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01.08.2015

Treatment of eustachian tube dysfunction, headache and fatigue during menstruation - PDF Review

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Eustachian tube function can be evaluated formally by the process of measuring pressure in the ear using tympanometry, documenting that it is different than 0, then having the person attempt to open up their ET, and then measuring it again. Eustachian tube function may be poor for several months after a bout of otitis media (Caye-Thomasen and Tos 2004).
The patulous (open too much) eustachian tube is also diagnosed by noting that people have autophony (hear their own voice in their ear), an abnormal resonance to the voice (due to the tube being open), or the simple expedient of watching the ear drum move while the person breathes. Occasionally, people with severe symptoms due to ET dysfunction may have a ventilation tube placed in their ear drum. Recently balloon Eustachian Tuboplasty (BET) has been used as a method of treating chronic obstructive ETD.
As a last resort, a patulous eustachian tube may be closed surgically (Rotenberg et al, 2012) and a perforation created in the eardrum. Rotenberg BW, Busato GM, Agrawal SK.Endoscopic ligation of the patulous eustachian tube as treatment for autophony. Most of the time Eustachian tube problems are not serious and they get better on their own.
If a child has Eustachian tube problems for long periods of time, they can have language or speech problems as a result of not hearing well.


Causes: Anything that make the Eustachian tube swollen or inflamed such as recent upper respiratory infection or common cold, allergies, sinus infection or sudden air pressure changes (happens when people fly on an airplane, scuba dive or drive in the mountains).
Treatment: The treatment of Eustachian tube dysfunctions is tailored to the individual patient and the cause of the disorder. Any kind of inflammation of the inside tubal mucosa (reflux, allergy, infection, chronic rhino-sinusitis) provokes an oedema with excessive mucus secretion and leads to an obstructive dysfunction. 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. Since the surgical management of these two pathologies is at diametrically opposed extremes, it is critical to obtain the correct diagnosis before undertaking any treatment.
This relieves the symptoms of ET dysfunction but creates a perforation in the eardrum which reduces hearing to a small extent as well as provides a potential entry point for infection.
These agents are intended to close eustachian tubes, and would not be appropriate for persons who have plugged eustachian tubes rather than abnormally open ones.
A novel diagnostic tool for chronic obstructive eustachian tube Dysfunction-The eustachian tube score.Laryngoscope.


Value and discriminative power of the seven-item eustachian tube dysfunction questionnaire.
Van Roeyen et al (2015) reported that the ETDQ-7 was unable to distriminate between obstructive ET dysfunction and patulous ET. But in case of a simple cold, or in fast weather, or altitude changing as in airplane, driving in mountains or diving, as small as the inflammation or congestion is it may induce a real clinical ET dysfunction with all symptoms and pathologies. Other symptoms of PET, such as tinnitus, fullness and ear blokage, can also be reported by patients suffering from obstructive ET dysfunction.
Last epidemiological data indicates that PET results from obstructive ET dysfunction evolving over a long period of time.



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