鼻腔滴注生理盐水治疗咽鼓管异常开放。
Nasal instillation of physiological saline for patulous eustachian tube.
作者信息
Oshima Takeshi, Kikuchi Toshiaki, Kawase Tetsuaki, Kobayashi Toshimitsu
机构信息
Department of Otolaryngology-Head & Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
出版信息
Acta Otolaryngol. 2010 May;130(5):550-3. doi: 10.3109/00016480903314009.
CONCLUSION
Patulous eustachian tube (ET) shows a wide range of manifestations from asymptomatic to severe disturbance in quality of life. Nasal instillation of saline should be attempted as the initial treatment for patulous ET.
OBJECTIVES
To investigate the effectiveness of nasal instillation of saline as a treatment for patulous ET.
METHODS
This was a retrospective chart review of 52 patients with patulous ET. They were treated with nasal instillation of saline, followed by assessment of subjective improvement after 2-8 weeks.
RESULTS
The age distribution of the patients with patulous ET revealed two peaks, one with female predominance in the fourth decade, the other consisting mostly of aged male patients. Nasal instillation of saline was effective in 33 (63.5%) of 52 patients with patulous ET. In particular, 20 (80%) of the 25 patients with short duration of disease obtained some improvement from the treatment. More effectiveness was observed in males (81.8%) than in females (50.0%).
结论
咽鼓管异常开放（ET）表现多样，从无症状到严重影响生活质量。应尝试将鼻腔滴注生理盐水作为咽鼓管异常开放的初始治疗方法。
目的
探讨鼻腔滴注生理盐水治疗咽鼓管异常开放的有效性。
方法
这是一项对52例咽鼓管异常开放患者的回顾性病历审查。他们接受了鼻腔滴注生理盐水治疗，随后在2至8周后评估主观改善情况。
结果
咽鼓管异常开放患者的年龄分布呈现两个高峰，一个高峰在四十多岁，以女性为主；另一个高峰主要是老年男性患者。52例咽鼓管异常开放患者中，33例（63.5%）鼻腔滴注生理盐水有效。特别是，25例病程短的患者中有20例（80%）治疗后有一定改善。男性（81.8%）的治疗效果比女性（50.0%）更显著。
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