咽鼓管功能障碍病因学及相关因素探讨

The etiology and related factors of Eustachian tube dysfunction

病理状态下,咽鼓管(Eustachian tube,ET)不能恰当地开闭,导致功能障碍;。目前缺乏对咽鼓管功能障碍(Eustachian tube dysfunction,ETD)统一明确的定义,2014年荷兰阿姆斯特丹专家共识指出ETD是一个综合征。2015年伦敦共识认为ETD是一系列提示存在咽鼓管功能障碍症状和体征的综合表现;。2018年《咽鼓管功能障碍专家共识》提出ETD是一个症候群,是中耳疾病的病因之一。临床实践中的ETD,多指ET通气功能异常。

The Eustachian tube connects the middle ear and the nasopharynx. It’s physiological functions include ventilating and balancing the pressure inside and outside the middle ear, drainage of the middle ear secretions, prevention of retrograde infection, sound suppression and noise suppression. Eustachian tube dysfunction is closely related to the occurrence and development of many diseases. It’s etiologyand influencing factors are still unclear. This article reviews the recent research on etiology and related factors of Eustachian tube dysfunction, and strives to make breakthroughs in etiology and mechanism, so as to provide help for clinical intervention.