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Erschienen in: European Archives of Oto-Rhino-Laryngology 10/2016

19.02.2016 | Otology

Detection of eustachian tube openings by tubomanometry in adult otitis media with effusion

verfasst von: Panpan Liu, Kaiming Su, Bijun Zhu, Yaqin Wu, Haibo Shi, Shankai Yin

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 10/2016

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Abstract

Otitis media with effusion (OME) is a common disease and eustachian tube (ET) dysfunction is widely known to be related to the incidence of OME; however, objective evaluation tools for ET function are lacking. To evaluate ET openings by tubomanometry (TMM) in adult patients with otitis media with effusion (OME), the ET patency of 123 ears, including 63 ears of OME patients and 60 control ears, were tested using TMM and tympanometry. ET patency was evaluated by the R value and ET score, and was compared to the tympanogram results. The eustachian tube dysfunction questionnaire (ETDQ-7) was used to assess the severity of the symptoms in OME patients. The results showed that the rates of restricted opening or blocked ET under pressures of 30, 40, and 50 mbar by TMM testing were 10, 5, and 0 %, respectively (control group) and 76.19, 66.7, and 57.97 %, respectively (OME group) (p < 0.05 for all pressure groups). However, the rates were 77.42, 71.97, and 61.29 % in the type B tympanogram group, and 75, 62.5, and 46.87 % in the type C tympanogram group; no significant difference was found at each testing pressure (p = 0.821, 0.246, and 0.516; respectively) between these tympanogram groups. The mean ETDQ-7 score in OME patients was 16.40 ± 10.72, which was significantly negatively correlated with the ET score at 30 and 40 mbar (30 mbar: correlation coefficient −0.29, p = 0.025; 40 mbar: correlation coefficient −0.28; p = 0.030), but not at 50 mbar (correlation coefficient −0.013, p = 0.924). These findings showed that ET blockage or delayed opening were found in most adult patients with OME when evaluated by this innovative and semi objective TMM, testing pressures should be considered when assessing the results of TMM in OME patients.
Literatur
1.
Zurück zum Zitat Holmquist CA, Gregory JH, Baker MN, Rich ED, Greeley SA (1926) Standard specifications and tests for municipal refuse incinerators. Am J Public Health (NY) 16:393–395CrossRef Holmquist CA, Gregory JH, Baker MN, Rich ED, Greeley SA (1926) Standard specifications and tests for municipal refuse incinerators. Am J Public Health (NY) 16:393–395CrossRef
2.
Zurück zum Zitat Patel MM, Eisenberg L, Witsell D, Schulz KA (2008) Assessment of acute otitis externa and otitis media with effusion performance measures in otolaryngology practices. Otolaryngol Head Neck Surg 139:490–494CrossRefPubMed Patel MM, Eisenberg L, Witsell D, Schulz KA (2008) Assessment of acute otitis externa and otitis media with effusion performance measures in otolaryngology practices. Otolaryngol Head Neck Surg 139:490–494CrossRefPubMed
3.
Zurück zum Zitat Fujita A, Honjo I, Kurata K, Gan I, Takahashi H (1993) Refractory otitis media with effusion from viewpoints of eustachian tube dysfunction and nasal sinusitis. Am J Otolaryngol 14:187–190CrossRefPubMed Fujita A, Honjo I, Kurata K, Gan I, Takahashi H (1993) Refractory otitis media with effusion from viewpoints of eustachian tube dysfunction and nasal sinusitis. Am J Otolaryngol 14:187–190CrossRefPubMed
4.
Zurück zum Zitat Doyle WJ, Mandel EM, Seroky JT, Swarts JD, Casselbrant ML (2013) Reproducibility of the forced response test in children with chronic otitis media with effusion. Otol Neurotol 34:16–21CrossRefPubMedPubMedCentral Doyle WJ, Mandel EM, Seroky JT, Swarts JD, Casselbrant ML (2013) Reproducibility of the forced response test in children with chronic otitis media with effusion. Otol Neurotol 34:16–21CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Prasad KC, Hegde MC, Prasad SC, Meyappan H (2009) Assessment of eustachian tube function in tympanoplasty. Otolaryngol Head Neck Surg 140:889–893CrossRefPubMed Prasad KC, Hegde MC, Prasad SC, Meyappan H (2009) Assessment of eustachian tube function in tympanoplasty. Otolaryngol Head Neck Surg 140:889–893CrossRefPubMed
