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咽鼓管功能障碍

最后审阅: 12 Nov 2024
最后更新: 08 Feb 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 气压变化时无法“通耳”或“清”耳朵
  • 头颈检查正常
完整详情

其他诊断因素

  • 耳胀满感
  • 主观性听力损失
  • 自声过强
  • 分泌性中耳炎或慢性中耳炎病史
  • 咽鼓管口水肿
  • 鼓膜内陷或鼓膜活动过强既往史
完整详情

危险因素

  • 腭裂
  • 腺样体肥大
  • 变应性鼻炎
  • 慢性鼻-鼻窦炎
  • 鼻咽或颞下窝肿瘤
  • 咽鼓管外伤
  • 咽鼓管感染
  • 年龄<5 岁
  • 吸烟
  • 胃食管反流病 (GORD)
  • 放射暴露
  • 最近体重减轻的病史
完整详情

诊断性检查

首要检查

  • 鼻内镜检查
  • 声导抗检查
完整详情

需考虑的检查

  • 鼻咽镜检查
  • CT 扫描
完整详情

治疗流程

急症处理

所有患者

撰稿人

作者

Edward D. McCoul, MD, MPH

Associate Professor

Department of Otorhinolaryngology

Ochsner Clinical School

University of Queensland School of Medicine

New Orleans

LA

利益声明

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

鸣谢

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

利益声明

ERT declared that she had no competing interests.

同行评议者

Alan G. Micco, MD

Associate Professor

Otolaryngology: Head and Neck Surgery

Northwestern University Feinberg School of Medicine

Chicago

IL

利益声明

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

利益声明

NVH declares that he has no competing interests.

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