Advances in Eustachian tube function testing

Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge. The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function, as a method of selecting appropriate patients...

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Autores principales:	Matthew E. Smith, Manohar L. Bance, James R. Tysome
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/93c77cd3cea3467e86bf6a71c3266223
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spelling	oai:doaj.org-article:93c77cd3cea3467e86bf6a71c32662232021-12-02T12:56:12ZAdvances in Eustachian tube function testing2095-881110.1016/j.wjorl.2019.08.002https://doaj.org/article/93c77cd3cea3467e86bf6a71c32662232019-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881119300939https://doaj.org/toc/2095-8811Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge. The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function, as a method of selecting appropriate patients for intervention, and measuring their treatment outcomes.This review summarises recent findings relating to Eustachian tube function assessment. Increasingly it is recognised that patient reported outcome measures based on symptoms are highly non-specific and non-diagnostic, and clinical assessment alone may not permit the selection of individuals with abnormal Eustachian tube opening. Tests of Eustachian tube opening therefore may represent a practical and objective addition to patient assessment in clinic, allowing the identification of individuals with abnormal (patulous or obstructive) Eustachian tube function. A diagnostic pathway is described on this basis.More work is required to validate the described Eustachian tube function tests, and there remain individuals, such as those with dysfunction limited to pressure challenges, in whom function tests have yet to fully characterise the disorder. Keywords: Eustachian tube, Function, Test, Accuracy, DiagnosisMatthew E. SmithManohar L. BanceJames R. TysomeKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 3, Pp 131-136 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Matthew E. Smith Manohar L. Bance James R. Tysome Advances in Eustachian tube function testing
description	Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge. The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function, as a method of selecting appropriate patients for intervention, and measuring their treatment outcomes.This review summarises recent findings relating to Eustachian tube function assessment. Increasingly it is recognised that patient reported outcome measures based on symptoms are highly non-specific and non-diagnostic, and clinical assessment alone may not permit the selection of individuals with abnormal Eustachian tube opening. Tests of Eustachian tube opening therefore may represent a practical and objective addition to patient assessment in clinic, allowing the identification of individuals with abnormal (patulous or obstructive) Eustachian tube function. A diagnostic pathway is described on this basis.More work is required to validate the described Eustachian tube function tests, and there remain individuals, such as those with dysfunction limited to pressure challenges, in whom function tests have yet to fully characterise the disorder. Keywords: Eustachian tube, Function, Test, Accuracy, Diagnosis
format	article
author	Matthew E. Smith Manohar L. Bance James R. Tysome
author_facet	Matthew E. Smith Manohar L. Bance James R. Tysome
author_sort	Matthew E. Smith
title	Advances in Eustachian tube function testing
title_short	Advances in Eustachian tube function testing
title_full	Advances in Eustachian tube function testing
title_fullStr	Advances in Eustachian tube function testing
title_full_unstemmed	Advances in Eustachian tube function testing
title_sort	advances in eustachian tube function testing
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/93c77cd3cea3467e86bf6a71c3266223
work_keys_str_mv	AT matthewesmith advancesineustachiantubefunctiontesting AT manoharlbance advancesineustachiantubefunctiontesting AT jamesrtysome advancesineustachiantubefunctiontesting
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Advances in Eustachian tube function testing

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