Lee Wei-Ting, Hsu Heng-Jui
Department of Otolaryngology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Institute of Clinical Medicine, National Cheng Kung University, College of Medicine, Tainan.
Ear Nose Throat J. 2023 Mar;102(3):NP119-NP122. doi: 10.1177/0145561321995009. Epub 2021 Feb 15.
This article presents 2 cases of extremely intractable patulous Eustachian tube following multiple transnasal shim insertion. These cases highlight the disadvantages of repeat transnasal shim operations, including enlargement of the Eustachian tube lumen, frequent dislocation, repeat surgery, recurrent middle ear infection, and shim misswallowing. The patients in these cases were successfully treated with Eustachian tube cartilage chip insertion through a postauricular approach. We describe the surgical technique and advantages of this promising management method.
本文介绍了2例在多次经鼻插入垫片后出现极其难治性咽鼓管异常开放的病例。这些病例突出了重复经鼻垫片手术的缺点，包括咽鼓管管腔扩大、频繁移位、再次手术、复发性中耳感染和垫片误吞。这些病例中的患者通过耳后入路插入咽鼓管软骨片成功治愈。我们描述了这种有前景的治疗方法的手术技术和优点。
