차폐된 개방성이관: 술 전 중요한 고려사항
Masked Patulous Eustachian Tube: Important Consideration before Surgery
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Patulous eustachian tube (PET ), a disorder of the eustachian tube (ET ) occurs when the ET remains open in resting state. Patients with PET may experience symptoms such as aural fullness, autophony of voice or breathing sound. It is not challenging to diagnose PET due to the characteristic symptoms, which are relieved in the recumbent position. The term “Masked PET” refers to a condition that symptoms of PET do not manifest until after middle ear surgery, as they were initially masked by conductive hearing loss. In this report, we present a patient who developed symptoms of PET after successful tympanoplasty, resulting in hearing improved. Based on this case, we suggest that all operators consider the possibility of the “masked PET” condition and explain it to the patient in advance to avoid situation of disappointment after surgery.
Abstract
Patulous eustachian tube (PET ), a disorder of the eustachian tube (ET ) occurs when the ET remains open in resting state. Patients with PET may experience symptoms such as aural fullness, autophony of voice or breathing sound. It is not challenging to diagnose PET due to the characteristic symptoms, which are relieved in the recumbent position. The term “Masked PET” refers to a condition that symptoms of PET do not manifest until after middle ear surgery, as they were initially masked by conductive hearing loss. In this report, we present a patient who developed symptoms of PET after successful tympanoplasty, resulting in hearing improved. Based on this case, we suggest that all operators consider the possibility of the “masked PET” condition and explain it to the patient in advance to avoid situation of disappointment after surgery.
참고문헌 (15)
- Hori Y, "Audiometry with nasally presented masking noise : novel diagnostic method for patulous eustachian tube", Otol Neurotol, 27(5), pp.596~599 (2006)
- Kent Dyer R Jr, "The patulous eustachian tube : management options", Otolaryngol Head Neck Surg, 105(6), pp.832~835 (1991)
- Kobayashi T, "Masked patulous eustachian tube : an important diagnostic precaution before middle ear surgery", Tohoku J Exp Med, 218(4), pp.317~324 (2009)
- Luu K, "Treatment effectiveness for symptoms of patulous eustachian tube : a systematic review", Otol Neurotol, 36(10), pp.1593~1600 (2015)
- Munker G, "Physiology and pathophysiology of eustachian tube and middle ear", pp.113~117 (1980), Thieme
- Flisberg K, "Middle—ear mechanics in patulous tube cases", Acta Otolaryngol, 69(sup263), pp.18~22 (1970)
- Ohta S, "Eustachian tube function and habitual sniffing in middle ear cholesteatoma", Otol Neurotol, 30(1), pp.48~53 (2009)
- Kobayashi T, "Incidence of sniff-related cholesteatomas", Acta Otolaryngol, 116(1), pp.74~76 (1996)
- Magnuson B, "Tubal closing failure in retraction type cholesteatoma and adhesive middle ear lesions", Acta Otolaryngol, 86(1-6), pp.408~417 (1978)
- Hasegawa J, "Effects of hearing level on habitual sniffing in patients with cholesteatoma", Acta Otolaryngol, 126(6), pp.577~580 (2006)
- Kawase T, "Autophony in patients with patulous eustachian tube : experimental investigation using an artificial middle ear", Otol Neurotol, 27(5), pp.600~603 (2006)
- Yoshida H, "CT imaging of the patulous eustachian tube—comparison between sitting and recumbent positions", Auris Nasus Larynx, 30(2), pp.135~140 (2003)
- Ikeda R, "Management of patulous eustachian tube with habitual sniffing", Otol Neurotol, 32(5), pp.790~793 (2011)
- Rockley TJ, "The middle ear as a baroreceptor", Acta Otolaryngol, 112(5), pp.816~823 (1992)
- Sakata T, "Air pressure-sensing ability of the middle ear—investigation of sensing regions and appropriate measurement conditions", Auris Nasus Larynx, 36(4), pp.393~399 (2009)
