By John L. Dornhoffer
This e-book, written via foreign specialists, is a close consultant to the Eustachian tube, with emphasis on these features of such a lot relevance to the practitioner. the outlet chapters record the medical anatomy and supply crucial info on body structure, with rationalization of the hot version of tubal mechanics. prognosis and remedy for the patulous Eustachian tube are then mentioned, putting designated emphasis on a singular conservative remedy routine that has confirmed to be a step forward for sufferers with this medical syndrome. another huge bankruptcy examines total functionality of the Eustachian tube, basically from the center ear surgeon’s point of view. Tuboplasty tactics, together with laser tuboplasty, and tympanoplasty are defined, and the consequences of other center ear pathologies for surgical operation are defined. The formerly unpublished remedy equipment which are defined during this publication should be helpful in making sure the absolute best scientific outcomes.
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Extra info for A Practical Guide to the Eustachian Tube
Whereas the morphologic aspect of the Eustachian tube and of the surrounding tissue was normal in 26 of the patients, 11 had a hypotrophy of the medial pterygoid muscle and 10 had a hypotrophy of Ostmann’s fat pad. Seven had both. The active role of the medial pterygoid muscle is the basis for a completely physiotherapeutic approach  when treating a pET. The aim of the concept of “dynamic stabilization” is to activate the third hypomochlion of the tensor veli palatini muscle, the medial pterygoid muscle and the paratubal muscles.
The tympanic ventilation shunt is only able to absorb the pressure changes in the tympanic cavity, which are due to swallowing and breathing. The transtubal sound transmission caused by the impaired protection function is not influenced. The uncertain and incomplete effect of grommets is additionally restricted by local side effects of the tympanostomy tubes, such as otorrhea. Virtanen  suggested increasing the paratubal pressure by ligature of the internal jugular vein. Unfortunately, there are no published data on the long-term effect of this therapy.
2 47 Tubal Augmentation The reports on augmentation surgery in the osseous part of the Eustachian tube are few. Steel probes were used to open soft tissue and osseous stenosis followed by palisade cartilage tympanoplasty, and good results were reported . Charachon et al.  reported on a series of 17 patients in whom the osseous tube was opened and a silastic guide was inserted to keep the lumen patent. This could be achieved in nine ears. Extended tubotympanoplasty and drilling of the osseous part of the tube led to improvement in two of five patients in a study of Kumazawa et al.
A Practical Guide to the Eustachian Tube by John L. Dornhoffer