Determining Eustachian Tube Function in Mucosal Ear Disease Using Cost-Effective, Consistent, Constant, Convenient Tests: A Hospital Based Study

Anahtar Kelimeler:

Eustachian tube, mucosal ear disease, tympanometry, toynbee maneuver

Determining Eustachian Tube Function in Mucosal Ear Disease Using Cost-Effective, Consistent, Constant, Convenient Tests: A Hospital Based Study

Objective: Using a range of methods, the aim of this study was to measure the patency of the eustachian tube for its effectiveness in all cases of mucosal ear disease. The eustachian tube plays a pivotal role connecting the middle ear with the nasopharynx. It preserves the equilibrium between the middle ear and the outer air and protects the ear from various nasopharyngeal pressure changes, mounting secretions and microorganisms. Healthy eustachian tube functions and patency are prerequisites for effective graft uptake and successful tympanoplasty. The most common reason behind failure of graft uptake is abnormal function of the eustachian tube, where mucosal ear disease is present in the main pathology. Materials and Methods: 100 patients in the ENT OPD of the Subbaiah Institute of Medical Sciences, Shivomogga, were selected and screened and their tubal function was evaluated and equated with a few tests. Results: The results were tabulated based on 5 tests: Valsalva maneuver, siegalisation test, ear drops test, nasopharyngoscopy and tympanometry to which all selected patients were subjected. The outcomes were tabulated accordingly. Conclusion: Of all the tests carried out in this study, Toynbee was the only test which was accurate regarding the function of the eustachian tube as an opening and closing mechanism for the regulation of air pressure in the middle ear.

Keywords:

Eustachian tube, mucosal ear disease, tympanometry, toynbee maneuver,

PDF

___

1. Doyle WJ, Swarts JD, Banks J, Casselbrant ML, Mandel EM, Alper CM. Sensitivity and specificity of Eustachian tube function tests in adults. JAMA Otolaryngol Head Neck Surg 2013;139(7):719-27. google scholar
2. Kanagamuthu P, Padmanabhan K, Venkataramanujam NC, Sambandan AP. Evaluation of Eustachian tube function in chronic suppurative otitis media (tubotympanic type) with reference to its treatment outcome. Indian J Otol 2013;18(4):179-83. google scholar
3. Shreyas SJ, Mohan J, Saurabh A, Dnyaneshwar A. Tympanometry, a prognostic indicator of myringoplasty with assessment of eustachian tube function. International Journal of Otolaryngology and Head & Neck Surgery 2012;1(3):105-8. google scholar
4. Nishant K, Madkikar N, Kishve S, Chilke D, Shinde KJ. Using Middle Ear Risk Index and ET Function as Parameters for Predicting the Outcome of Tympanoplasty. Indian J Otolaryngol Head Neck Surg 2012;64(1):13-6. google scholar
5. Nishant K, Devashri C, Puttewar MP. Clinical profile of tubotympanic CSOM and its management with special reference to site and size of tympanic membrane perforation, eustachian tube function and three flap tympanoplasty. Indian J Otolaryngol Head Neck Surg 2012;64(1):5-12. google scholar
6. Ghasem A, Sepideh A, Ashkan D. Eustachian Tube Function in Repeated Upper Respiratory Tract Infections. Australian Journal of Basic and Applied Sciences 2011;5(11):943-5. google scholar
7. Marseglia GL, Caimmi D, Pagella F, Matti E, Labó E, Licari A, et al. Adenoids during childhood: the facts. Int J Immunopathol Pharmacol 2011;24(4):1-5. google scholar
8. Hidir Y, Ulus S, Karahatay S, Satar B. A comparative study on efficiency of middle ear pressure equalization techniques in healthy volunteers. Auris Nasus Larynx 2011;38(4):450-5. google scholar
9. Hurst DS. The role of allergy in otitis media with effusion. Otolaryngol Clin North Am 2011;44(3):637-54. google scholar
10. Renata RM, Jackeline YF, Daniela G. Eustachian tube function in adults with intact tympanic membrane. Braz J Otorhinolaryngol Sao Paulo 2010;76(3):340-46. google scholar
11. Pollini F, Capristo C, Boner AL. Upper respiratory tract infections and atopy. Int J Immunopathol Pharmacol. 2010;23(1 Suppl):32-7. google scholar
12. Pelikan Z. Audiometric changes in chronic secretory otitis media due to nasal allergy. Otol Neurotol 2009;30(7):868-75. google scholar
13. Prasad KC, Hegde MC, Prasad SC, Meyappan H. Assessment of Eustachian tube function in tympanoplasty. Otolaryngol Head Neck Surg 2009;140(6):889-93. google scholar
14. Pelikan Z. Role of nasal allergy in chronic secretory otitis media. Curr Allergy Asthma Rep 2009;9(2):107-13. google scholar
15. Hong CK, Park DC, Kim SW, Chang CI, Cha S, Yeo SG. Effect of paranasal sinusitis on the development of otitis media with effusion: influence of Eustachian tube function and adenoid immunity. Int J Pediatr Otorhinolaryngol 2008;72(11):1609-18. google scholar
16. Skotnicka B, Hassmann-Poznanska E. Video endoscopic analysis of Eustachian tube functions in children with middle ear pathology. Otolaryngol Pol 2007; 61(3):301-6. google scholar
17. Yuan Y, Li G, Zhou W, Xu Y. Study of morphological alterations in pharyngeal ostium of Eustachian tube and its surrounding tissue and its association with SOM. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2007;21(22):1024-5. google scholar
18. Yeo SG, Park DC, Eun YG, Cha CI. The role of allergic rhinitis in the development of otitis media with effusion: effect on Eustachian tube function. Am J Otolaryngol 2007;28(3):148-52. google scholar
19. Seibert JW, Danner CJ. Eustachian tube function and the middle ear. Otolaryngol Clin North Am 2006;39(6):1221-35. google scholar
20. Xiao S, Tan D, Liao M, Yang L, Tu X. Evaluation of Eustachian tube functions with impedance audiometry in chronic suppurative otitis media .Lin Chuang Er Bi Yan Hou Ke Za Zhi 2006;20(7):306-8. google scholar
21. Lazo-Sáenz JG, Galván-Aguilera AA, Martínez-Ordaz VA, Velasco-Rodríguez VM, Nieves-Rentería A, Rincón-Castañeda C. Eustachian tube dysfunction in allergic rhinitis. Otolaryngol Head Neck Surg 2005;132(4):626-9. google scholar
22. Uzun C, Cayé TP, Andersen J, Tos M. Eustachian tube patency and function in tympanoplasty with cartilage palisades or fascia after cholesteatoma surgery. Otol Neurotol 2004;25(6):864-72. google scholar
23. Jesic S, Nesic V. Mucociliary transport in the Eustachian tube in chronic suppurative otitis media. Srp Arh Celok Lek 2004; 132(5-6):148-51. google scholar
24. Bunne M, Falk B, Magnuson B, Hellstrom S. Variability of Eustachian tube function: comparison of ears with retraction disease and normal middle ears. Laryngoscope 2000;110(8):1389-95. google scholar