gms | German Medical Science

76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

04.05. - 08.05.2005, Erfurt

The patulous Eustachian tube: Long-term results after conservative treatment

Meeting Abstract

Suche in Medline nach

  • corresponding author Sören Wenzel - ENT-Department, Hamburg University Medical School, Germany
  • Hartwig Seedorf - Department of Dental Prosthetics, Hamburg University Medical School, Germany
  • Thomas Kucinski - 3Department of Neuroradiology, Hamburg University Medical School, Germany
  • Rudolf Leuwer - ENT-Department, Hamburg University Medical School, Germany

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno596

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2005/05hno109.shtml

Veröffentlicht: 22. September 2005

© 2005 Wenzel et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objectives: Treatment outcomes of patients with patulous eustachian tube (pET) disorder are often poor. On the basis of the functional synergy between the medial pterygoid muscle and the tensor veli palatini muscle a conservative therapy was developed. The aim of the study was to assess its long-term outcome. Besides a safe and definitive surgical method was to be evolved for refractory cases.

Methods: In a study of twenty-one concurrent patients with pET symptoms the diagnostic procedures, the therapeutical approaches and the outcome after at least six months were investigated. The patients attended a special physical therapy and occlusal splints to train and strengthen the medial pterygoid.

Results: Seven patients showed a complete and lasting resolution of their complaints six monthes after the physical therapy. The distressing symptoms were improved significantly in thirteen patients who required no further treatment. One patient had no positive effect after the conservative therapy.

Conclusion: If we look at the rate of success and the negligible invasiveness of the musclar physical therapy, irrespective of the pathogenesis, the training of the medial pterygoid and the tensor veli palatini muscle should be the first therapeutic step. In the case of persistent or recurrent complaints of the pET, obstructing surgical augmentation of the tubal environment with autogenous cartilage chips could follow.