TYPE AND SEVERITY OF PATULOUS EUSTACHIAN TUBE
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概要
- 論文の詳細を見る
The major symptoms of patulous Eustachian tube are ear fullness, autophony, and hearing own breathing. Because of the variety of symptoms and severity, classification of patulous Eustachian tube is necessary in order to select treatment options as well as to evaluate the effect of treatment. In the present study, we classified patulous Eustachian tube into three types and three degrees of severity based on clinical symptoms and annoyance to patients. Seventy-seven patients were examined and classified into three types, depending on the most annoying symptom: ear fullness type, autophony type, and hearing own breathing type. Severity of symptoms was graded into three degrees (mild, moderate, and severe) using the visual analogue scale(VAS). Abnormal patency of the Eustachian tube was them evaluated by sonotubometry (Rion, JK-05). Ear fullness type was present in 57% ears, autophony type in 34% ears, and hearing own breathing type in 9% ears. Severity was assessed as mild in 43% ears, moderate in 40% ears, and severe in 17% ears. Abnormal Eustachian tube patency was detected in 18% ears in mild cases, in 51% ears in moderate cases, and in 83% ears in severe cases. Severity was well correlated to objective abnormal patency (correlation coefficient=0.554). Severity of symptoms was well correlated with objective abnormal Eustachian tube patency as evaluated by sonotubometry. In the clinical setting, our classification might be useful in selecting the best line of treatment as well as in evaluating response to treatment.
- 名古屋市立大学の論文
- 2008-03-31
著者
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Ozeki. Masashi
Department Of Neuro-otolaryngology Graduate School Of Medical Science Nagoya City University
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Watanabe Nobuhiro
春日井市民病院
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Inagaki Akira
Department Of Neuro-otolaryngology Graduate School Of Medical Sciences Nagoya City University
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MURAKAMI Shingo
Department of Otorhinolaryngology, Nagoya City University Medical School
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Inagaki Akira
Nagoya City Univ. School Of Medicine Nagoya Jpn
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Watanabe Nobuhiro
Department Of Applied Chemistry Graduate School Of Engineering Osaka Prefecture University
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NAKAZAWA MASAYA
Department of Neuro-otolaryngology, Graduate School of Medical Science, Nagoya City University
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HAMAJIMA YUKI
Department of Neuro-otolaryngology, Graduate School of Medical Science, Nagoya City University
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SAFWAT HAFEZ
Department of Neuro-otolaryngology, Graduate School of Medical Science, Nagoya City University
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Murakami Shingo
Nagoya City Univ. School Of Medicine Nagoya Jpn
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Murakami Shingo
Department Of Neuro-otolaryngology Graduate School Of Medical Sciences Nagoya City University
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Safwat Hafez
Department Of Neuro-otolaryngology Graduate School Of Medical Science Nagoya City University
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Hamajima Yuki
Department Of Neuro-otolaryngology Graduate School Of Medical Science Nagoya City University
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Nakazawa Masaya
Department Of Neuro-otolaryngology Graduate School Of Medical Science Nagoya City University
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Murakami Shingo
Department Of Neuro-otolaryngology Graduate School Of Medical Science Nagoya City University
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