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Disfunção da tuba auditiva

Last reviewed: 21 Sep 2025
Last updated: 08 Feb 2022

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • incapacidade de desobstruir ou desentupir a orelha quando ocorrem alterações na pressão barométrica
  • exame físico normal da cabeça e do pescoço
Full details

Other diagnostic factors

  • plenitude aural
  • perda auditiva subjetiva
  • autofonia
  • história de otite média serosa ou de otite média crônica
  • edema do orifício da tuba auditiva
  • história de membrana timpânica retraída ou com hipermobilidade
Full details

Risk factors

  • fenda palatina
  • hipertrofia das adenoides
  • rinite alérgica
  • rinossinusite crônica
  • neoplasia da nasofaringe ou da fossa infratemporal
  • trauma da tuba auditiva
  • infecção da tuba auditiva
  • idade <5 anos
  • tabagismo
  • Doença do refluxo gastroesofágico (DRGE)
  • exposição à radiação
  • história de perda de peso recente
Full details

Diagnostic tests

1st tests to order

  • endoscopia nasal
  • timpanometria
Full details

Tests to consider

  • nasofaringoscopia
  • Tomografia computadorizada (TC)
Full details

Treatment algorithm

ACUTE

todos os pacientes

Contributors

Authors

Edward D. McCoul, MD, MPH

Associate Professor

Department of Otorhinolaryngology

Ochsner Clinical School

University of Queensland School of Medicine

New Orleans

LA

Disclosures

EDM is the author of references cited in this topic and is a consultant for Stryker.

Acknowledgements

Dr Edward D. McCoul would like to gratefully acknowledge Dr Erica R. Thaler, the previous contributor to this topic.

Disclosures

ERT declared that she had no competing interests.

Peer reviewers

Alan G. Micco, MD

Associate Professor

Otolaryngology: Head and Neck Surgery

Northwestern University Feinberg School of Medicine

Chicago

IL

Disclosures

AGM declares that he has no competing interests.

Niels van Heerbeek, MD, PhD

Consultant

Department of Otorhinolaryngology, Head & Neck Surgery

University Medical Centre

Nijmegen

The Netherlands

Disclosures

NVH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Bluestone CD. Eustachian tube: structure, function, role in otitis media. Hamilton, Ontario: BC Decker, Inc.; 2005.

Monsell EM, Harley RE. Eustachian tube dysfunction. Otolaryngol Clin N Am. 1996;29:437-444. Abstract

Schilder AG, Bhutta MF, Butler CC, et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol. 2015 Oct;40(5):407-11.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Disfunção da tuba auditiva images
  • Differentials

    • Perda auditiva neurossensorial
    More Differentials
  • Guidelines

    • Balloon dilation for chronic Eustachian tube dysfunction
    • Balloon dilation of the Eustachian tube
    More Guidelines
  • Patient information

    Infecção da orelha média

    Cerume

    More Patient information
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