Savenko I V, Boboshko M Yu
Laboratory of Hearing and Speech, Academician I.P. Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia, 197022.
Laboratory of Hearing and Speech, Academician I.P. Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia, 197022; Otorhinolaryngology Department, I.I. Mechnikov North-Western State Medical University, , Saint-Petersburg, Russia, 191015.
Vestn Otorinolaringol. 2018;83(3):77-81. doi: 10.17116/otorino201883377.
The choice of the treatment strategy for the patients presenting with the patulous Eustachian tube syndrome constitutes a serious challenge for an otorhinolaryngologist. Despite the considerable progress achieved during the past years in the development of modern pharmacotherapy and functional endoscopic surgery, the specialists often encounter difficulties in the management of the patients suffering from this disease. The present article (continuing the previous communication) contains information concerning the historical and modern approaches to the treatment of the patients with the patulous Eustachian tube syndrome. The authors describe the conservative and surgical methods employed for the treatment of this condition and the approaches to the choice of the treatment strategies depending on the etiology, pathogenesis, and severity of the disorder being considered, its duration, and the character of the morphological changes identified during the diagnostic procedures. The authors emphasize the importance of the wait-and-see strategy for the treatment of the patients presenting with the patulous Eustachian tube syndrome. In conclusion, they present the concrete results of four original observations of such patients.
对于患有咽鼓管异常开放综合征的患者，治疗策略的选择对耳鼻喉科医生来说是一项严峻的挑战。尽管在过去几年现代药物治疗和功能性内镜手术的发展取得了显著进展，但专家们在管理患有这种疾病的患者时仍经常遇到困难。本文（延续之前的交流）包含了有关咽鼓管异常开放综合征患者治疗的历史和现代方法的信息。作者描述了用于治疗这种病症的保守和手术方法，以及根据所考虑疾病的病因、发病机制、严重程度、病程以及诊断过程中发现的形态学变化特征来选择治疗策略的方法。作者强调了观察等待策略在治疗咽鼓管异常开放综合征患者中的重要性。最后，他们展示了对这类患者的四项原始观察的具体结果。
