Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-13T02:47:40.467Z Has data issue: false hasContentIssue false
  • English
  • Français

A correlative manometric and endoscopic study of tubal function in dry central perforation of the tympanic membrane

Published online by Cambridge University Press:  29 June 2007

Ahmed El-Guindy
Ahmed El-Guindy*
Affiliation:
Tanta, Egypt
*
57 Said Street, Tanta, Egypt.
Get access Rights & Permissions [Opens in a new window]

Abstract

Since good ventilation of the middle ear is a pre-requisite for successful myringoplasty, it was our policy to investigate the tubal function in dry central perforation of the eardrum and to correlate the manometric and endoscopic findings. Nasal endoscopy proved to be indispensable in diagnosing mechanical tubal obstruction and in localizing and even treating ‘hidden’ lesions in key areas, with probable normalization of the tubal function. The correction of the mechanical tubal obstruction must precede ear surgery. Whenever tubal obstruction is diagnosed as functional or idiopathic, the ventilation of the middle ear should be guaranteed during ear surgery by addition of a tympanostomy tube to the graft or drum remnant, and a guarded prognosis given.

Keywords

Tympanic membraneEustachian tubefunctionEndoscopynasalMyringoplastyAcoustic pedance tests
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 9 , September 1991 , pp. 716 - 720
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bluestone, C. D., Paradise, J. L., Beery, O. C. (1972) Physiology of the eustachian tube in the pathogenesis and management of middle ear effusions. Laryngoscope, 82: 1654–1670.CrossRefGoogle ScholarPubMed
Bluestone, C. D. (1990) Eustachian tube function. In Otolaryngology (English, G. M., ed.), vol.1, ch. 57, Harper and Raw Publishers: Philadelphia. p 1–41.Google Scholar
Cantekin, E. I., Saez, C. A., Bluestone, C. D., Bern, S. A. (1979) Airflow through the custachian tube. Annals of Otology, Rhinology and Laryngology, 88: 603–612.CrossRefGoogle Scholar
Ferber, A., Holmquist, J. (1973) Roentgenographic demonstration of the eustachian tube in chronic otitis media. Acta Radiologica (Diagn), 14: 667–675.CrossRefGoogle ScholarPubMed
Gamea, A. M. (1990) Role of endoscopy in diagnosing scleroma in its uncommon sites. Journal of Laryngology and Otology, 104: 619–621.CrossRefGoogle ScholarPubMed
Holmquist, J. (1970) Middle ear ventilation in chronic otitis media. Archives of Otolaryngology, 92: 616–623.Google ScholarPubMed
Jonson, B., Rundcrantz, H. (1969) Posture and pressure within the internal jugular vein. Acta Otolaryngologica, 68: 271–275.CrossRefGoogle ScholarPubMed
Lafaye, M., Gaillard, de Collogny L., Jourde, H. (1974) Etude de la permeabilite de la trompe d'eustache par les radio-isotopes. Annales d'otolaryngologie et chirurgie cervicofaciale, 91: 665–671.Google Scholar
Miller, G. F. (1965) Eustachian tube function in normal and diseased ears. Archives of Otolaryngology, 81: 41–48.CrossRefGoogle ScholarPubMed
Moustafa, H., Abdel-Latif, S., Shaaban, B. (1979) A simple apparatus for assessment of eustachian tube patency before myringoplasty. Journal of Laryngology and Otology, 93: 39–42.CrossRefGoogle ScholarPubMed
Rogers, R. L., Kirchner, F. R., Proud, G. O. (1962) The evaluation of eustachian tubal function by fluorescent dye studies. Laryngoscope, 72: 456–466.CrossRefGoogle ScholarPubMed
Siedentop, K. H., Tardy, M. E., Hamilton, L. R. (1968) Eustachian tube function. Archives of Otolaryngology. 88: 386–395.CrossRefGoogle ScholarPubMed
Stammberger, H. (1986) An endoscopic study of tuba function and the diseased ethmoid sinus. Archives of Oto-Rhino-Laryngology, 243: 254–259.CrossRefGoogle Scholar