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Savenko I.V.

I.P. Pavlov First St-Peterburg State Medical University, St-Petersburg, Russia, 197022

Boboshko M.Iu.

Laboratoriia slukha i rechi Sankt-Peterburgskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova

The patulous Eustachian tube syndrome: the current state of the problem and our own clinical observation. Part 1

Authors:

Savenko I.V., Boboshko M.Iu.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2018;83(2): 56‑62

DOI: 10.17116/otorino201883256-62

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To cite this article:

Savenko IV, Boboshko MIu. The patulous Eustachian tube syndrome: the current state of the problem and our own clinical observation. Part 1. Russian Bulletin of Otorhinolaryngology. 2018;83(2):56‑62. (In Russ.)
https://doi.org/10.17116/otorino201883256-62

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The patulous Eustachian tube syndrome was described more than 150 years ago, but up to the present time some of its aspects continue to be a challenge for both fundamental and clinical medicine. Certain issues of etiology and pathogenesis of this condition have until recently remained unclear which probably accounts for the failure of choosing the adequate methods for its medical correction. Despite the seemingly broad spectrum of the modern tools for the purpose including first and foremost the endoscopic and radiological techniques, verification of the patulous Eustachian tube may encounter difficulties for the specialists. In connection with this, we have undertaken to summarize the views and opinions as regards the syndrome of interest available in the relevant world literature. In the first part of this communication, the authors discuss the modern concepts of etiology and pathogenesis of the patulous Eustachian tube syndrome with special reference to its clinical manifestations and methods of diagnostics.

Keywords:

patulous Eustachian tube syndrome
investigations of the Eustachian tube function
video-endoscopy
Eustachian tube syndrome imaging

Authors:

Savenko I.V.

I.P. Pavlov First St-Peterburg State Medical University, St-Petersburg, Russia, 197022

Boboshko M.Iu.

Laboratoriia slukha i rechi Sankt-Peterburgskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova

List of references:

