Sakakihara J, Honjo I, Fujita A, Kurata K, Takahashi H
Department of Otolaryngology, Faculty of Medicine, Kyoto University, Japan.
Acta Otolaryngol. 1993 Mar;113(2):187-90. doi: 10.3109/00016489309135790.
Compliance and ventilatory functions of the eustachian tube (ET) were examined in 20 ears with sniff-induced otitis media with effusion (OME) and 16 ears with traumatic perforation of the eardrum (control) by the forced response test (FRT) including the compliance test, and by the inflation-deflation test. The tubal compliance showed no significant difference between two groups in the FRT. The inflation test revealed that the forced opening pressure was significantly lower in the sniff-induced OME group than in the controls. In the FRT, the active ventilatory dysfunction was also revealed to be significantly more common in the sniff-induced OME. These results suggested that most of the ETs with sniff-induced OME seemed to have excessive patency and poor active opening ability, but may not be hypercompliant or "floppy".
通过包括顺应性测试在内的强制反应测试(FRT)以及充气-放气测试,对20例因嗅吸诱发的中耳积液性中耳炎(OME)患者的20耳和16例鼓膜外伤性穿孔患者的16耳(对照组)的咽鼓管(ET)顺应性和通气功能进行了检查。在FRT中,两组的咽鼓管顺应性无显著差异。充气测试显示,嗅吸诱发的OME组的强制开放压力显著低于对照组。在FRT中,嗅吸诱发的OME组主动通气功能障碍也明显更为常见。这些结果表明,大多数因嗅吸诱发OME的咽鼓管似乎通畅过度且主动开放能力较差,但可能并非顺应性过高或“松弛”。