Tubomanometry. Values in ears with traumatic and chronic perforations

Mink, A.; Bauer, M

doi:10.1111/j.1365-2273.1993.tb00850.x

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…ETD is a well-recognized comorbid manifestation of inflammatory diseases of the nasal cavity and nasal sinus [ 13 ]. However, due to the lack of appropriate ETD-specific assessment instruments, quantification of the prevalence of ETD had been limited before [ 20 ]. The TMM test was reported by Estève et al [ 21 ] and has been widely used to evaluate eustachian tubes objectively [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Eustachian tube dysfunction in patients with house dust mite-allergic rhinitis

Liang

Tian

et al. 2020

Clin Transl Allergy

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Background One of the important pathogeneses of eustachian tube dysfunction (ETD) is nasal inflammatory disease. The prevalence of allergic rhinitis (AR) in adults ranges from 10 to 30% worldwide. However, research on the status of eustachian tubes in AR patients is still very limited. Methods This prospective controlled cross-sectional study recruited 59 volunteers and 59 patients with AR from Sun Yat-sen Memorial Hospital. Visual analogue scale (VAS) scores for AR symptoms and seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) scores were collected for both groups. Nasal endoscopy, tympanography and eustachian tube pressure measurement (tubomanometry, TMM) were used for objective assessment. All AR patients underwent 1 month of treatment with mometasone furoate nasal spray and oral loratadine. Then, the nasal condition and eustachian tube status were again evaluated. Results TMM examination revealed that 22 patients (39 ears, 33.1%) among the AR patients and 5 healthy controls (7 ears, 5.9%) had abnormal eustachian pressure. Twenty-two AR patients (37.3%) and 9 healthy controls had an ETDQ-7 score ≥ 15. With regard to nasal symptoms of AR, the VAS scores of nasal obstruction were correlated with the ETDQ-7 scores, and the correlation coefficient was r = 0.5124 ( p < 0.0001). Nasal endoscopic scores were also positively correlated with ETDQ-7 scores, with a correlation coefficient of 0.7328 ( p < 0.0001). After 1 month of treatment, VAS scores of nasal symptoms, endoscopic scores and ETDQ-7 scores were significantly decreased in AR patients ( p < 0.0001), and TMM examination also suggested that eustachian tube function was significantly improved after treatment ( p < 0.0001). Conclusions AR patients, especially those with severe nasal obstruction, could have ETD. The local conditions of the pharyngeal orifices of the eustachian tubes are closely related to the symptoms of ETD. After treatment with nasal glucocorticoids and oral antihistamines, eustachian tube function can significantly improve as nasal symptoms subside. Trial registration Chinese Clinical Trial Registery (ChiCTR2000029071) Registered 12 January 2020—Retrospectively registered, http://www.chictr.org.cn/edit.aspx?pid=48328&htm=4

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Section: Discussionmentioning

confidence: 99%

Eustachian tube dysfunction in patients with house dust mite-allergic rhinitis

Liang

Tian

et al. 2020

Clin Transl Allergy

View full text Add to dashboard Cite

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“…They found dysfunction in 76% cases (gross dysfunction in 17% cases and partial dysfunction in 59% cases). In 1993, Mink and Bauer [18] studied tubal function in 68 patients with unilateral traumatic perforation and 116 years of 94 patients of chronic suppurative otitis media by equalization manometry. The values attained in traumatic group were regarded as normal, only 25% with dry central perforation and none with an infected central perforation had normal ETF.…”

Section: Discussionmentioning

confidence: 99%

Relationship between Eustachian tube function and location of the perforation in chronic otitis media

et al. 2015

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“…[7,8] Mink said about his experience on tubomanometry that, this test was designed to examine the patient's ability or inability to equalize a negative or positive pressure in the tympanic cavity by swallowing. [9] The test has two advantages: it is relatively simple and it closely simulates the main physiological function of the tube.…”

Section: Discussionmentioning

confidence: 99%

A study on the relevance of preoperative assessment of Eustachian tube function in myringoplasty

et al. 2011

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IntroductIonWe are at this instance of evolving otological journey focusing special attention towards the middle ear reconstructive procedures. Otologists equitably ascribe that adequate eustachian tubal function is one of the necessary prerequisites for successful myringoplasty and tympanoplasty surgery. [1][2][3] Difficulty stems from disorders of the eustachian tube influencing the pathogenesis and course of middle ear disease and its medical and surgical treatment; hence, the ability to measure its ventilatory function by a method based on underlying morphological and physiological factors becomes of unsurmountable importance. When exploring for ways to improve the long range surgical success rate for tympanoplasties, it intrigued the otologists to search possible methods of predicting the results of reconstructive middle ear surgeries. Holmquist et al, in cases with chronic otitis media, were the first to study the relationship between Eustachian tubal function, size of mastoid air cell system, and healing. [4]The aim of this study is to find the relevance of pre-operative assessment of Eustachian tube function on the results of myringoplasty and to correlate the outcome of surgery with the tubal function gradings. materIals and methodsThe present study included 58 cases of chronic suppurative otitis media (CSOM), inactive stage (tubotympanic type) planned to undergo myringoplasty. All patients selected were those who came to ENT department during the period from August 2004 to November 2005. A detailed history was taken and a thorough ear, nose and throat examination was done.Control group A consisted of 27 cases of dry central perforation, where pre-operative Eustachian tube function aBstract Aim: Pathophysiology of Eustachian tube significantly affects the result of middle ear reconstructive surgery. The aim of this study is to ascertain the relevance of preoperative assessment of tubal function on the results of myringoplasty and to correlate the outcome of surgery with the tubal function gradings. Materials and Methods: A total of 58 cases of dry central perforation of tympanic membrane were divided into two groups. In control group A, pre-operative Eustachian tube function was not checked. In Test group B, pre-operative Eustachian tube function was checked by modified inflation-deflation test using impedance audiometer. Results: Success was assessed at 4 th month postoperatively on the basis of intact drum. The results between both groups were compared using Chi-square test. There was no statistically significant difference (P< 0.05) between the control and the test group. Conclusion: The capability to reduce an applied negative pressure correlates well with the successful result of a tympanic membrane graft. However, failure to equilibrate negative pressure does not discriminate between success and failure of this operative procedure.

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Tubomanometry. Values in ears with traumatic and chronic perforations

Cited by 7 publications

References 12 publications

Eustachian tube dysfunction in patients with house dust mite-allergic rhinitis

Eustachian tube dysfunction in patients with house dust mite-allergic rhinitis

Relationship between Eustachian tube function and location of the perforation in chronic otitis media

A study on the relevance of preoperative assessment of Eustachian tube function in myringoplasty

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