咽鼓管异常开放的诊断

Diagnosis of the Patulous Eustachian Tube.

作者信息

Ikeda Ryoukichi, Kikuchi Toshiaki, Oshima Hidetoshi, Kobayashi Toshimitsu

机构信息

Sen-En Rifu Otological Surgery Center, Miyagi, Japan.

Department of Otolaryngology-Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Ear Nose Throat J. 2020 May 13:145561320925938. doi: 10.1177/0145561320925938.

DOI:10.1177/0145561320925938

PMID:32397811

Abstract

OBJECTIVES

To review the diagnosis of patulous Eustachian tube (PET) based on the diagnostic criteria for the PET proposed by Japan Otological Society (JOS).

METHODS

We reviewed typical aural symptoms of PET, Eustachian tube (ET) obstruction procedure to confirm diagnosis of PET, objective findings of a patent ET obtainable from observation of the movement of the tympanic membrane, and by ET function tests (tubo-tympano-aerodynamic graphy, sonotubometry). In addition, usefulness of other tests such as patulous Eustachian tube handicap inventory-10 (PHI-10), sonotubometry with postural change (Ohta method), and sitting computed tomography (CT) to diagnose PET is described.

RESULTS AND CONCLUSIONS

We have described the diagnosis of PET based on the diagnostic criteria for PET proposed by JOS; PHI-10, Ohta method, and sitting CT are also useful for the diagnosis of PET. Further investigation is needed for an accurate diagnosis and precise evaluation of the pathophysiology of this challenging disease.

摘要

目的

根据日本耳科学会（JOS）提出的咽鼓管异常开放（PET）诊断标准，对PET的诊断进行综述。

方法

我们回顾了PET的典型耳部症状、用于确诊PET的咽鼓管（ET）阻塞程序、通过观察鼓膜运动以及ET功能测试（咽鼓管-鼓室空气动力学描记法、声导抗咽鼓管测量法）获得的ET通畅的客观表现。此外，还描述了其他测试方法，如咽鼓管异常开放障碍量表-10（PHI-10）、姿势改变声导抗咽鼓管测量法（太田法）以及坐位计算机断层扫描（CT）在诊断PET中的作用。