Yan Huang, Liyang Liang, Lina Zhang, Wei Liu, Jia Guo, Zhigang Zhang, Yu Si
{"title":"特纳综合征患者的咽鼓管特征：基于ct的放射学分析。","authors":"Yan Huang, Liyang Liang, Lina Zhang, Wei Liu, Jia Guo, Zhigang Zhang, Yu Si","doi":"10.1002/lary.32086","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients with Turner syndrome (TS) commonly experience acute otitis media and Eustachian tube dysfunction (ETD). Comparison of the anatomical features of the Eustachian tube (ET) between TS patients and age-matched controls may provide insights into the high prevalence of ETD in TS.</p><p><strong>Methods: </strong>This study compared the ET angle, length, and diameters of the bone segment, bone-cartilage (BC) junction, and pharyngeal opening between TS patients and control children. A subgroup analysis was also conducted to explore potential risk factors for ETD in TS patients.</p><p><strong>Results: </strong>The ET angle in the TS group was significantly smaller (31.57°; 95% confidence interval [95% CI]: 30.05-33.09) compared with the control group (33.72°; 95% CI: 32.68-34.75; p = 0.019). No significant difference in ET length was observed between the two groups. However, the TS group exhibited significantly narrower diameters at the bony segment of the ET (0.30 cm; 95% CI: 0.29-0.32; p = 0.001), the BC junction (0.15 cm; 95% CI: 0.13-0.16; p = 0.001), and the pharyngeal orifice (0.14 cm; 95% CI: 0.13-0.16; p = 0.001) compared with the control group. Correlation analysis revealed a significant positive correlation between ET length and angle in the control group, whereas a non-significant negative correlation was observed in the TS group. In patients with TS, ET angles < 33.25°, bone segment diameters < 0.355 cm, and pharyngeal diameters < 0.15 cm were significantly associated with an increased risk of ETD.</p><p><strong>Conclusion: </strong>A more horizontal ET angle, along with narrower diameters at various ET segments, may contribute to the development of ETD in patients with TS. Consequently, heightened vigilance in monitoring hearing and early intervention strategies is recommended for children with TS (https://www.chictr.org.cn/, ChiCTR2300068063).</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Eustachian Tube Characteristics in Patients With Turner Syndrome: A CT-Based Radiological Analysis.\",\"authors\":\"Yan Huang, Liyang Liang, Lina Zhang, Wei Liu, Jia Guo, Zhigang Zhang, Yu Si\",\"doi\":\"10.1002/lary.32086\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Patients with Turner syndrome (TS) commonly experience acute otitis media and Eustachian tube dysfunction (ETD). Comparison of the anatomical features of the Eustachian tube (ET) between TS patients and age-matched controls may provide insights into the high prevalence of ETD in TS.</p><p><strong>Methods: </strong>This study compared the ET angle, length, and diameters of the bone segment, bone-cartilage (BC) junction, and pharyngeal opening between TS patients and control children. A subgroup analysis was also conducted to explore potential risk factors for ETD in TS patients.</p><p><strong>Results: </strong>The ET angle in the TS group was significantly smaller (31.57°; 95% confidence interval [95% CI]: 30.05-33.09) compared with the control group (33.72°; 95% CI: 32.68-34.75; p = 0.019). No significant difference in ET length was observed between the two groups. However, the TS group exhibited significantly narrower diameters at the bony segment of the ET (0.30 cm; 95% CI: 0.29-0.32; p = 0.001), the BC junction (0.15 cm; 95% CI: 0.13-0.16; p = 0.001), and the pharyngeal orifice (0.14 cm; 95% CI: 0.13-0.16; p = 0.001) compared with the control group. Correlation analysis revealed a significant positive correlation between ET length and angle in the control group, whereas a non-significant negative correlation was observed in the TS group. In patients with TS, ET angles < 33.25°, bone segment diameters < 0.355 cm, and pharyngeal diameters < 0.15 cm were significantly associated with an increased risk of ETD.</p><p><strong>Conclusion: </strong>A more horizontal ET angle, along with narrower diameters at various ET segments, may contribute to the development of ETD in patients with TS. Consequently, heightened vigilance in monitoring hearing and early intervention strategies is recommended for children with TS (https://www.chictr.org.cn/, ChiCTR2300068063).</p><p><strong>Level of evidence: 3: </strong></p>\",\"PeriodicalId\":49921,\"journal\":{\"name\":\"Laryngoscope\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-02-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Laryngoscope\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/lary.32086\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laryngoscope","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/lary.32086","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Eustachian Tube Characteristics in Patients With Turner Syndrome: A CT-Based Radiological Analysis.
Background: Patients with Turner syndrome (TS) commonly experience acute otitis media and Eustachian tube dysfunction (ETD). Comparison of the anatomical features of the Eustachian tube (ET) between TS patients and age-matched controls may provide insights into the high prevalence of ETD in TS.
Methods: This study compared the ET angle, length, and diameters of the bone segment, bone-cartilage (BC) junction, and pharyngeal opening between TS patients and control children. A subgroup analysis was also conducted to explore potential risk factors for ETD in TS patients.
Results: The ET angle in the TS group was significantly smaller (31.57°; 95% confidence interval [95% CI]: 30.05-33.09) compared with the control group (33.72°; 95% CI: 32.68-34.75; p = 0.019). No significant difference in ET length was observed between the two groups. However, the TS group exhibited significantly narrower diameters at the bony segment of the ET (0.30 cm; 95% CI: 0.29-0.32; p = 0.001), the BC junction (0.15 cm; 95% CI: 0.13-0.16; p = 0.001), and the pharyngeal orifice (0.14 cm; 95% CI: 0.13-0.16; p = 0.001) compared with the control group. Correlation analysis revealed a significant positive correlation between ET length and angle in the control group, whereas a non-significant negative correlation was observed in the TS group. In patients with TS, ET angles < 33.25°, bone segment diameters < 0.355 cm, and pharyngeal diameters < 0.15 cm were significantly associated with an increased risk of ETD.
Conclusion: A more horizontal ET angle, along with narrower diameters at various ET segments, may contribute to the development of ETD in patients with TS. Consequently, heightened vigilance in monitoring hearing and early intervention strategies is recommended for children with TS (https://www.chictr.org.cn/, ChiCTR2300068063).
期刊介绍：
The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope.
• Broncho-esophagology
• Communicative disorders
• Head and neck surgery
• Plastic and reconstructive facial surgery
• Oncology
• Speech and hearing defects
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
