Abstract
Transnasal endoscopy of the pharyngeal orifice of the eustachian tube was performed on 155 ears with otitis media with effusion (77 ears of children, 78 ears of adults). In children, blockage of the orifice by mucopurulent nasal discharge was the most frequent finding (72.7%), followed by compression of the orifice by the adenoid tissue (52.0%), hypertrophy of the peritubal tonsil (16.9%), and edema around the orifice, especially at its posterior lip (10.4%). In adults, the most frequent abnormal finding was edema of the orifice (26.9%), followed by blockage of the orifice by mucopurulent nasal discharge (23.1 %), and atrophy of the orifice (10.3%). In 39.7% of cases findings were normal. Thus, main pathological findings associated with tubal dysfunction involved inflammation in the nasopharynx.
Article PDF
Similar content being viewed by others
References
Bluestone CD, Klein JO (1988) Otitis media in infants and children. Saunders, Philadelphia, pp 15–30
Gereau SA, Stevens D, Bassila M, Sher AE, Sidoti EJ Jr, Morgan M, Oka S, Shprintzen RJ (1988) Endoscopic observations of eustachian tube abnormalities in children with palatal cleft. In: Lim DJ (ed) Recent advances in otitis media. Decker, Philadelphia, pp 60–63
Honjo I (1988) Eustachian tube and middle ear diseases. Springer, Tokyo Berlin Heidelberg
Honjo I, Ushiro K, Mitoma T (1984) Endoscopic observation of the eustachian tube in otitis media with effusion. In: Lim DJ (ed) Recent advances in otitis media with effusion. Decker, Philadelphia, pp 238–240
Honjo 1, Takahashi H, Fujita A, Kurata K (1995) Relationship between otitis media and nasal pathology: special reference to eustachian tube function. Acta Otolaryngol (Stockh) (in press)
Jaumann MP, Steiner W, Berg M (1980) Endoscopy of the pharyngeal eustachian tube. Ann Otol Rhinol Laryngol 89 [Suppl 68]:54–55
Magnusson B (1981) On the origin of the high negative pressure in the middle ear. Am J Otolaryngol 2:1–12
Takahashi H, Fujita A, Honjo I (1987) Site of eustachian tube dysfunction in patients with otitis media with effusion. Am J Otolaryngol 8:361–363
Takahashi H, Hayashi M, Sato H, Honjo I (1989) Primary deficits in eustachian tube function in patients with otitis media with effusion. Arch Otolaryngol 115:581–584
Silverstein H, Miller GF, Lindeman RC (1966) Eustachian tube dysfunction as a cause of chronic secretory otitis in children. Laryngoscope 76:259–273
Yamashita K (1991) Endoscopic aspects in eustachian tube dysfunction. In: Sade J (ed) The eustachian tube, basic aspects. Kugler & Ghedini, Amsterdam, pp 169–173
Yamashita K, Miyazaki T (1985) Diagnostic significance of endoscopy of the eustachian tube. Auris Nasus Larynx (Tokyo) 12 [Suppl 1]:55–57
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Takahashi, H., Honjo, I. & Fujita, A. Endoscopic findings at the pharyngeal orifice of the eustachian tube in otitis media with effusion. Eur Arch Otorhinolaryngol 253, 42–44 (1996). https://doi.org/10.1007/BF00176702
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00176702