  1. Aedo CB, Muñoz DS, Der CM. Trompa patulosa. Patulous auditory tube. Revista de Otorrinolaringologia y Cirugia de Cabeza y Cuello. 2009;69:61-70. (in Spanish). https://doi.org/10.4067/S0718-48162009000100012
  2. Hussein AA, Adams AS, Turner JH. Surgical management of patulous Eustachian tube: a systematic review. The Laryngoscope. 2015;125(9):2193-2198. https://doi.org/10.1002/lary.25168
  3. Pinezhskaya AYu. Problem of etiopathogenesis, diagnosis and treatment of patulous eustachian tube. Rossiyskaya otorinolaringologiya. 2015;2(75):64-69. (In Russ.)
  4. Ramakrishnan Y, Kotecha A, Bowdler DA. A rewiev of rertraction pockets: past, present and future management. The Journal of Laryngology and Otolology. 2007;121(6):521-525. https://doi.org/10.1017/S0020015106003550
  5. Oshima T, Kikuchi T, Kawase T, Kobayashi T. Nasal installation of physiological saline for patulous eustachian tube. Acta Oto-Laryngologica. 2010;130(5):550-553. https://doi.org/10.3109/00016480903314009
  6. Boboshko MYu, Lopotko AI. Slukhovaya truba (Tuba Auditiva Eustachii). SPb.: Dialog; 2014. (In Russ.)
  7. Dornhoffer JL, Leuwer R, Schwager K, Wenzel S. Pathophysiology of the Eustachian Tube: The Patulous Eustachian Tube. In: A Practical Guide to the Eustachian Tube. Springer-Verlag Berlin Heidelberg; 2014;23-41. https://doi.org/10.1007/978-3-540-78638-2_3
  8. Mondian M, Vidal D, Bouhanna S, Uziel M. Monitoring Eustachian Tube Opening: Preliminary Results in Normal Subjects. The Laryngoscope. 1997;107(10):1414-1419. https://doi.org/10.1097/00005537-199710000-00022
  9. Paradis J, Bance M. Assessment of nasal-noise masking audiometry as a diagnostic test for patulous Eustachian tube. Otology & Neurotology. 2015;36(2):36-41. https://doi.org/10.1097/mao.0000000000000696
  10. Mann BD. Simptomy LOR-zabolevaniy vo vremya beremennosti. Rossiyskaya rinologiya. 1997;3 8-9. (In Russ.)
  11. Adil E, Poe D. What is the full range of medical and surgical treatments available for patients with Eustachian tube dysfunction? Current Opinion in Otolaryngolology & Head and Neck Surgery. 2014;22(1):8-15. https://doi.org/10.1097/MOO.0000000000000020
  12. Oshima T, Ogura M, Kikuchi T, Hori Y, Mugikura S, Higano S, Takahashi S., Kawase T., Kobayashi T. Involvement of pterygoid venous plexus in patulous eustachian tube symptoms. Acta Oto-Laryngologica. 2007;127(7):693-699. https://doi.org/10.1080/00016480600987818
  13. Vaezeafshar R, Turner JH, Li G, Hwang PH. Endoscopic hydroxyapatite augmentation for patulous eustachian tube. The Laryngoscope. 2014;124(1):62-66. https://doi.org/10.1002/lary.24250
  14. Tsuji T, Yamaguchi N, Aoki K, Mitani Y, Moriyama H. Mastoid pneumatization of the patulous Eustachian tube. Annals of Otology, Rhinology and Laryngology. 2000;109(11):1028-1032.
  15. Kujawski OB. Patulous Eustachian tube surgical management. In: Fibrocartilaginous Eustachian Tube: Middle Ear Cleft. Ed.: B. Ars. The Hague: Kugler Publication; 2003;195-202.
  16. Poe DS. Diagnosis and management of patulous Eustachian Tube. Otology & Neurotology. 2007;28(5):668-677. https://doi.org/10.1097/mao.0b013e31804d4998
  17. Takasaki K, Sando I. Histopathology of Eustachian tube in pharyngeal tumor after radiation. Otolaryngology — Head and Neck Surgery. 1999;121(2):136. https://doi.org/10.1016/s0194-5998(99)80510-5
  18. Muñoz DS, Aedo C, Der C. Patulous eustachian in bariatric surgery patients. Otolaryngology — Head and Neck Surgery. 2010;143(4):521-524. https://doi.org/10.1016/j.otohns.2010.07.004
  19. Bachor E, Blevins NH, Karmody C, Kühnel T. Otologic manifestations of replasing polychndritis. Review of literature and report of nine cases. Auris Nasus Larynx. 2006;33(2):135-141. https://doi.org/10.1016/j.anl.2005.11.020
  20. Godbole M, Key A. Autophonia in anorexia nervosa. International Journal of Eating Disorders. 2010;43(5):480-482. https://doi.org/10.1002/eat.20702
  21. Amoodi H, Bance M, Thamboo A. Magnetic resonance imaging illustrating change in the Ostmann fat pad with age. Journal of Otolaryngology — Head & Neck Surgery. 2010;39(4):440-441. https://doi.org/10.2310/7070.2010.090231
  22. Kaneko A, Hosoda Y, Doi T, Tada N, Iwano T, Yamashita T. Tubal compliance-changes with age and in tubal malfunction. Auris Nasus Larynx. 2001;28(2):121-124. https://doi.org/10.1016/S0385-814(00)00090-0
  23. Horikoshi T, Imamura S, Matsuzaki Z, Umeda T, Mitsuka K, Kinouchi H. Patulous Eustachian tube in spontaneous intracranial hypotension syndrome. Headache. 2007;47(1):131-135. https://doi.org/10.1111/j.1526-4610.2206.00661.x
