Eustachian tube function in tympanoplasty
This paper describes central and peripheral eustachian tube function in relation to tympanoplasty. Central obstruction of the eustachian tube at the pharyngeal orifice is frequently correctable and is not a contraindication to tympanoplasty, whereas chronic cicatricial peripheral obstruction of the...
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| Veröffentlicht in: | The American journal of otology (New York, N.Y.) N.Y.), 1989-05, Vol.10 (3), p.234-236 |
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| container_title | The American journal of otology (New York, N.Y.) |
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| creator | BROWN FARRIOR, J |
| description | This paper describes central and peripheral eustachian tube function in relation to tympanoplasty. Central obstruction of the eustachian tube at the pharyngeal orifice is frequently correctable and is not a contraindication to tympanoplasty, whereas chronic cicatricial peripheral obstruction of the eustachian tube at the isthmus is a contraindication to tympanoplasty. These findings are based on tubal patency pressure studies measured with a mercurial manometer with the patient performing the Valsalva maneuver, with catheterization of the eustachian tube, and with politzerization. If the patient can autoinflate the middle ear and if the eustachian tube will open with politzerization, then the likelihood exists that there is no peripheral obstruction of the eustachian tube and you have a good candidate for tympanoplasty. When there is a perforation of the ear drum, the best test for eustachian tube function is microscopic examination of the middle ear mucosa. If the middle ear mucosa is perfectly normal, then you know that you have good eustachian tube function and can proceed with the tympanoplasty. |
| format | Article |
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Central obstruction of the eustachian tube at the pharyngeal orifice is frequently correctable and is not a contraindication to tympanoplasty, whereas chronic cicatricial peripheral obstruction of the eustachian tube at the isthmus is a contraindication to tympanoplasty. These findings are based on tubal patency pressure studies measured with a mercurial manometer with the patient performing the Valsalva maneuver, with catheterization of the eustachian tube, and with politzerization. If the patient can autoinflate the middle ear and if the eustachian tube will open with politzerization, then the likelihood exists that there is no peripheral obstruction of the eustachian tube and you have a good candidate for tympanoplasty. When there is a perforation of the ear drum, the best test for eustachian tube function is microscopic examination of the middle ear mucosa. If the middle ear mucosa is perfectly normal, then you know that you have good eustachian tube function and can proceed with the tympanoplasty.</description><identifier>ISSN: 0192-9763</identifier><identifier>PMID: 2750871</identifier><identifier>CODEN: AJOTBN</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Biological and medical sciences ; Catheterization ; Eustachian Tube - physiopathology ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Manometry ; Medical sciences ; Otitis Media - physiopathology ; Otitis Media - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the ear, the auditive nerve and the facial nerve ; Tympanoplasty ; Valsalva Maneuver</subject><ispartof>The American journal of otology (New York, N.Y.), 1989-05, Vol.10 (3), p.234-236</ispartof><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7281943$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2750871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BROWN FARRIOR, J</creatorcontrib><title>Eustachian tube function in tympanoplasty</title><title>The American journal of otology (New York, N.Y.)</title><addtitle>Am J Otol</addtitle><description>This paper describes central and peripheral eustachian tube function in relation to tympanoplasty. Central obstruction of the eustachian tube at the pharyngeal orifice is frequently correctable and is not a contraindication to tympanoplasty, whereas chronic cicatricial peripheral obstruction of the eustachian tube at the isthmus is a contraindication to tympanoplasty. These findings are based on tubal patency pressure studies measured with a mercurial manometer with the patient performing the Valsalva maneuver, with catheterization of the eustachian tube, and with politzerization. If the patient can autoinflate the middle ear and if the eustachian tube will open with politzerization, then the likelihood exists that there is no peripheral obstruction of the eustachian tube and you have a good candidate for tympanoplasty. When there is a perforation of the ear drum, the best test for eustachian tube function is microscopic examination of the middle ear mucosa. If the middle ear mucosa is perfectly normal, then you know that you have good eustachian tube function and can proceed with the tympanoplasty.</description><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Eustachian Tube - physiopathology</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Otitis Media - physiopathology</subject><subject>Otitis Media - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Otitis Media - physiopathology</topic><topic>Otitis Media - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Central obstruction of the eustachian tube at the pharyngeal orifice is frequently correctable and is not a contraindication to tympanoplasty, whereas chronic cicatricial peripheral obstruction of the eustachian tube at the isthmus is a contraindication to tympanoplasty. These findings are based on tubal patency pressure studies measured with a mercurial manometer with the patient performing the Valsalva maneuver, with catheterization of the eustachian tube, and with politzerization. If the patient can autoinflate the middle ear and if the eustachian tube will open with politzerization, then the likelihood exists that there is no peripheral obstruction of the eustachian tube and you have a good candidate for tympanoplasty. When there is a perforation of the ear drum, the best test for eustachian tube function is microscopic examination of the middle ear mucosa. 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| identifier | ISSN: 0192-9763 |
| ispartof | The American journal of otology (New York, N.Y.), 1989-05, Vol.10 (3), p.234-236 |
| issn | 0192-9763 |
| language | eng |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Biological and medical sciences Catheterization Eustachian Tube - physiopathology Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Manometry Medical sciences Otitis Media - physiopathology Otitis Media - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the ear, the auditive nerve and the facial nerve Tympanoplasty Valsalva Maneuver |
| title | Eustachian tube function in tympanoplasty |
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