经鼓膜插入带塞子的血管鞘管治疗咽鼓管异常开放
Trans-tympanic insertion of an angiocatheter with a stopper for treatment of patulous Eustachian tube.
机构信息
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University, Busan, Republic of Korea.
出版信息
Am J Otolaryngol. 2022 Nov-Dec;43(6):103630. doi: 10.1016/j.amjoto.2022.103630. Epub 2022 Sep 8.
BACKGROUND
Plugging of the Eustachian tube (ET) is an effective method for treating patulous Eustachian tube (PET). However, no material suitable for plugging is commercially available. A plugging material was made using an angiocatheter and a ventilating tube (VT).
METHODS
An 18-gauge angiocatheter was cut 25 mm from the tip, and the cut end was occluded and widened by melting using a candle. The angiocatheter was inserted into the hole of a Paparella type 1 VT, which was moved to the cut end of the catheter. The VT acted as a stopper at tympanic orifice of ET to prevent the angiocatheter from descending into nasopharynx. Two women with PET received ET-plugging surgery using this plugging material via trans-tympanic approach.
RESULTS
All symptoms of PET disappeared after surgery. There have been no postoperative complications, and the catheter has functioned well without extrusion.
CONCLUSION
A plug created from an angiocatheter and a VT is easy to make and is effective for the treatment of PET.
背景
咽鼓管阻塞（ET）是治疗咽鼓管扩张（PET）的有效方法。然而，目前尚无商用的合适的阻塞材料。我们使用血管造影导管和通气管（VT）制作了一种阻塞材料。
方法
从 18 号血管造影导管尖端切下 25 毫米，用蜡烛将切割端封闭并扩大。将血管造影导管插入 Paparella 1 型 VT 的孔中，将 VT 移至导管的切割端。VT 作为咽鼓管鼓口的塞子，以防止血管造影导管下降到鼻咽部。两名 PET 患者通过经鼓室途径使用这种阻塞材料进行了 ET 阻塞手术。
结果
所有 PET 症状均在手术后消失。术后无并发症，导管未脱出，功能良好。
结论
用血管造影导管和 VT 制作的阻塞器制作简单，对 PET 的治疗有效。
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