Advances in Eustachian tube function testing
Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge. The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function, as a method of selecting appropriate patients...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-09-01
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| Series: | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095881119300939 |
| _version_ | 1811327953790828544 |
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| author | Matthew E. Smith Manohar L. Bance James R. Tysome |
| author_facet | Matthew E. Smith Manohar L. Bance James R. Tysome |
| author_sort | Matthew E. Smith |
| collection | DOAJ |
| description | Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge. The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function, as a method of selecting appropriate patients for intervention, and measuring their treatment outcomes.This review summarises recent findings relating to Eustachian tube function assessment. Increasingly it is recognised that patient reported outcome measures based on symptoms are highly non-specific and non-diagnostic, and clinical assessment alone may not permit the selection of individuals with abnormal Eustachian tube opening. Tests of Eustachian tube opening therefore may represent a practical and objective addition to patient assessment in clinic, allowing the identification of individuals with abnormal (patulous or obstructive) Eustachian tube function. A diagnostic pathway is described on this basis.More work is required to validate the described Eustachian tube function tests, and there remain individuals, such as those with dysfunction limited to pressure challenges, in whom function tests have yet to fully characterise the disorder. Keywords: Eustachian tube, Function, Test, Accuracy, Diagnosis |
| first_indexed | 2024-04-13T15:16:56Z |
| format | Article |
| id | doaj.art-93c77cd3cea3467e86bf6a71c3266223 |
| institution | Directory Open Access Journal |
| issn | 2095-8811 |
| language | English |
| last_indexed | 2024-04-13T15:16:56Z |
| publishDate | 2019-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| spelling | doaj.art-93c77cd3cea3467e86bf6a71c32662232022-12-22T02:41:51ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112019-09-0153131136Advances in Eustachian tube function testingMatthew E. Smith0Manohar L. Bance1James R. Tysome2Cambridge Ear Institute, University of Cambridge, Cambridge, UKCambridge Ear Institute, University of Cambridge, Cambridge, UKCorresponding author. Department of ENT Surgery, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.; Cambridge Ear Institute, University of Cambridge, Cambridge, UKObstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge. The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function, as a method of selecting appropriate patients for intervention, and measuring their treatment outcomes.This review summarises recent findings relating to Eustachian tube function assessment. Increasingly it is recognised that patient reported outcome measures based on symptoms are highly non-specific and non-diagnostic, and clinical assessment alone may not permit the selection of individuals with abnormal Eustachian tube opening. Tests of Eustachian tube opening therefore may represent a practical and objective addition to patient assessment in clinic, allowing the identification of individuals with abnormal (patulous or obstructive) Eustachian tube function. A diagnostic pathway is described on this basis.More work is required to validate the described Eustachian tube function tests, and there remain individuals, such as those with dysfunction limited to pressure challenges, in whom function tests have yet to fully characterise the disorder. Keywords: Eustachian tube, Function, Test, Accuracy, Diagnosishttp://www.sciencedirect.com/science/article/pii/S2095881119300939 |
| spellingShingle | Matthew E. Smith Manohar L. Bance James R. Tysome Advances in Eustachian tube function testing World Journal of Otorhinolaryngology-Head and Neck Surgery |
| title | Advances in Eustachian tube function testing |
| title_full | Advances in Eustachian tube function testing |
| title_fullStr | Advances in Eustachian tube function testing |
| title_full_unstemmed | Advances in Eustachian tube function testing |
| title_short | Advances in Eustachian tube function testing |
| title_sort | advances in eustachian tube function testing |
| url | http://www.sciencedirect.com/science/article/pii/S2095881119300939 |
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