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Compliance of the eustachian tube in patients with otitis media with effusion
Authors:H Takahashi  M Hayashi  I Honjo
Affiliation:1. Neogenomics, Inc., 31 Columbia, Aliso Viejo, CA 92656, United States of America;2. Memorial/Sloane-Kettering Cancer Center, New York, NY, United States of America;3. University of North Carolina, Chapel Hill, NC, United States of America;4. M.D. Anderson Cancer Center, Houston, TX, United States of America;5. Mayo Clinic, Rochester, MN, United States of America;1. Department of Oral and Craniofacial Health Sciences. College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates;2. Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden;3. Oral and Maxillofacial Pathology and Medicine Department, School of Dentistry, University of Benin, Benin City, Nigeria;4. Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA;5. Department of Oral and Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, NY, USA;6. Department of Oral Medicine, University of Pennsylvania, Philadelphia, PA, USA;7. Department of Oral Health and Diagnostic Sciences, UConn Health, Farmington, CT, USA;8. Division of Oral Medicine, Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA;9. King''s College London, London, UK;10. Division of Oral Medicine, Department of Oral Diagnostic Sciences, King AbdulAziz University Faculty of Dentistry, Jeddah, Saudi Arabia;11. Department of Diagnostic Sciences, Tufts University School of Dental Medicine, Boston, MA, USA;12. Department of Clinical and Preventive Dentistry, Federal University of Pernambuco, Pernambuco, Brazil;13. Department of Orofacial Sciences, University of California, San Francisco, CA, USA;1. Universitas Indonesia, Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Jakarta, Indonesia;2. Universitas Indonesia, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Jakarta, Indonesia;3. National Taiwan University Hospital, Department of Otolaryngology, Head and Neck Surgery, Taipei, Taiwan;4. Universitas Indonesia, Faculty of Medicine, Department of Community Medicine, Jakarta, Indonesia;5. Universitas Indonesia, Faculty of Medicine, Department of Pediatric Medicine, Jakarta, Indonesia
Abstract:To analyze the compliance of the eustachian tube, we measured the decrease in tubal resistance (pressure/air flow) with increasing air flow rate through the eustachian tubal lumen. When the eustachian tube is compliant, the tubal resistance decreases greatly because of the high distensibility of the tube. The tubal compliance index (TCI), which is the ratio of the tubal resistance between two different air flow rates, was compared among three groups: 36 ears of children with otitis media with effusion (OME), 26 ears of adult OME patients, and 10 otherwise normal ears with traumatic perforations of the eardrum. Compared with normal subjects, OME children had a significantly higher TCI (P less than .005), whereas OME adults had a significantly lower TCI (P less than .05). From these results, we concluded that eustachian tubes are compliant in children with OME but rigid in adults with OME.
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