By John L. Dornhoffer
This ebook, written through foreign specialists, is a close advisor to the Eustachian tube, with emphasis on these points of so much relevance to the practitioner. the outlet chapters record the scientific anatomy and supply crucial info on body structure, with rationalization of the hot version of tubal mechanics. prognosis and remedy for the patulous Eustachian tube are then mentioned, putting targeted emphasis on a singular conservative therapy routine that has confirmed to be a leap forward for sufferers with this medical syndrome. yet another huge bankruptcy examines total functionality of the Eustachian tube, essentially from the center ear surgeon’s standpoint. Tuboplasty systems, together with laser tuboplasty, and tympanoplasty are defined, and the consequences of alternative heart ear pathologies for surgery are defined. The formerly unpublished remedy tools which are defined during this ebook can be priceless in making sure the absolute best scientific outcomes.
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Extra resources for A Practical Guide to the Eustachian Tube
The largest series of patients was published by Plate et al.  who examined 270 pregnant women. Of these, 19 appeared to have a closing failure of the Eustachian tube but only 5 showed the clinical symptoms of a pET. The symptoms were highly correlated to the level of oestriol in the serum. Oestrogen is supposed to have an impact upon the viscosity of the intratubal mucus  as well as on the compliance of the tubal cartilage . In addition, increased oestrogen causes increased fat metabolism leading to a reduction of the Ostmann’s fat pad .
2 Injection Therapy A therapy frequently suggested is the augmentation of the nasopharyngeal orifice of the Eustachian tube. The success rate of the augmentation therapy depends on the long-term stability rather than the quantity of the injected substance. Pulec  used polytetrafluoroethylene paste (Teflon®). He injected this substance into the anterior–inferior margin of the nasopharyngeal Eustachian tube orifice and observed an improvement of the pET symptoms in 73 % (19 of 26 patients) within a 3-year follow-up.
4 Therapy Generally, the pET does not cause structural changes in the tympanic cavity, which thus could require a tympanoplasty. Hence, the middle ear-associated symptoms should primarily be treated on the level of the Eustachian tube. However, if a pronounced atrophy of the eardrum and a pET are present, tympanoplasty could be reasonable and should be performed using cartilage as a graft. In cases of an oestrogen-induced pET, the cessation of hormonal contraception and other methods of birth control should be considered.
A Practical Guide to the Eustachian Tube by John L. Dornhoffer