Eustachian tube dysfunction (ETD) results in negative pressure in the middle ear cleft.
EDT is closely related to the development of chronic otitis media and is often accompanied by chronic inflammatory disease of the nasal cavity.
Diagnosis may be confirmed by tympanometry and nasal endoscopy.
Treatment involves supportive care and management of contributing disease factors. Some patients may benefit from a trial of intranasal corticosteroids. Decongestants and antihistamines are ineffective in the treatment of ETD.
Surgery is appropriate if the Eustachian tube is obstructed or in the case of trauma. Pressure equalisation tube insertion may be considered if there are chronic otological complications. Balloon dilation of the Eustachian tube is an emerging procedure that may be an option for some patients with chronic ETD refractory to medical treatment.
咽鼓管功能障碍 (eustachian tube dysfunction, ETD) 是指咽鼓管不能正常调节中耳压力和/或有效地从中耳排出分泌物。该功能障碍偶尔可能导致鼻咽分泌物反流至中耳。这些功能障碍可能是由各种病理生理变化在一定程度上阻碍了咽鼓管的正常开放和关闭所致。
- 年龄＜5 岁
- 胃食管反流病 (GORD)
- CT 扫描
Edward D. McCoul, MD, MPH
Department of Otorhinolaryngology
Ochsner Clinical School
University of Queensland School of Medicine
EDM is the author of references cited in this topic and is a consultant for Stryker.
Dr Edward D. McCoul would like to gratefully acknowledge Dr Erica R. Thaler, the previous contributor to this topic.
ERT declared that she had no competing interests.
Alan G. Micco, MD
Otolaryngology: Head and Neck Surgery
Northwestern University Feinberg School of Medicine
AGM declares that he has no competing interests.
Niels van Heerbeek, MD, PhD
Department of Otorhinolaryngology, Head & Neck Surgery
University Medical Centre
NVH declares that he has no competing interests.
- Balloon dilation for chronic Eustachian tube dysfunction
- Balloon dilation of the Eustachian tube
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