6.
Zurück zum Zitat Falk B, Magnuson B (1984) Eustachian tube closing failure in children with persistent middle ear effusion. Int J Pediatr Otorhinolaryngol 7:97–106CrossRefPubMed Falk B, Magnuson B (1984) Eustachian tube closing failure in children with persistent middle ear effusion. Int J Pediatr Otorhinolaryngol 7:97–106CrossRefPubMed
7.
Zurück zum Zitat Swarts, JD, Teixeira MS, Banks J, El-Wagaa J, Doyle WJ (2014) A method to assess the accuracy of sonotubometry for detecting Eustachian tube openings. Eur Arch Otorhinolaryngol Swarts, JD, Teixeira MS, Banks J, El-Wagaa J, Doyle WJ (2014) A method to assess the accuracy of sonotubometry for detecting Eustachian tube openings. Eur Arch Otorhinolaryngol
8.
Zurück zum Zitat Esteve D, Martin C, Dubreuil C (1999) Tubomanometrie: aspects de la function equipressive de la trompe auditive: cas cliniques. J Fr ORL 48:6 Esteve D, Martin C, Dubreuil C (1999) Tubomanometrie: aspects de la function equipressive de la trompe auditive: cas cliniques. J Fr ORL 48:6
9.
Zurück zum Zitat Collin M, Coulange M, Deveze A, Montava M, Esteve D, Lavieille JP (2012) Middle ear barotraumas due to rhinopharyngeal scar tissue: tubomanometry diagnostic and therapeutic contribution. Rev Laryngol Otol Rhinol (Bord) 133:157–161 Collin M, Coulange M, Deveze A, Montava M, Esteve D, Lavieille JP (2012) Middle ear barotraumas due to rhinopharyngeal scar tissue: tubomanometry diagnostic and therapeutic contribution. Rev Laryngol Otol Rhinol (Bord) 133:157–161
10.
Zurück zum Zitat Sudhoff H, Ockermann T, Mikolajczyk R, Ebmeyer J, Korbmacher D, Garten D, Schreiber S (2009) Clinical and experimental considerations for evaluation of Eustachian tube physiology. HNO 57:428–435CrossRefPubMed Sudhoff H, Ockermann T, Mikolajczyk R, Ebmeyer J, Korbmacher D, Garten D, Schreiber S (2009) Clinical and experimental considerations for evaluation of Eustachian tube physiology. HNO 57:428–435CrossRefPubMed
11.
Zurück zum Zitat Silvola J, Kivekas I, Poe DS (2014) Balloon dilation of the cartilaginous portion of the Eustachian tube. Otolaryngol Head Neck Surg 151:125–130CrossRefPubMed Silvola J, Kivekas I, Poe DS (2014) Balloon dilation of the cartilaginous portion of the Eustachian tube. Otolaryngol Head Neck Surg 151:125–130CrossRefPubMed
12.
Zurück zum Zitat Gurtler N, Husner A, Flurin H (2015) Balloon dilation of the eustachian tube: early outcome analysis. Otol Neurotol 36:437–443CrossRefPubMed Gurtler N, Husner A, Flurin H (2015) Balloon dilation of the eustachian tube: early outcome analysis. Otol Neurotol 36:437–443CrossRefPubMed
13.
Zurück zum Zitat Jenckel F, Kappo N, Gliese A, Loewenthal M, Lorincz BB, Knecht R, Dalchow CV (2014) Endonasal dilatation of the Eustachian tube (EET) in children: feasibility and the role of tubomanometry (Esteve) in outcomes measurement. Eur Arch Otorhinolaryngol Jenckel F, Kappo N, Gliese A, Loewenthal M, Lorincz BB, Knecht R, Dalchow CV (2014) Endonasal dilatation of the Eustachian tube (EET) in children: feasibility and the role of tubomanometry (Esteve) in outcomes measurement. Eur Arch Otorhinolaryngol
14.
Zurück zum Zitat Meyer MF, Mikolajczak S, Korthauer C, Jumah MD, Hahn M, Grosheva M, Luers JC, Huttenbrink KB, Beutner D (2015) Impact of xylomethazoline on Eustachian tube function in healthy participants. Otol Neurotol Meyer MF, Mikolajczak S, Korthauer C, Jumah MD, Hahn M, Grosheva M, Luers JC, Huttenbrink KB, Beutner D (2015) Impact of xylomethazoline on Eustachian tube function in healthy participants. Otol Neurotol
15.
Zurück zum Zitat Schroder S, Lehmann M, Sauzet O, Ebmeyer J, Sudhoff H (2015) A novel diagnostic tool for chronic obstructive eustachian tube Dysfunction—the eustachian tube score. Laryngoscope 125:703–708CrossRefPubMed Schroder S, Lehmann M, Sauzet O, Ebmeyer J, Sudhoff H (2015) A novel diagnostic tool for chronic obstructive eustachian tube Dysfunction—the eustachian tube score. Laryngoscope 125:703–708CrossRefPubMed
16.
