유스타키를 이용한 이관기능 평가의 유용성
Efficacy of Evaluating Eustachian Tube Function by Using Eustachi
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Background and Objectives: Since Eustachian tube (ET) plays an important role in the development of middle ear disease, evaluating the function of ET is important. Valsalva maneuver is frequently used, but does not reflect the physiological function. Inflation-deflation test assess both active and passive function of the ET, so it can reflect the physiological function. In our clinic, we use device named EustachiTM to evaluate ET. In this study, we evaluated ET in patients with perforated eardrums using Valsalva maneuver, inflation-deflation test and Eustachi to evaluate the efficacy of Eustachi in assessing ET function. Materials and Methods: 51 dry perforated eardrums were selected. Patients were divided into 3 groups according to the result of the inflation-deflation test; Type A, ET opens in both positive and negative pressure; Type B, ET opens in either positive or negative pressure; Type C, ET dose not open in neither positive nor negative pressure. All patients performed Valsalva maneuver and Eustachi application. Techniques were statistically analyzed and compared. Results: When analyzing whether Valsalva was possible according to the type of inflation-deflation test, there were statistical differences when comparing type A, B and type A, C (p=0.000, 0.024). There was no statistical difference between type B and C (p=1.000). When analyzing the result of Eustachi according to the type of inflation-deflation test, there was no statistical difference between type A and B (p=1.000), while there were statistical differences when comparing type A, C and type B, C (p=0.048, 0.030). Conclusions: Compared with the results of inflation-deflation test, Eustachi can evaluate ET more physiologically than Valsalva maneuver
Abstract
Background and Objectives: Since Eustachian tube (ET) plays an important role in the development of middle ear disease, evaluating the function of ET is important. Valsalva maneuver is frequently used, but does not reflect the physiological function. Inflation-deflation test assess both active and passive function of the ET, so it can reflect the physiological function. In our clinic, we use device named EustachiTM to evaluate ET. In this study, we evaluated ET in patients with perforated eardrums using Valsalva maneuver, inflation-deflation test and Eustachi to evaluate the efficacy of Eustachi in assessing ET function. Materials and Methods: 51 dry perforated eardrums were selected. Patients were divided into 3 groups according to the result of the inflation-deflation test; Type A, ET opens in both positive and negative pressure; Type B, ET opens in either positive or negative pressure; Type C, ET dose not open in neither positive nor negative pressure. All patients performed Valsalva maneuver and Eustachi application. Techniques were statistically analyzed and compared. Results: When analyzing whether Valsalva was possible according to the type of inflation-deflation test, there were statistical differences when comparing type A, B and type A, C (p=0.000, 0.024). There was no statistical difference between type B and C (p=1.000). When analyzing the result of Eustachi according to the type of inflation-deflation test, there was no statistical difference between type A and B (p=1.000), while there were statistical differences when comparing type A, C and type B, C (p=0.048, 0.030). Conclusions: Compared with the results of inflation-deflation test, Eustachi can evaluate ET more physiologically than Valsalva maneuver
참고문헌 (15)
- Bluestone CD, "Eustachian tube: structure, function, role in otitis media", pp.4~62 (2005), B.C. Decker
- Smith ME, "Tests of eustachian tube function : the effect of testing technique on tube opening in healthy ears", Otol Neurotol, 38(5), pp.714~720 (2017)
- Holmquist J, "Evaluation of Eustachian tube function", J Laryngol Otol, 94(1), pp.15~23 (1980)
- Schröder S, "Evaluation of tubomanometry as a routine diagnostic tool for chronic obstructive Eustachian tube dysfunction", Clin Otolaryngol, 40(6), pp.691~697 (2015)
- Todd NW, "There are no accurate tests for eustachian tube function", Arch Otolaryngol Head Neck Surg, 126(8), pp.1041~1042 (2000)
- Kurien R, "Inflation-deflation test as a predictor of aditus patency in patients with chronic suppurative otitis media", Indian J Otolaryngol Head Neck Surg, 61(3), pp.169~172 (2009)
- Miller GF, "Eustachian tube function in normal and disease ears", Arch Otolaryngol, 81, pp.41~48 (1965)
- Yücetürk AV, "The evaluation of eustachian tube function in patients with chronic otitis media", Clin Otolaryngol Allied Sci, 22(5), pp.449~452 (1997)
- 최승효, "Pre-operative Evaluation of Eustachian Tube Function Using a Modified Pressure Equilibration Test is Predictive of Good Postoperative Hearing and Middle Ear Aeration in Type 1 Tympanoplasty Patients", Clinical and Experimental Otorhinolaryngology, 2(2), pp.61~65 (2009), 대한이비인후과학회
- Shimada S, "Eustachian tube function and mastoid pneumatization", Acta Otolaryngol Suppl, 471, pp.51~55 (1990)
- Holmquist J, "Middle ear ventilation in chronic otitis media", Arch Otolaryngol, 92(6), pp.617~623 (1970)
- Doyle WJ, "Sensitivity and specificity of Eustachian tube function tests in adults", JAMA Otolaryngol Head Neck Surg, 139(7), pp.719~727 (2013)
- Sharp M, "The manometric investigation of tubal function with reference to myringoplasty results", J Laryngol Otol, 84(6), pp.545~551 (1970)
- 권재환, "강직형 비디오 내시경을 이용한 이관기능 검사법의 유용성", 대한이비인후-두경부외과학회지, 50(11), pp.983~988 (2007), 대한이비인후과학회
- Bluestone CD, "Anatomy and physiology of eustachian tube and middle ear related to otitis media", J Allergy Clin Immunol, 81(5 Pt 2), pp.997~1003 (1988)