Otitis Media with Effusion and Eustachian Tube Dysfunction in Adults and Children

Iwano, Tadashi; Kinoshita, Takuya; Hamada, Eimoto; Doi, Tadashi; Ushiro, Koichi; Kumazawa, Tadami

doi:10.3109/00016489309126183

Cited by 23 publications

(16 citation statements)

References 13 publications

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“…Eustachian tube function has been studied in adults with OME, using tubotympano-aerodynamic-graphy, the patency and pressure equilibration test, and the inflation-deflation test. 20 Impairment of active opening function was observed in adult OME patients; 46 per cent had an organic obstruction of the eustachian tube, as assessed by these methods. 20 Sade and Fuchs studied mastoid pneumatisation in adult OME patients and found a relationship with the chronicity of the disease process.…”

Section: Eustachian Tube Dysfunctionmentioning

confidence: 99%

“…20 Impairment of active opening function was observed in adult OME patients; 46 per cent had an organic obstruction of the eustachian tube, as assessed by these methods. 20 Sade and Fuchs studied mastoid pneumatisation in adult OME patients and found a relationship with the chronicity of the disease process. 21 They argued that poor mastoid pneumatisation predisposes to the development of negative pressure in the middle ear.…”

Section: Eustachian Tube Dysfunctionmentioning

confidence: 99%

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Aetiology and pathology of otitis media with effusion in adult life

Mills

Hathorn

2016

J. Laryngol. Otol.

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Objectives: To gather and analyse information concerning the aetiology and pathology of otitis media with effusion in adults.Method: A review of the English language literature from 1970 to the present was conducted.Results: The available evidence suggests that otitis media with effusion in adult life is best viewed as a syndrome with a number of causes, including: infiltration of the eustachian tube by nasopharyngeal carcinoma and other local malignancies; changes in the middle ear and eustachian tube induced by radiotherapy; and systemic disease.Conclusion: There is now a body of evidence specifically related to the aetiology and pathology of otitis media with effusion in adult life. However, further research is required to fill in the gaps in our knowledge and understanding of this condition.

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Section: Eustachian Tube Dysfunctionmentioning

confidence: 99%

Section: Eustachian Tube Dysfunctionmentioning

confidence: 99%

Aetiology and pathology of otitis media with effusion in adult life

Mills

Hathorn

2016

J. Laryngol. Otol.

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“…We have reported that stenosis in the pharyngeal area of ET can cause functional obstruction (8). The tensor muscle is the only muscle involved in tubal opening and is not located at the end of the pharyngeal area of the ET.…”

Section: Discussionmentioning

confidence: 99%

Direct Measurement of Eustachian Tube Compliance

Kaneko¹,

Doi²,

Hosoda³

et al. 1996

Acta Oto-Laryngologica

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We developed a method by which tubal compliance can be directly measured, and using this method we examined tubal compliance in 18 adults with a disease-free ear and 8 adults with chronic otitis media. This method is advantageous in that one can directly measure tubal compliance in the cartilaginous part of the eustachian tube. It is our view that each eustachian tube has its own compliance which is not influenced by mucosal swelling or muscle tension around the tube.

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“…At ours and other laboratories 6,10,16,22,26,28,30,31 that use different tests to evaluate Eustachian tube function, the specific test protocol is usually done only once. The results of that single test often form the basis for diagnosing the presence/absence of Eustachian tube dysfunction, defining the underlying cause of a documented dysfunction, predicting future disease course and providing guidance as to possible treatments.…”

Section: Discussionmentioning

confidence: 99%

Reproducibility of the Forced Response Test in Children With Chronic Otitis Media With Effusion

Doyle

Mandel²,

Seroky³

et al. 2013

Otology &Amp; Neurotology

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Hypothesis Eustachian tube function is stable over time in children with ventilation tubes for chronic otitis media with effusion. Background Clinical studies report that Eustachian tube function tests in patients with a persistent tympanic membrane perforation predict the success of myringoplasty and, in patients with ventilation tubes for chronic otitis media predict disease recurrence after the tubes become nonfunctional. In those studies, Eustachian tube function was usually tested only once which presumes a semi-stable basal level of function for greatest diagnostic and prognostic usefulness. We investigated the stability of repeated measurements of Eustachian tube function using the Forced Response Test. Methods Thirty-nine children aged 36 to 83 months with bilateral ventilation tubes for chronic otitis media with effusion were evaluated using the Forced Response Test three times at three to four month intervals. The variability across test-sessions in the Eustachian tube opening pressure, closing pressure and dilatory efficiency was estimated using regression/correlation analyses. Results For all test parameters, the between-session and between-ear correlation coefficients were significant, but the shared variance in the parameters among test-sessions and between-ears at the same test-session was relatively low. The average slope for each parameter as a function of the time with a ventilation tube was zero. Conclusion The low between-test shared variance for the test parameters raises questions as to whether or not a single Forced Response Test captures sufficient information to accurately diagnose the cause of any dysfunction or to predict with high specificity and sensitivity future disease experience or surgical results.

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Otitis Media with Effusion and Eustachian Tube Dysfunction in Adults and Children

Cited by 23 publications

References 13 publications

Aetiology and pathology of otitis media with effusion in adult life

Aetiology and pathology of otitis media with effusion in adult life

Direct Measurement of Eustachian Tube Compliance

Reproducibility of the Forced Response Test in Children With Chronic Otitis Media With Effusion

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