Comparison of patulous Eustachian tube patients with and without a concave defect in the anterolateral wall of the tubal valve.

Autor: Choi, S-W, Park, J-H, Lee, S, Oh, S-J, Kong, S-K
Předmět:
Zdroj: Journal of Laryngology & Otology; Jun2020, Vol. 134 Issue 6, p526-532, 7p
Abstrakt: Objective: Patulous Eustachian tube appears to be caused by a concave defect in the anterolateral wall of the tubal valve of the Eustachian tube. This study aimed to compare the clinical features of patulous Eustachian tube patients with or without a defect in the anterolateral wall of the tubal valve. Methods: Sixty-six patients with a patulous Eustachian tube completed a questionnaire, which was evaluated alongside endoscopic findings of the tympanic membrane, nasal cavity and Eustachian tube orifice. Results: Females were more frequently diagnosed with a patulous Eustachian tube, but the valve defect was more common in males (p = 0.007). The ratio of patulous Eustachian tube patients with or without defects in the anterolateral wall of the tubal valve was 1.6:1. Weight loss in the previous six months and being refractory to conservative management were significantly associated with the defect (p = 0.035 and 0.037, respectively). Symptom severity was significantly higher in patients with the defect. Conclusion: Patulous Eustachian tube patients without a defect in the anterolateral wall of the tubal valve can be non-surgically treated more often than those with the defect. Identification of the defect could assist in making treatment decisions for patulous Eustachian tube patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index