Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-27T08:58:15.877Z Has data issue: false hasContentIssue false
  • English
  • Français

Patulous eustachian tube complicating gastric bypass surgery

Published online by Cambridge University Press:  23 December 2008

M Alhammadi ,
R Jönsson ,
T Olbers  and
O Yassin
M Alhammadi*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
R Jönsson
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
T Olbers
Affiliation:
Department of General Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
O Yassin
Affiliation:
Department of General Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
*
Address for correspondence: Dr Mohammed Alhammadi, Department of Otolaryngology and Head and Neck Surgery, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden. Fax: +46 (0) 31259953 E-mail: maam970@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We report the first case in the English literature of a patulous eustachian tube occurring after laparoscopic Roux-en-Y gastric bypass surgery for obesity.

Method:

Case report of a 44-year-old woman who was referred to our ENT clinic complaining of autophonia and bilateral aural fullness. The patient had noticed these symptoms after she had undergone a laparoscopic Roux-en-Y gastric bypass surgery to aid weight loss.

Result:

On the basis of the medical history, clinical examination and immittance measurement (revealing a change in acoustic immittance synchronous with normal breathing in the right ear), a diagnosis of patulous eustachian tube was made, more severe in the right ear than the left.

Conclusion:

We report a case of patulous eustachian tube occurring after laparoscopic gastric bypass surgery for weight loss, which could be considered as one of the possible complications of this surgery. Our patient began to notice the symptoms of patulous eustachian tube after a 20 kg weight loss.

Keywords

Eustachian TubeGastric BypassWeight LossAutophoniaAudiometryImpedance
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 9 , September 2009 , pp. 1058 - 1060
Copyright
Copyright © JLO (1984) Limited 2008

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

1 Pulec, JL, Simonton, KM. Abnormal patency of the Eustachian tube: report on 41 cases. Laryngoscope 1964;74:267–71CrossRefGoogle ScholarPubMed
2 Karwautz, A, Hafferl, A, Ungar, D, Sailer, H. Patulous Eustachian tube in a case of adolescent anorexia nervosa. Int J Eat Disord 1999;25:353–53.0.CO;2-M>CrossRefGoogle Scholar
3 Poe, DS. Diagnosis and management of the patulous Eustachian tube. Otol Neurotol 2007;28:668–77CrossRefGoogle ScholarPubMed
4 Yoshida, H, Kobayashi, T, Takasaki, K, Takahashi, H, Ishimaru, H, Morikawa, M et al. Imaging of the patulous Eustachian tube: high-resolution CT evaluation with multiplanar reconstruction technique. Acta Otolaryngol 2004;124:918–23CrossRefGoogle ScholarPubMed
5 Virtanen, H. Patulous Eustachian tube; diagnostic evaluation by sonotubometry. Acta Otolaryngol 1978;86:401–7Google ScholarPubMed
6 Kikuchi, T, Oshima, T, Ogura, M, Hori, Y, Kawase, T, Kobayashi, T. Three-dimentional computed tomography imaging in the sitting position for the diagnosis of the patulous Eustachian tube. Otol Neurotol 2007;28:199–203CrossRefGoogle Scholar
7 Lena, LN, Wong, MA, Nabil, S, Iris, HY, Yau, H. Patulous Eustachian tube after Le Fort 1 osteotomy in a cleft palate patient. J Oral Maxillofac Surg 2005;63:1374–6Google Scholar
8 Doherty, JK, Slattery, WH. Autologus fat grafting for the refractory patulous Eustachian tube. Otolaryngol Head Neck Surg 2003;128:88–91CrossRefGoogle Scholar
9 Yoshida, H, Kobayashi, T, Morikawa, M, Hayashi, K, Tsujii, H, Sasaki, Y. CT imaging of the patulous Eustachian tube – comparison between sitting and recumbent position. Auris Nasus Larynx 2003;30:135–40CrossRefGoogle Scholar
10 Olbers, T, Lonroth, H, Dalenback, J, Haglind, E, Lundell, L. Laporoscopic gastric bypass; development of technique, respiratory function and long term outcome. Obes Surg 2003;13:260–3CrossRefGoogle Scholar