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马亨德拉手法在鼻窦炎和咽鼓管功能障碍中的作用。

Role of Mahendra Maneuver in Sinusitis and Eustachian Tube Dysfunction.

作者信息

Taneja Vivek, Taneja M K, Singh V P

机构信息

Indian Institute of Ear Diseases, Muzaffarnagar, Uttar Pradesh India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):392-395. doi: 10.1007/s12070-024-05198-2. Epub 2024 Nov 13.

Abstract

The article titled "Role of the Maneuver in Sinusitis and Eustachian Tube Dysfunction" explores the efficacy of a novel technique known as the Maneuver. Sinusitis and Eustachian tube dysfunction are prevalent respiratory conditions often linked to impaired mucociliary flow and poor nasal clearance. Traditional maneuvers such as the Toynbee and Valsalva techniques provide temporary relief by forcefully opening the Eustachian tube but carry risks of injury and complications and does not work for sinusitis. The Maneuver proposes a more physiological approach to restore proper mucociliary flow and natural air entry to the middle ear. By employing specific postures, breathing techniques and muscle engagement, this maneuver enhances the function of the cilia in the nasal and respiratory passages, promoting sinus drainage and improving respiratory health. It also incorporates spiritual elements like Khechri Mudra and Shambhavi Dristi, which enhance parasympathetic stimulation 'Nitric Oxide production, further benefiting sinus and middle ear health. The maneuver is easy to learn, non-invasive and shows promise in addressing sinusitis, Eustachian tube dysfunction related conditions like otitis media with effusion and tinnitus. By integrating it into daily practice along with lifestyle adjustments, individuals may experience significant respiratory improvements.

摘要

题为《该手法在鼻窦炎和咽鼓管功能障碍中的作用》的文章探讨了一种名为“该手法”的新技术的疗效。鼻窦炎和咽鼓管功能障碍是常见的呼吸道疾病,通常与黏液纤毛运输受损和鼻腔清除功能不佳有关。传统手法如托尼比法和瓦尔萨尔瓦法通过强行打开咽鼓管提供暂时缓解,但存在受伤和并发症风险,且对鼻窦炎无效。“该手法”提出了一种更符合生理的方法来恢复适当的黏液纤毛运输并使自然空气进入中耳。通过采用特定姿势、呼吸技巧和肌肉参与,这种手法增强了鼻腔和呼吸道中纤毛的功能,促进鼻窦引流并改善呼吸健康。它还融入了诸如凯契里手印和香巴拉凝视等精神元素,增强副交感神经刺激和一氧化氮生成,进一步有益于鼻窦和中耳健康。该手法易于学习,无创,在治疗鼻窦炎、与咽鼓管功能障碍相关的病症如分泌性中耳炎和耳鸣方面显示出前景。通过将其与生活方式调整一起纳入日常实践,个人可能会在呼吸方面有显著改善。

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本文引用的文献

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Prevention and Rehabilitation of Old Age Deafness.老年耳聋的预防与康复
Indian J Otolaryngol Head Neck Surg. 2020 Dec;72(4):524-531. doi: 10.1007/s12070-020-01856-3. Epub 2020 Apr 16.
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Deafness, a Social Stigma: Physician Perspective.耳聋,一种社会耻辱:医生视角
Indian J Otolaryngol Head Neck Surg. 2014 Dec;66(4):353-8. doi: 10.1007/s12070-014-0776-5. Epub 2014 Sep 23.
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Vitamin d deficiency in e.N.T. Patients.耳鼻喉科患者的维生素D缺乏症
Indian J Otolaryngol Head Neck Surg. 2013 Jan;65(1):57-60. doi: 10.1007/s12070-012-0603-9. Epub 2012 Dec 1.
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Nitric oxide and the paranasal sinuses.一氧化氮与鼻窦
Anat Rec (Hoboken). 2008 Nov;291(11):1479-84. doi: 10.1002/ar.20782.

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