Schröder S, Lehmann M, Sudhoff H, Ebmeyer J
Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Klinikum Bielefeld, Teutoburger Str. 50, 33604, Bielefeld, Deutschland,
HNO. 2013 Dec;61(12):1017-25. doi: 10.1007/s00106-013-2773-5.
A patulous eustachian tube (tuba aperta) may lead to an enormous reduction in quality of life. A patulous eustachian tube can cause symptoms such as autophony, breath synchronous tinnitus, pressure sensation in the ear, and hearing loss. In combination with so-called "sniffing", it can trigger the development of cholesteatoma. Due to the diffuse symptoms the correct diagnosis of this disease can be challenging. A patulous eustachian tube can be best diagnosed through a well-structured examination including patient history, physical examination with thorough observation of movements of the tympanic membrane, and tympanometry with reflex decay. This publication reviews recent literature on the patulous eustachian tube. We focused on the evaluation of the different surgical strategies such as the patulous eustachian tube reconstruction, the Kobayashi plug or the injection of Vox® implants into the torus tubarius.
咽鼓管异常开放可能会导致生活质量大幅下降。咽鼓管异常开放可引起诸如自听过强、呼吸同步性耳鸣、耳部压迫感和听力损失等症状。与所谓的“吸鼻”动作相结合时，它可能引发胆脂瘤的形成。由于症状较为分散，对这种疾病进行正确诊断可能具有挑战性。咽鼓管异常开放最好通过结构化检查来诊断，包括患者病史、对鼓膜运动进行全面观察的体格检查以及伴有反射衰减的鼓室导抗图检查。本出版物回顾了有关咽鼓管异常开放的近期文献。我们重点评估了不同的手术策略，如咽鼓管重建术、小林氏塞子或向咽鼓管圆枕内注射Vox®植入物。
