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Treatment of the Patulous Eustachian Tube with Tragal Cartilage Plugging.
Dept. of Otorhinolaryngology, Yonsei Univ. College of Medicine
Kyu Rin HWANG, Jeon Mi LEE, In Seok MOON
¸ñÀû: Patulous eustachian tube (PET) can have a significant negative impact on a patient¡¯s quality of life. The PET seems to be caused by a longitudinal concave defect in the mucosal valve at the superior aspect of its anterolateral wall and causes troublesome autophony of one¡¯s own voice and breathing sounds. Authors evaluated whether Cartilage graft implantation to fill in the concavity within the patulous tubal valve may produce lasting relief of symptoms. ¹æ¹ý:Prospective trial was done. Patients (n = 12) were diagnosed as patulous eustachian tube disorder. They met previously established diagnostic criteria for PET. Transcanal plugging with tragal cartilage into Eustachian tube was performed in those patients as a new treatment option. All patients were followed up 1, 3, 6 and 12 months after treatment. Preoperative and postoperative questionnaire scores and tympanometry measurements were compared. °á°ú:11 out of 12 patients reported immediate complete relief of autophony. Results with an average follow-up of 10.8 months are as follows: 2 patients (16.7%) had complete relief; 5 patients (41.6%) had satisfied; 4 patients (33.3%) had significant but dissatisfied improvement; and 1 (8.3%) was unchanged. PET questionnaire showed significant reduction in their symptoms of autophony (p <0.05), conducted breath sounds (p = 0.001), and aural fullness (p = 0.029). There were no complications such as otitis media or occlusion symptom. °á·Ð:Cartilage plugging into eustachian tube provides a safe and accessible surgical option for the treatment of PET and significantlyreduces the symptoms of autophony, conducted breath sounds, and aural fullness.


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