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Patulous eustachian tube

MedGen UID:
509965
•Concept ID:
C0155434
•
Disease or Syndrome
Synonym: patulous eustachian tube
SNOMED CT: Patulous eustachian tube (30280005)
 
Monarch Initiative: MONDO:0001508

Definition

A eustachian tube disorder with a wider eustachian tube which allows a larger bolus of bacteria-laden material from the nasopharynx during an infection to enter the middle ear, causing a more fulminant infection. [from MONDO]

Professional guidelines

PubMed

Pulsatile Tinnitus: Differential Diagnosis and Approach to Management.
Wang H, Stern JI, Robertson CE, Chiang CC
Curr Pain Headache Rep 2024 Aug;28(8):815-824. Epub 2024 Jun 6 doi: 10.1007/s11916-024-01263-1. PMID: 38842617
Diagnostic approaches to and management options for patulous eustachian tube.
Khurayzi T, Alenzi S, Alshehri A, Alsanosi A
Saudi Med J 2020 Jun;41(6):572-582. doi: 10.15537/smj.2020.6.25083. PMID: 32518922Free PMC Article
Treatment Effectiveness for Symptoms of Patulous Eustachian Tube: A Systematic Review.
Luu K, Remillard A, Fandino M, Saxby A, Westerberg BD
Otol Neurotol 2015 Dec;36(10):1593-600. doi: 10.1097/MAO.0000000000000900. PMID: 26595716

Recent clinical studies

Etiology

Patulous Eustachian Tube Dysfunction Symptoms Following Balloon Dilation.
Hubbell RD, Toivonen J, Kawai K, Kim HJ, Nieman CL, Ward BK, Poe DS
Laryngoscope 2023 Nov;133(11):3152-3157. Epub 2023 Mar 17 doi: 10.1002/lary.30659. PMID: 36929856
Place of Tubomanometry in Patulous Eustachian Tube Diagnosis.
Ros L, Gargula S, Montava M, Michel J, Radulesco T, Lavieille JP
Otolaryngol Head Neck Surg 2023 Apr;168(4):707-713. Epub 2023 Jan 27 doi: 10.1177/01945998221108118. PMID: 35727632
A novel technique for patulous Eustachian tube augmentation.
Sudhoff H, Ay N, Todt I, Sauzet O, Bernal-Sprekelsen M, Scholtz LU
Eur Arch Otorhinolaryngol 2021 Jul;278(7):2219-2224. Epub 2020 Aug 14 doi: 10.1007/s00405-020-06277-0. PMID: 32797273
Paper patching for patulous eustachian tube.
Kim SJ, Shin SA, Lee HY, Park YH
Acta Otolaryngol 2019 Feb;139(2):122-128. Epub 2019 Feb 14 doi: 10.1080/00016489.2018.1541505. PMID: 30762451
Patulous Eustachian Tube Dysfunction: Patient Demographics and Comorbidities.
Ward BK, Ashry Y, Poe DS
Otol Neurotol 2017 Oct;38(9):1362-1369. doi: 10.1097/MAO.0000000000001543. PMID: 28796094

Diagnosis

Patulous Eustachian Tube Dysfunction Symptoms Following Balloon Dilation.
Hubbell RD, Toivonen J, Kawai K, Kim HJ, Nieman CL, Ward BK, Poe DS
Laryngoscope 2023 Nov;133(11):3152-3157. Epub 2023 Mar 17 doi: 10.1002/lary.30659. PMID: 36929856
Place of Tubomanometry in Patulous Eustachian Tube Diagnosis.
Ros L, Gargula S, Montava M, Michel J, Radulesco T, Lavieille JP
Otolaryngol Head Neck Surg 2023 Apr;168(4):707-713. Epub 2023 Jan 27 doi: 10.1177/01945998221108118. PMID: 35727632
Tinnitus.
Chari DA, Limb CJ
Med Clin North Am 2018 Nov;102(6):1081-1093. doi: 10.1016/j.mcna.2018.06.014. PMID: 30342610
Surgical management of Patulous Eustachian tube: A systematic review.
Hussein AA, Adams AS, Turner JH
Laryngoscope 2015 Sep;125(9):2193-8. Epub 2015 Feb 3 doi: 10.1002/lary.25168. PMID: 25646902Free PMC Article
Update on eustachian tube dysfunction and the patulous eustachian tube.
Grimmer JF, Poe DS
Curr Opin Otolaryngol Head Neck Surg 2005 Oct;13(5):277-82. doi: 10.1097/01.moo.0000176465.68128.45. PMID: 16160520

Therapy

Patulous Eustachian Tube Dysfunction Symptoms Following Balloon Dilation.
Hubbell RD, Toivonen J, Kawai K, Kim HJ, Nieman CL, Ward BK, Poe DS
Laryngoscope 2023 Nov;133(11):3152-3157. Epub 2023 Mar 17 doi: 10.1002/lary.30659. PMID: 36929856
Hearing Dysfunction After Treatment With Teprotumumab for Thyroid Eye Disease.
Sears CM, Azad AD, Amarikwa L, Pham BH, Men CJ, Kaplan DN, Liu J, Hoffman AR, Swanson A, Alyono J, Lee JY, Dosiou C, Kossler AL
Am J Ophthalmol 2022 Aug;240:1-13. Epub 2022 Feb 25 doi: 10.1016/j.ajo.2022.02.015. PMID: 35227694Free PMC Article
Diagnostic approaches to and management options for patulous eustachian tube.
Khurayzi T, Alenzi S, Alshehri A, Alsanosi A
Saudi Med J 2020 Jun;41(6):572-582. doi: 10.15537/smj.2020.6.25083. PMID: 32518922Free PMC Article
Efficacy of a silicone plug for patulous eustachian tube: A prospective, multicenter case series.
Ikeda R, Oshima T, Mizuta K, Arai M, Endo S, Hirai R, Ikeda K, Kadota S, Otsuka Y, Yamaguchi T, Kawase T, Kobayashi T
Laryngoscope 2020 May;130(5):1304-1309. Epub 2019 Aug 10 doi: 10.1002/lary.28229. PMID: 31400157
Endoscopic hydroxyapatite augmentation for patulous Eustachian tube.
Vaezeafshar R, Turner JH, Li G, Hwang PH
Laryngoscope 2014 Jan;124(1):62-6. Epub 2013 Jul 29 doi: 10.1002/lary.24250. PMID: 23775903

