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Sonotubometry를 이용한 이관기능검사

Eustachian Tube Function Test Using Sonotubometry

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참고문헌

키워드

주제분류이비인후과학

초록

Background and Objectives: The methods for testing Eustachian tube function include conventional, radiological, and physiological tests. Sonotubometry is one of the physiological test methods. Sonotubometry checks the openness of the ear canal by transmitting 7 kHz narrow-band noise through the nasal cavity and measuring sound energy in the external canal using a microphone. To confirm the clinical significance, the Williams test (Y-226 Hz) was performed and compared to sonotubometry by analyzing their results. Materials and Methods: We recruited a total of 40 participants (80 ears), consisting of 20 men and 20 women between the ages of 20 and 40, who did not have any rhinological or otological issues. The subjects were selected based on pure tone audiometry, categorized using the Williams test (Y- 226 Hz), and their sonotubometry results were compared. Results: The sonotubometry results for the normal group indicated longer duration, greater elevation, and a wider dimension compared to the Eustachian Tube Dysfunction (ETD) group. Furthermore, a correlation was observed between each variable. Conclusion: The Williams test (Y-226 Hz) confirmed tube status as either open or closed based on changes in impedance with tube opening. However, Sonotubometry had the advantage of quantitatively confirming not only whether the Eustachian tube was open but also the duration of tube opening and the amount of ventilation during that time.

Abstract

Background and Objectives: The methods for testing Eustachian tube function include conventional, radiological, and physiological tests. Sonotubometry is one of the physiological test methods. Sonotubometry checks the openness of the ear canal by transmitting 7 kHz narrow-band noise through the nasal cavity and measuring sound energy in the external canal using a microphone. To confirm the clinical significance, the Williams test (Y-226 Hz) was performed and compared to sonotubometry by analyzing their results. Materials and Methods: We recruited a total of 40 participants (80 ears), consisting of 20 men and 20 women between the ages of 20 and 40, who did not have any rhinological or otological issues. The subjects were selected based on pure tone audiometry, categorized using the Williams test (Y- 226 Hz), and their sonotubometry results were compared. Results: The sonotubometry results for the normal group indicated longer duration, greater elevation, and a wider dimension compared to the Eustachian Tube Dysfunction (ETD) group. Furthermore, a correlation was observed between each variable. Conclusion: The Williams test (Y-226 Hz) confirmed tube status as either open or closed based on changes in impedance with tube opening. However, Sonotubometry had the advantage of quantitatively confirming not only whether the Eustachian tube was open but also the duration of tube opening and the amount of ventilation during that time.

참고문헌 (8)

  1. 이세아, "이관질환의 병태생리 및 분류", 임상이비인후과, 33(4), pp.165~173 (2022), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
  2. 공수근, "개방성 이관의 진단 및 치료", 임상이비인후과, 20(2), pp.149~156 (2009), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
  3. Choi SW, "Prevalence and incidence of clinically significant patulous eustachian tube : a population-based study using the Korean National Health Insurance Claims database", Am J Otolaryngol, 39(5), pp.603~608 (2018)
  4. Bluestone CD, "Eustachian tube: structure, function, and role in middle-ear disease" (2017), Peoples Medical Publishing House
  5. 유명훈, "이통의 진단과 치료", 대한이비인후-두경부외과학회지, 56(4), pp.191~200 (2013), 대한이비인후과학회[DOI]
  6. Heo SD, "Audiology", pp.241~251 (2004), Dong-A University
  7. Kobayashi T, "Diagnostic criteria for patulous eustachian tube : a proposal by the Japan Otological Society", Auris Nasus Larynx, 45(1), pp.1~5 (2018)
  8. Dong Hoon Lee, "Eustachian Tube Function Test of Normal Ear in Patients with Unilateral Chronic Otitis Media", Audiology and Speech Research, 19(1), pp.51~55 (2023), 한국청각언어재활학회

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