Evaluating the Eustachian Tube Function in Chronic Suppurative Otitis Media in Reference to its Treatment Outcome

Sucheta Gupta, M. Goel, P. Jamwal
{"title":"Evaluating the Eustachian Tube Function in Chronic Suppurative Otitis Media in Reference to its Treatment Outcome","authors":"Sucheta Gupta, M. Goel, P. Jamwal","doi":"10.9734/bpi/hmms/v18/2967f","DOIUrl":null,"url":null,"abstract":"Background: Tubal malfunction is the most important factor in the development and persistence of otitis media. When the Eustachian tube malfunction persists, the most carefully performed surgery will fail because the initiating   pathogenetic factors of Eustachian tube function and middle ear ventilation are still present. Measurement of the Eustachian tube function is therefore an important part of the medical and surgical evaluation of the middle ear disease. \nAims: \nThe study was undertaken to find out Eustachian tube function in safe type of chronic suppurative otitis media and to study the comparison of graft uptake in normal, partially impaired and grossly impaired Eustachian tube function in safe type of chronic suppurative otitis media. \nMethods: \n \nThe present prospective study was conducted in the department of otorhinolaryngology and Head and Neck surgery, SMGS Hospital, Jammu w.e.f November 2016 to October 2017. The study was conducted after taking approval of institutional Ethics committee. The patients attending ENT outpatient department were enrolled in the study. Patients were diagnosed clinically and also audiometrically by Pure Tone Audiometry and impedance audiometry. Eustachian tube function test- TOYNBEE test was done in all the patients. An equal number of patients with normal, partially impaired and grossly impaired Eustachian tube function were considered for surgery. \n \nResults: Out of 20 patients with normal Eustachian tube function, 19(95%) showed graft uptake. Out of 20 patients with partially impaired Eustachian tube function, 18(90%) showed graft uptake. Out of 20 patients with grossly impaired Eustachian tube functions 13(65%) showed graft uptake. Comparison of mean values of pre and post- operative AB gap with respect to normal, partially impaired and grossly impaired Eustachian tube functions .Comparison is highly significant statistically with (p< 0.001). \nConclusion: ETF testing by impedance audiometry is a simple non-invasive method of testing the ETF. As seen in our study, functioning Eustachian tube is an important requirement for optimum outcome of myringoplasty. Testing the functions of Eustachian tube before surgery provides a possibility of predicting the possible outcome of myringoplasty / tymapanoplasty. This is also concluded that a partially functioning Eustachian tube should not be considered to be a contraindication to these surgeries as in many of these cases graft uptake and AB –gap closure was good (90%).","PeriodicalId":12942,"journal":{"name":"Highlights on Medicine and Medical Science Vol. 18","volume":"10 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Highlights on Medicine and Medical Science Vol. 18","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.9734/bpi/hmms/v18/2967f","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Background: Tubal malfunction is the most important factor in the development and persistence of otitis media. When the Eustachian tube malfunction persists, the most carefully performed surgery will fail because the initiating   pathogenetic factors of Eustachian tube function and middle ear ventilation are still present. Measurement of the Eustachian tube function is therefore an important part of the medical and surgical evaluation of the middle ear disease. Aims: The study was undertaken to find out Eustachian tube function in safe type of chronic suppurative otitis media and to study the comparison of graft uptake in normal, partially impaired and grossly impaired Eustachian tube function in safe type of chronic suppurative otitis media. Methods: The present prospective study was conducted in the department of otorhinolaryngology and Head and Neck surgery, SMGS Hospital, Jammu w.e.f November 2016 to October 2017. The study was conducted after taking approval of institutional Ethics committee. The patients attending ENT outpatient department were enrolled in the study. Patients were diagnosed clinically and also audiometrically by Pure Tone Audiometry and impedance audiometry. Eustachian tube function test- TOYNBEE test was done in all the patients. An equal number of patients with normal, partially impaired and grossly impaired Eustachian tube function were considered for surgery. Results: Out of 20 patients with normal Eustachian tube function, 19(95%) showed graft uptake. Out of 20 patients with partially impaired Eustachian tube function, 18(90%) showed graft uptake. Out of 20 patients with grossly impaired Eustachian tube functions 13(65%) showed graft uptake. Comparison of mean values of pre and post- operative AB gap with respect to normal, partially impaired and grossly impaired Eustachian tube functions .Comparison is highly significant statistically with (p< 0.001). Conclusion: ETF testing by impedance audiometry is a simple non-invasive method of testing the ETF. As seen in our study, functioning Eustachian tube is an important requirement for optimum outcome of myringoplasty. Testing the functions of Eustachian tube before surgery provides a possibility of predicting the possible outcome of myringoplasty / tymapanoplasty. This is also concluded that a partially functioning Eustachian tube should not be considered to be a contraindication to these surgeries as in many of these cases graft uptake and AB –gap closure was good (90%).
慢性化脓性中耳炎的咽鼓管功能评价及其治疗效果
背景:输卵管功能障碍是中耳炎发生和持续的最重要因素。当耳咽管功能障碍持续存在时,再仔细的手术也会失败,因为耳咽管功能和中耳通气的初始致病因素仍然存在。因此,测量耳咽管的功能是内科和外科评估中耳疾病的重要组成部分。目的:了解慢性化脓性中耳炎安全型患者的咽鼓管功能,比较慢性化脓性中耳炎安全型患者咽鼓管功能正常、部分受损和严重受损患者的移植物摄取情况。方法:本前瞻性研究于2016年11月至2017年10月在查谟市SMGS医院耳鼻咽喉头颈外科进行。该研究是在得到机构伦理委员会的批准后进行的。在耳鼻喉科门诊就诊的患者被纳入研究。通过纯音测听和阻抗测听对患者进行临床诊断和听力测量。所有患者均行咽鼓管功能试验- TOYNBEE试验。同等数量的咽鼓管功能正常、部分受损和严重受损的患者被考虑手术。结果:20例咽鼓管功能正常的患者中,19例(95%)出现移植物摄取。在20例部分耳咽管功能受损的患者中,18例(90%)出现移植物摄取。在20例耳咽管功能严重受损的患者中,13例(65%)出现移植物摄取。术前和术后AB间隙与正常、部分受损和严重受损耳咽管功能的平均值比较。比较具有高度统计学意义(p< 0.001)。结论:阻抗测听法检测ETF是一种简单、无创的测试ETF的方法。在我们的研究中可以看到,耳咽管的功能是耳膜成形术的最佳结果的重要要求。术前检测耳咽管的功能为预测鼓膜成形术/鼓室成形术的可能结果提供了可能。这也得出结论,部分功能的咽鼓管不应被视为这些手术的禁忌症,因为在许多此类病例中,移植物摄取和AB间隙闭合良好(90%)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信