Zurück zum Zitat Ars B, Dirckx JJ (2003) Fibrocartilaginous Eustachian tube—middle ear cleft. Kugler Publications, The Hague, The Netherlands. pp 151–158 Ars B, Dirckx JJ (2003) Fibrocartilaginous Eustachian tube—middle ear cleft. Kugler Publications, The Hague, The Netherlands. pp 151–158
17.
Zurück zum Zitat McCoul ED, Anand VK, Christos PJ (2012) Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope 122:1137–1141CrossRefPubMedPubMedCentral McCoul ED, Anand VK, Christos PJ (2012) Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope 122:1137–1141CrossRefPubMedPubMedCentral
18.
19.
Zurück zum Zitat Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH (2010) Balloon dilatation eustachian tuboplasty: a clinical study. Laryngoscope 120:1411–1416CrossRefPubMed Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH (2010) Balloon dilatation eustachian tuboplasty: a clinical study. Laryngoscope 120:1411–1416CrossRefPubMed
20.
Zurück zum Zitat Esteve D, C. Dubreuil C, Della-Vedova C, Normand B, Martin C (2001) Evaluation by tubomanometry of the eustachian tube opening function and of the tympanic response in normal subjects and in patients with secretory otitis media: result comparison. J Fr ORL 50:223–231 Esteve D, C. Dubreuil C, Della-Vedova C, Normand B, Martin C (2001) Evaluation by tubomanometry of the eustachian tube opening function and of the tympanic response in normal subjects and in patients with secretory otitis media: result comparison. J Fr ORL 50:223–231
21.
Zurück zum Zitat Watters GW, Jones JE, Freeland AP (1997) The predictive value of tympanometry in the diagnosis of middle ear effusion. Clin Otolaryngol Allied Sci 22:343–345CrossRefPubMed Watters GW, Jones JE, Freeland AP (1997) The predictive value of tympanometry in the diagnosis of middle ear effusion. Clin Otolaryngol Allied Sci 22:343–345CrossRefPubMed
22.
Zurück zum Zitat Califano L, Salafia F, Mazzone S, D’Ambrosio G, Malafronte L, Vassallo A (2014) A comparative randomized study on the efficacy of a systemic steroid therapy vs. a thermal therapy in Otitis media with effusion in children. Minerva Pediatr 66:123–125 Califano L, Salafia F, Mazzone S, D’Ambrosio G, Malafronte L, Vassallo A (2014) A comparative randomized study on the efficacy of a systemic steroid therapy vs. a thermal therapy in Otitis media with effusion in children. Minerva Pediatr 66:123–125
23.
Zurück zum Zitat Perez R, Priner R, Cohen D, Freeman S, Sohmer H (2002) An animal model for assessment of amniotic fluid clearance from the middle ear. Otol Neurotol 23:29–33CrossRefPubMed Perez R, Priner R, Cohen D, Freeman S, Sohmer H (2002) An animal model for assessment of amniotic fluid clearance from the middle ear. Otol Neurotol 23:29–33CrossRefPubMed
24.
Zurück zum Zitat Sarkar S, Roychoudhury A, Roychaudhuri BK (2009) Tympanoplasty in children. Eur Arch Otorhinolaryngol 266:627–633CrossRefPubMed Sarkar S, Roychoudhury A, Roychaudhuri BK (2009) Tympanoplasty in children. Eur Arch Otorhinolaryngol 266:627–633CrossRefPubMed
25.
Zurück zum Zitat Kouwen H, van Balen FA, Dejonckere PH (2005) Functional tubal therapy for persistent otitis media with effusion in children: myth or evidence? Int J Pediatr Otorhinolaryngol 69:943–951CrossRefPubMed Kouwen H, van Balen FA, Dejonckere PH (2005) Functional tubal therapy for persistent otitis media with effusion in children: myth or evidence? Int J Pediatr Otorhinolaryngol 69:943–951CrossRefPubMed
26.
Zurück zum Zitat Schroder S, Lehmann M, Sudhoff H, Ebmeyer J (2014) Assessment of chronic obstructive eustachian tube dysfunction: evaluation of the German version of the Eustachian Tube Dysfunction Questionnaire. HNO 62(160):162–164 Schroder S, Lehmann M, Sudhoff H, Ebmeyer J (2014) Assessment of chronic obstructive eustachian tube dysfunction: evaluation of the German version of the Eustachian Tube Dysfunction Questionnaire. HNO 62(160):162–164
Metadaten
Titel
Detection of eustachian tube openings by tubomanometry in adult otitis media with effusion
verfasst von
Panpan Liu
Kaiming Su
Bijun Zhu
Yaqin Wu
Haibo Shi
Shankai Yin
Publikationsdatum
19.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 10/2016
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-016-3938-0

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