Prognosis

Comparison of patulous Eustachian tube patients with and without a concave defect in the anterolateral wall of the tubal valve.
Choi SW, Park JH, Lee S, Oh SJ, Kong SK
J Laryngol Otol 2020 Jun;134(6):526-532. Epub 2020 Jun 11 doi: 10.1017/S0022215120001048. PMID: 32524919
Diagnostic approaches to and management options for patulous eustachian tube.
Khurayzi T, Alenzi S, Alshehri A, Alsanosi A
Saudi Med J 2020 Jun;41(6):572-582. doi: 10.15537/smj.2020.6.25083. PMID: 32518922Free PMC Article
Width of Patulous Eustachian Tube: Comparison of Assessment by Sonotubometry and Tubo-tympano-aerography.
Ikeda R, Kawase T, Takata I, Suzuki Y, Sato T, Katori Y, Kobayashi T
Otol Neurotol 2019 Apr;40(4):e386-e392. doi: 10.1097/MAO.0000000000002141. PMID: 30870363
Paper patching for patulous eustachian tube.
Kim SJ, Shin SA, Lee HY, Park YH
Acta Otolaryngol 2019 Feb;139(2):122-128. Epub 2019 Feb 14 doi: 10.1080/00016489.2018.1541505. PMID: 30762451
Sonotubometric Assessment for Severity of Patulous Eustachian Tube.
Takata I, Ikeda R, Kawase T, Suzuki Y, Sato T, Katori Y, Kobayashi T
Otol Neurotol 2017 Jul;38(6):846-852. doi: 10.1097/MAO.0000000000001413. PMID: 28437362

Clinical prediction guides

Autologous Fat Injection for the Treatment of Patulous Eustachian Tube.
Chen J, Xiong H, Chen Y, Yang H
J Int Adv Otol 2023 Jul;19(4):311-317. doi: 10.5152/iao.2023.221009. PMID: 37528596Free PMC Article
Width of Patulous Eustachian Tube: Comparison of Assessment by Sonotubometry and Tubo-tympano-aerography.
Ikeda R, Kawase T, Takata I, Suzuki Y, Sato T, Katori Y, Kobayashi T
Otol Neurotol 2019 Apr;40(4):e386-e392. doi: 10.1097/MAO.0000000000002141. PMID: 30870363
Patulous Eustachian Tube Dysfunction: Patient Demographics and Comorbidities.
Ward BK, Ashry Y, Poe DS
Otol Neurotol 2017 Oct;38(9):1362-1369. doi: 10.1097/MAO.0000000000001543. PMID: 28796094
Sonotubometric Assessment for Severity of Patulous Eustachian Tube.
Takata I, Ikeda R, Kawase T, Suzuki Y, Sato T, Katori Y, Kobayashi T
Otol Neurotol 2017 Jul;38(6):846-852. doi: 10.1097/MAO.0000000000001413. PMID: 28437362
Endoscopic hydroxyapatite augmentation for patulous Eustachian tube.
Vaezeafshar R, Turner JH, Li G, Hwang PH
Laryngoscope 2014 Jan;124(1):62-6. Epub 2013 Jul 29 doi: 10.1002/lary.24250. PMID: 23775903

Recent systematic reviews

Systematic Review of Surgical Outcomes Following Repair of Patulous Eustachian Tube.
Ikeda R, Hidaka H, Kikuchi T, Ohta N, Kawase T, Katori Y, Kobayashi T
Otol Neurotol 2020 Sep;41(8):1012-1020. doi: 10.1097/MAO.0000000000002753. PMID: 33169947
Surgical treatment of patulous Eustachian tube - a systematic review.
Mousa Z, Faber C, Rosenberg T
Dan Med J 2020 Sep 11;67(10) PMID: 33046204
Imaging of the Eustachian tube and its function: a systematic review.
Smith ME, Scoffings DJ, Tysome JR
Neuroradiology 2016 Jun;58(6):543-556. Epub 2016 Feb 27 doi: 10.1007/s00234-016-1663-4. PMID: 26922743Free PMC Article
Treatment Effectiveness for Symptoms of Patulous Eustachian Tube: A Systematic Review.
Luu K, Remillard A, Fandino M, Saxby A, Westerberg BD
Otol Neurotol 2015 Dec;36(10):1593-600. doi: 10.1097/MAO.0000000000000900. PMID: 26595716
Surgical management of Patulous Eustachian tube: A systematic review.
Hussein AA, Adams AS, Turner JH
Laryngoscope 2015 Sep;125(9):2193-8. Epub 2015 Feb 3 doi: 10.1002/lary.25168. PMID: 25646902Free PMC Article

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