Ikeda Ryoukichi, Kikuchi Toshiaki, Oshima Hidetoshi, Kobayashi Toshimitsu
Sen-En Rifu Otological Surgery Center, Miyagi, Japan.
Department of Otolaryngology-Head & Neck Surgery, Tohoku University School of Medicine, Sendai, Japan.
JMA J. 2020 Apr 15;3(2):101-108. doi: 10.31662/jmaj.2020-0007. Epub 2020 Apr 6.
Patients with patulous Eustachian tubes (PET) suffer from annoying aural symptoms, such as voice or breath autophony, and aural fullness due to the ET's abnormal patency. It may lead to an enormous reduction in quality of life. Various treatment methods, including conservative and surgical therapy, have been reported. In most cases, conservative treatment is sufficient to relieve patients of aural symptoms. However, some chronic and severe cases are resistant to traditional conservative therapy. Recently performed prospective and multicenter trials revealed the efficacy and safety of a silicone plug (Kobayashi plug) insertion for patients with severe PET. Patulous Eustachian tube handicap inventory-10 (PHI-10), tubal obstruction procedures, sitting computed tomography (CT), and ET function tests (tubo-tympano-aerodynamic graphy (TTAG) and sonotubometry) are useful for diagnosis as well as selecting candidates for surgery in severe cases.
咽鼓管异常开放（PET）患者会出现恼人的耳部症状，如自听过强（能听到自己的声音或呼吸声），以及由于咽鼓管异常通畅导致的耳闷胀感。这可能会导致生活质量大幅下降。已报道了多种治疗方法，包括保守治疗和手术治疗。在大多数情况下，保守治疗足以缓解患者的耳部症状。然而，一些慢性和严重病例对传统保守治疗有抵抗性。最近进行的前瞻性多中心试验揭示了为重度PET患者插入硅胶耳塞（小林耳塞）的有效性和安全性。咽鼓管异常开放障碍量表-10（PHI-10）、咽鼓管阻塞程序、坐位计算机断层扫描（CT）以及咽鼓管功能测试（鼓室声导抗图（TTAG）和声管测量法）对于诊断以及在严重病例中选择手术候选者都很有用。