  24. Albayram S, Bas A. Patulous Eustachian tube in spontaneous intracranial hypotension syndrome. Headache. 2008;48(2):300. https://doi.org/10.1111/j.1526-4610.2007.00991.x
  25. Taki M, Nin F, Hasegawa T, Sakaguchi H, Yamamoto S, Suzuki T, Hisa Y. Case report: two cases of hearing impairment due to intracranial hypotension. Auris Nasus Larynx. 2009;36(3):345-348. https://doi.org/10.1016/j.anl.2008.05.016
  26. Kastanioudakis I, Ziavra N, Politi EN, Exarchakos G, Drosos AA, Skevas A. Hearing loss in progressive systemic sclerosis patients: a comparative study. Otolaryngology — Head and Neck Surgery. 2001;124(5):522-525. https://doi.org/10.1067/mhn.2001.115092
  27. Schellenberg K, Bedlack R, Tucci D. Roaring in the ears: patulous Eustachian tube in bulbar amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis. 2010;11(4):395-396. https://doi.org/10.3109/17482960903501931
  28. Brace MD, Horwich P, Kirkpatrick D, Bance M. Tympanic membrane manipulation to treat symptoms of patulous eustachian tube. Otology & Neurotology. 2014;35(7):1201-1206. https://doi.org/10.1097/MAO.0000000000000320
  29. Ito CJ, Malone AK, Wong RN, van Loveren HR, Boyev KP. Denervation of the Eustachian tube and hearing loss following trigeminal Schwannoma resection. Journal of Neurological Surgery Reports. 2016;77(1):56-61. https://doi.org/10.1055/s-0035-1570389
  30. Jovankovičová A, Jakubíková J, Durovčíková D. A case of Klippel-Feil syndrome with congenital enlarged Eustachian tube. International Journal of Pediatric Otorhinolaryngology. 2012;76(4):596-600. https://doi.org/10.1016/j.ijporl.2012.01.007
  31. Sehhati-Chafai-Leuwer S, Wenzel S, Bschorer R, Seedorf H, Kucinski T, Maier H, Leuwer R. Pathophysiology of the Eustachian tube — relevant new aspects for the head and neck surgeon. Journal of Cranio-Maxillofacial Surgery. 2006;34(6):351-354. https://doi.org/10.1016/j.jcms.2006.03.006
  32. Weissman A, Nir D, Shenhav R, Zimmer EZ, Joachims ZH, Danino J. Eustachian tube function during pregnancy. Clinical otolaryngology and allied sciences. 1993;18(3):2012-2014. https://doi.org/10.1111/j.1365-2273.1993.tb00833.x
  33. Shiny Sherlie V, Varghese A. ENT changes of pregnancy and its management. Indian Journal of Otolaryngology and Head & Neck Surgery. 2014;66(suppl 1):6-9. https://doi.org/10.107/s12070-011-0376-6
  34. Kawase T, Kano S, Otsuka T, Hamanishi S, Koike T, Kobayashi T, Wada H. Autophony in patients with patulous Eustachian tube: experimental investigation using an artificial middle ear. Otolology & Neurotolology. 2006;27(5):600-603. https://doi.org/10.1097/01.mao.0000226294.26918.1d
  35. Kawase T, Hori Y, Kikuchi T, Oshima T, Kobayashi T. The effects of mastoid aeration on autophony in patients with patulous Eustachian tube. European Archives of Oto-Rhino-Laryngology. 2008;265(8):893-897. https://doi.org/10.1007/s00405-007-0560-1
  36. Kobayashi T, Hasegawa J, Kikuchi T, Suzuki T, Oshima T, Kawase T. Masked patulous Eustachian tube: an important diagnostic precaution before middle ear surgery. The Tohoku Journal of Experimental Medicine. 2009;218(4):317-324. https://doi.org/10.1620/tjem.218.317
  37. Takizawa Y, Mizuta K, Hamada N, Yamatodani T, Nakanishi H, Hosokawa K, Takahashi G, Sugiyama K, Mineta H. Relationship beween tympanic membrane retraction and habitual sniffing in patients with cholesteatoma. Acta Oto-Laryngologica. 2013;133(10):1030-1034. https://doi.org/10.3109/00016489.2013.808763
  38. Ohta S, Sakagami M, Suzuki M, Mishiro Y. Eustachian tube function and habitual sniffing in middle ear cholesteatoma. Otology & Neurotology. 2009;30(1):48-53. https://doi.org/10.1097/MAO.0b013e31818de5b3
  39. Tsuji T, Sone M, Kakibuchi M, Sakagami M. Bilateral cholesteatoma and habitual sniffing. Auris Nasus Larynx. 2002;29(2):111-114. https://doi.org/10.1016/S0385-8146(01)00146-8
  40. Ikeda R, Oshima T, Oshima H, Miyazaki M, Kikuchi T, Kawase T, Kobayashi T. Management of patulous Eustachian tube with habitual sniffing. Otology & Neurotolology. 2011;32(5):790-793. https://doi.org/10.1097/MAO.0b013e318284e23
  41. Virtanen H. Patulous Eustachian tube. Diagnostic evaluation by sonotubometry. Acta Oto-Laryngologica. 1978;86(5-6):401-407. https://doi.org/10.3109/00016487809107519
  42. Kumazava T, Honjo I, Honda K. Aerodynamic pattern of Eustachian tube dysfunction. Archives of Oto-Rhino-laryngology. 1977;215(3-4):317-323. https://doi.org/10.1007/bf00463069
