咽鼓管功能检测及咽鼓管球囊扩张术的研究进展

咽鼓管功能障碍(Eustachian Tube Dysfunction,ETD)是许多中耳疾病发病的重要因素,可以导致中耳通气不足,引起耳满胀感和耳鸣,此外,还可能引起分泌性中耳炎、鼓膜内陷和胆脂瘤等并发症,但是临床并没有针对ETD检测的金标准.目前对于咽鼓管功能的测量方法 包括:内镜检查、咽鼓管测压(Tubomano...

Progresses in Eustachian Tube Function Evaluation and Balloon Tuboplasty

Eustachian tube dysfunction(ETD)is an important factor in the pathogenesis of various middle ear diseases.It can lead to insufficient middle ear ventilation,resulting in aural fullness and tinnitus.In addition,it can cause complications such as secretory otitis media,tympanic membrane atelectasis and cholesteatoma.There is still no gold standard for ETD testing.Current methods for assessing Eustachian tube function include endoscopy,tubomanometry(TMM),acoustic immittance tympanometry,sonotubometry and 7-item Eustachian Tube Dysfunction Questionnaire(ETDQ-7),as well as the Eustachian Tube Score(ETS)scale and its derivative-Eustachian Tube Score-7(ETS-7)scale that combine clinical presentations with objective test results.A number of medications and surgical methodologies have been used to improve Eustachian tube function,but outcomes are not always satisfactory.Eustachian tube balloon dilatation is a new method for treatment of ETD.This article reviews on Eustachian tube function evaluation and clinical application of Eustachian tube balloon dilatation,in an attempt to summarize on practical and objective methodologies for the diagnosis and treatment of ETD.