Otolaryngology news at your desktop

Welcome to Otolaryngology E news
Saturday, September 23 2017 @ 05:53 am IST

Role of physiological saline in the management of patulous eustachean tube

OtologyIntroduction:

The pharyngeal end of eustachean tube is normally closed. It usually opens temporarily during swallowing and yawning during which time middle ear drainage and pressure equalisation takes place. Abnormalities involving this opening mechanism may lead to middle ear pathologies like otitis media with effusion.

Patulous eustachean tube is a difficult entity to treat. The phenomenon of autophony which is caused by this condition is a difficult entity to treat.

Patients have been driven to sucide because of this problem.

Patulous eustachean tube can be identified by the presence of the following features: Aural fullness Autophony Hearing of self breathing Sonotubometry is used to identify this condition.

Causes of patulous eustachean tube:

1. Weight loss (chronic)

2. Wasting disorders

3. Chronic inflammation followed by tissue atrophy at the pharyngeal end of eustachean tube

Management:

Various surgical modalities have been attempted with very little success.

Role of nasal topical instillation of physiological saline:

Instillation of physiological saline has been proved to be beneficial in nearly 60% of these patients. This therapy can be continued till there is sufficient

weight gain which could obviate the need for this medication. Instillation of saline in the pharyngeal end of eustachean tube may cause it to close.

This effect should be considered to be purely temporarly till normal saline is present close to the pharyngeal end of eustachean tube. The same can be instilled again if symptoms recur.

Physiological saline administration can be continued till there is spontaneous recovery which is also common.

Simple weight gain can obviate the symptoms.

Trackback

Trackback URL for this entry: http://www.drtbalu.co.in/news/trackback.php?id=20110828044501195

Here's what others have to say about 'Role of physiological saline in the management of patulous eustachean tube':

beha from beha
Mooie stijlvolle beha`s [read more]
Tracked on Tuesday, November 08 2011 @ 02:16 am IST

Role of physiological saline in the management of patulous eustachean tube | 102 comments | Create New Account
The following comments are owned by whomever posted them. This site is not responsible for what they say.
CRM Software Dubai
Authored by: Anonymous on Tuesday, April 26 2016 @ 09:50 am IST
I starting late found various supportive information in your site especially this site page. Among the clusters of comments on your articles. An obligation of appreciation is all together to share. Houston Accountant
[ # ]
Role of physiological saline in the management of patulous eustachean tube
Authored by: Anonymous on Friday, April 22 2016 @ 08:18 am IST
Trust me if the big national companies thought they worked they would either buy them or get into the business themselves there is too much money at stake for them to overlook that type of competition. Exterminator
[ # ]