  43. Kaneko A, Hosoda Y, Doi T, Tada N, Iwano T, Yamashita T. Tubal compliance-changes with age and in tubal malfunction. Auris Nasus Larynx. 2001;28(2):121-124. https://doi.org/10.1016/S0385-814(00)00090-0
  44. Hori Y, Kawase T, Oshima T, Sakamoto S, Kobayashi T. Objective assessment of autophony in patients with patulous Eustachian tube. European Archives of Oto-Rhino-Laryngology. 2007;264(12):1387-1391. https://doi.org/10.1007/s00405-007-0374-1
  45. Smith ME, Scoffings DJ, Tysome JR. Imaging of the Eustachian tube and its function: a systematic review. Neuroradiology. 2016;58(6):543-556. https://doi.org/10.1007/s00234-016-1663-4
  46. Tideholm B, Carlborg B, Brattmo M. Continuous long-term measurements of the middle ear pressure in subjects with symptoms of patulous Eustachian tube. Acta Oto-Laryngologica. 1999;119(7):809-815. https://doi.org/10.1080/00016489950180469
  47. Kano S, Kawase T, Baba Y, Sato T, Kobayashi T. Posibble new assessment of patulous Eustachian tube function: aydiometry for tones presented in the nasal cavity. Acta Oto-Laryngologica. 2004;124(4):431-435. https://doi.org/10.1080/00016480410016306
  48. Poe DS, Pyykkö I. Measurements of Eustachian tube dilation by video endoscopy. Otology & Neurotology. 2011;32(5):794-798. https://doi.org/10.1097/MAO.0b013e31821c6355
  49. Handzel O, Poe D, Marchbanks RJ. Synchronous endoscopy and sonotubometry of the eustachian tube: a pilot study. Otology & Neurotology. 2012;33(2):184-191. https://doi.org/10.1097/MAO.0b013e3182423242
  50. Yoshida H, Kobayashi T, Takasaki K, Takahashi H, Ishimaru H, Morikawa M, Hayashi K. Imaging of the patulous Eustachian tube: high-resolution CT evaluation with multiplanar reconstruction technique. Acta Olo-Laryngologica. 2004;124(8):918-923. https://doi.org/10.1080/00016480410017422
  51. Yoshida H, Kobayashi T, Morikawa M, Hayashi K, Tsujii H, Sasaki Y. CT imaging of the patulous eustachian tube — comparison between sitting and recumbent positions. Auris Nasus Larynx. 2003;30(2):135-140. https://doi.org/10.1016/S0385-8146(03)00006-3
  52. Kikuchi T, Oshima T, Ogura M, Hori Y, Kawase T, Kobayashi T. Three-dimensional computed tomography imaging in the sitting position for the diagnosis of patulous eustachian tube. Otology & Neurotology. 2007;28(2):199-203. https://doi.org/10.1097/01.mao.0000253280.10501.72
  53. Kikuchi T, Oshima T, Hori Y, Kawase T, Kobayashi T. Three-dimensional computed tomography imaging of the eustachian tube lumen in patients with patulous eustachian tube. ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties. 2009;71(6):312-316. https://doi.org/10.1159/000265939
  54. Ikeda R, Kikuchi T, Oshima H, Miyazaki H, Hidaka H, Kawase T, Kobayashi T. Relationship between clinical test results and morphologic severity demonstrated by sitting 3-D CT in patients with patulous eustachian tube. Otol Neurotol. 2016;37(7):908-913. https://doi.org/10.1097/MAO.0000000000001102
  55. Oonk AM, Steens SC, Pennings RJ. Radiologic confirmation of patulous Eustachian tube by recumbent computed tomography. Otology & Neurotology. 2014;35(3):117-118. https://doi.org/10.1097/MAO.0000000000000171
  56. Yoshioka S, Naito K, Fujii N, Katada K. Movement of the eustachian tube during sniffing in patients with patulous eustachian tube: evaluation using a 320-row area detector scanner. Otology & Neurotology. 2013;34(5):877-883. https://doi.org/10.1097/MAO.0b013e31827d0963
  57. Oshima T, Kikuchi T, Hori Y, Kawase T, Kobayashi T. Magnetic resonance imaging of the eustachian tube cartilage. Acta Oto-Laryngologica. 2008;128(5):510-514. https://doi.org/10.1080/00016480701596054
  58. Terzi S, Beyazal Celiker F, Őzgür A, Celiker M, Beyazal M, Demirci M, Dursun E. The evaluation of eustachian tube paratubal structures using magnetic resonance imaging in patients with chronic suppurative otitis media. Acta Oto-Lagyngologica. 2016;136(7):673-676. https://doi.org/10.3109/00016489.2016.1154187
  59. Dean M, Lian T. Transnasal endoscopic Eustachian tube surgery. Otolaryngologic Clinics of North America. 2016;49(5):1163-1171. https://doi.org/10.1016/j.otc.2016.05.007
  60. Zhou G, Gopen Q, Poe DS. Clinical and diagnostic characterization of canal dehiscence syndrome: a great otologic mimicker. Otolology & Neurotolology. 2007;28(7):920-926. https://doi.org/10.1097/MAO.0b013e31814b25f2

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