By John L. Dornhoffer

This publication, written by means of overseas specialists, is a close consultant to the Eustachian tube, with emphasis on these elements of such a lot 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. analysis and remedy for the patulous Eustachian tube are then mentioned, putting precise emphasis on a unique conservative therapy routine that has confirmed to be a step forward for sufferers with this medical syndrome. one other huge bankruptcy examines total functionality of the Eustachian tube, basically from the center ear surgeon’s perspective. Tuboplasty approaches, together with laser tuboplasty, and tympanoplasty are defined, and the results of alternative center ear pathologies for surgery are defined. The formerly unpublished therapy tools which are defined during this publication may be useful in making sure the very best medical outcomes.

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Sample text

The underlying condition is obstruction of the nasal passages, so typically these children breathe through their mouths. The adenoids not only block the nasal airway, but they also are the reason for recurrent infections as they host a reservoir of bacteria. Paracentesis and suction of the effusion, followed by placement of tympanostomy tubes, is a widespread treatment. However, tympanostomy tubes, since they are foreign bodies, may lead to tissue non-acceptance and even adverse reactions, such as permanent otorrhea.

Officially, injection of Teflon® paste anterior to the mouth of the Eustachian tube has been stopped by the manufacturer of the paste because of serious complications caused by the Teflon paste being accidentally injected into the internal carotid artery [130]. 2 shows an MRI of a young adult German patient treated by Pulec himself in the 1990s. Other materials have been used for augmentation and/or obstruction, such as autologous fat, collagen and even silicone. Surprisingly there are no long-term results published.

1 Balloon Dilatation of the Cartilaginous Portion For cases of chronic obstructive Eustachian tube dysfunction, “balloon Eustachian tuboplasty” (BET) has been recently introduced by two different groups: the Bielefeld group [129] and the Boston group [144]. The method of dilatation of the cartilaginous part of the Eustachian tube has been proven feasible and safe in cadaver studies [112] and human adults [144]. Poe et al. [144] with their later study used their own catheter. In BET a balloon catheter is placed into the cartilaginous portion of the Eustachian tube by transnasal endoscopy-controlled insertion.

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