最近审阅: 30 十月 2020
最近更新: 04 九月 2018

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

其他诊断因素

  • 耳胀满感
  • 主观性听力受损
  • 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

危险因素

  • 腭裂
  • 腺样体肥大
  • 变应性鼻炎
  • 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

诊断性检查

首要检查

  • 鼻内镜检查
  • 声导抗检查
更多 首要检查

治疗流程

急性处理

撰稿人

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 was previously a consultant for Acclarent Inc., the manufacturer of a balloon dilation device.

Dr Edward D. McCoul would like to gratefully acknowledge Dr Erica R. Thaler, the previous contributor to this monograph. ERT declares that she has no competing interests.

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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.

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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