Jolly K, Darr A, Chavda S V, Ahmed S K
Department of Otolaryngology,Princess Royal Hospital,Telford,UK.
Department of Otolaryngology,Queen Elizabeth Hospital Birmingham,UK.
J Laryngol Otol. 2018 Jun;132(6):564-566. doi: 10.1017/S0022215118000725. Epub 2018 Jun 11.
Patulous Eustachian tube is a distressing condition characterised by chronic patency of the Eustachian tube and its failure to close. Patients typically present with symptoms of autophony and aural fullness. In patients requiring surgical intervention, a variety of different procedures have been demonstrated (both transtympanic and endonasal), with limited success. Evidence of the effectiveness of a number of surgical interventions is limited to small case series only.
This paper describes a novel treatment for patulous Eustachian tube using a 3 mm VortX Diamond endovascular coil.Case reportA transnasal endoscopic approach was adopted, with cannulation of the Eustachian tube orifice using a Relieva sinus guide suction tube from a balloon sinuplasty set. The coil was deployed 1.5 cm deep into the Eustachian tube. Post-operative imaging was used to confirm correct positioning. Regular follow up was arranged. The patient reported complete resolution of her symptoms.
The technique has so far proved highly effective and minimally invasive. It will be employed in more patients to fully establish its effectiveness in treating patulous Eustachian tube.
咽鼓管异常开放是一种令人苦恼的病症，其特征为咽鼓管长期开放且无法闭合。患者通常表现为自听过强和耳闷胀感。对于需要手术干预的患者，已证实有多种不同的手术方法（经鼓膜和鼻内手术），但成功率有限。许多手术干预有效性的证据仅限于小病例系列。
本文描述了一种使用3毫米VortX金刚石血管内线圈治疗咽鼓管异常开放的新方法。
采用经鼻内镜方法，使用来自球囊鼻窦成形套件的Relieva鼻窦引导吸引管经咽鼓管开口插管。将线圈放置在咽鼓管内1.5厘米深处。术后成像用于确认正确定位。安排了定期随访。患者报告症状完全缓解。
到目前为止，该技术已证明高效且微创。将用于更多患者以充分确立其治疗咽鼓管异常开放的有效性。
