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Patulous eustachian tube surgeons, depression research and treatment - Plans Download

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The TVPM constitutes the anterior-external wall of the Eustachian tube and continues into the mouth between the connections of the hard palate to the soft palate.
The LVPM constitutes the floor of the Eustachian tube and leads to the rotation of the tubal cartilage and the proximal opening of the tube. The acts of swallowing or yawning are usually enough to momentarily open the Eustachian tube, allowing it to regulate air pressure.
In a typical Patulous Eustachian Tube condition, we observe a widening of the Eustachian tube channel. Patulous Eustachian Tube (PET) or tube to open remains an ET dysfunction category, difficult to diagnose and to treat.
It is possible to learn to voluntarily open your Eustachian tubes at any time, even separatly.

To counteract this relatively high pressure in the middle ear Toynbee’s maneuver allows the emptying of excessive gas through the tube towards the rhinopharynx. However, it is possible that these actions are no longer sufficient, either because the Eustachian tube is blocked, or because it cannot respond to a greater demand from the middle ear when gas exchanges become more marked, such as during the average ear inflammation.
It can also reveal Eustachian tube dysfunction and can suggest the presence of middle ear effusion.Tubomanometry allows us to quantify with precision the degree and the type of tubal dysfunction. Good knowledge of Physiology and Tubal Dynamics is required to understand the role of the Eustachian tube in maintaining this balance and the integrity of all the hearing organs during a dive.
If no solution seems to work, or spontaneously, we welcome anyone who wants to do a complete exam of his Eustachian tubes in order to check for a tubal dysfunction, to clarify its exact nature and to find some solutions. Two tubal muscles, the Levator Veli Palatini Muscle (LVPM) and the Tensor Veli Palatini muscle (TVPM) which is the main tubal dilator, ensure Eustachian tube function.

It can also happen that pressure in the external ear increases so rapidly that the tube cannot effect the necessary regulations fast enough, such as in free diving.
A stable level among C2 and C3 corresponds to good muscular tonus of the velum and allows to rule out Patulous Eustachian Tube or other malformations of this region. This differential diagnosis problem leads unfortunately to some surgeries proposed by well intentioned but inexperienced ENT surgeons. Many people abusing the Valsalva maneuver develop permanent and uncontrollable Patulous Eustachian Tube problems.

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