Otology, Rhinology and Laryngology 98: 630634.CrossRefGoogle ScholarPubMed
Sando, I., Takahashi, H., Matsune, S., Aoki, H. (1994) Localization of function in the eustachian tube: a hypothesis. Annals of Otology, Rhinology and Laryngology 103: 311314.Google ScholarPubMed
Schuknecht, H. R., Kerr, A. G. (1967) Pathology of the eustachian tube. Archives of Otolaryngology 86: 4550.Google ScholarPubMed
Su, C. Y., Hsu, S. P., Lui, C. C. (1993) Computed tomography, magnetic resonance imaging, and electromyographic studies of tensor veli palatini muscles in patients with nasopharyngeal carcinoma. Laryngoscope 103: 673678.CrossRefGoogle ScholarPubMed
Su, C. Y. (1994) Transtympanic microendoscopic findings of the eustachian tube in patients with nasopharyngeal carcinoma. Head and Neck 16: 521 (Abstract).Google Scholar
Takahara, T., Sando, I., Bluestone, C. D., Myers, E. N. (1986) Lymphoma invading the anterior eustachian tube–temporal bone histopathology of functional tubal obstruction. Annals of Otology, Rhinology and Laryngology 95: 101105.CrossRefGoogle ScholarPubMed
Yamashita, K. (1987) Endoscopy of the eustachian tube. Advances in Oto-Rhino-Laryngology 37: 5359.CrossRefGoogle ScholarPubMed