Takahashi H, Honjo I, Fujita A
Department of Hearing and Speech Science, Graduate School of Medicine, Kyoto University, Japan.
Eur Arch Otorhinolaryngol. 1996;253(1-2):42-4. doi: 10.1007/BF00176702.
Transnasal endoscopy of the pharyngeal orifice of the eustachian tube was performed on 155 ears with otitis media with effusion (77 ears of children, 78 ears of adults). In children, blockage of the orifice by mucopurulent nasal discharge was the most frequent finding (72.7%), followed by compression of the orifice by the adenoid tissue (52.0%), hypertrophy of the peritubal tonsil (16.9%), and edema around the orifice, especially at its posterior lip (10.4%). In adults, the most frequent abnormal finding was edema of the orifice (26.9%), followed by blockage of the orifice by mucopurulent nasal discharge (23.1%), and atrophy of the orifice (10.3%). In 39.7% of cases findings were normal. Thus, main pathological findings associated with tubal dysfunction involved inflammation in the nasopharynx.
对155例分泌性中耳炎患者（儿童77耳，成人78耳）进行了咽鼓管咽口的经鼻内镜检查。在儿童中，最常见的发现是脓性鼻分泌物阻塞咽鼓管咽口（72.7%），其次是腺样体组织压迫咽鼓管咽口（52.0%）、咽鼓管扁桃体肥大（16.9%）以及咽鼓管咽口周围水肿，尤其是其后唇水肿（10.4%）。在成人中，最常见的异常发现是咽鼓管咽口水肿（26.9%），其次是脓性鼻分泌物阻塞咽鼓管咽口（23.1%）以及咽鼓管咽口萎缩（10.3%）。39.7%的病例检查结果正常。因此，与咽鼓管功能障碍相关的主要病理发现涉及鼻咽部炎症。
