Scholarlink

<p>Eustachian tube dysfunction (ETD) significantly influences the pathophysiology of chronic otitis media (COM), yet its association with the location of tympanic membrane (TM) perforations in the inactive mucosal subtype is poorly understood, prompting this investigation of correlations between ETF and perforation sites to enhance early diagnosis and surgical planning. A prospective observational study of 53 patients with inactive mucosal COM was conducted over 18 months, with otoendoscopy used to classify perforations by location and ETF assessed using dual methodology comprising Toynbee impedance audiometry (ventilatory function) and saccharin test (mucociliary clearance). Among 62 TM examined, 95.45% (21/22) of anterior perforations maintained normal ETF, while 100% (4/4) of posterosuperior perforations demonstrated ETD, subtotal perforations showed 48% normal ETF, and dual-test concordance was 86%. These findings demonstrate that posterior perforation location strongly correlates with underlying ETD, enabling immediate clinical suspicion during initial consultation and facilitating proactive ETD management before surgical intervention, potentially improving outcomes through targeted early interventions based on this anatomical-functional relationship. </p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Relationship Between Eustachian Tube Function and Location of the Perforation in Chronic Otitis Media

  • 期刊论文

  • 发表日期：

    2026年3月10日

查看全文
  • M Mohan Raj,
  • Ashwin Ashok Jaiswal,
  • Prachi Mene,
  • Neeta Sharma

摘要

Eustachian tube dysfunction (ETD) significantly influences the pathophysiology of chronic otitis media (COM), yet its association with the location of tympanic membrane (TM) perforations in the inactive mucosal subtype is poorly understood, prompting this investigation of correlations between ETF and perforation sites to enhance early diagnosis and surgical planning. A prospective observational study of 53 patients with inactive mucosal COM was conducted over 18 months, with otoendoscopy used to classify perforations by location and ETF assessed using dual methodology comprising Toynbee impedance audiometry (ventilatory function) and saccharin test (mucociliary clearance). Among 62 TM examined, 95.45% (21/22) of anterior perforations maintained normal ETF, while 100% (4/4) of posterosuperior perforations demonstrated ETD, subtotal perforations showed 48% normal ETF, and dual-test concordance was 86%. These findings demonstrate that posterior perforation location strongly correlates with underlying ETD, enabling immediate clinical suspicion during initial consultation and facilitating proactive ETD management before surgical intervention, potentially improving outcomes through targeted early interventions based on this anatomical-functional relationship.