Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of causes.We review the pathophysiology of“speech hyper-resonance syndromes”,and possibl...Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of causes.We review the pathophysiology of“speech hyper-resonance syndromes”,and possible mechanisms,including resonances in the tympanic membrane,Eustachian tube and nasopharynx.Treatment can be directed at the eardrum or the ET depending on site of pathology.We review typical presentations,examination findings,and useful clinical tests to distinguish PET from other disorders,and our philosophy of management.展开更多
Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge.The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in ...Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge.The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function,as a method of selecting appropriate patients for intervention,and measuring their treatment outcomes.This review summarises recent findings relating to Eustachian tube function assessment.Increasingly it is recognised that patient reported outcome measures based on symptoms are highly non-specific and non-diagnostic,and clinical assessment alone may not permit the selection of individuals with abnormal Eustachian tube opening.Tests of Eustachian tube opening therefore may represent a practical and objective addition to patient assessment in clinic,allowing the identification of individuals with abnormal(patulous or obstructive)Eustachian tube function.A diagnostic pathway is described on this basis.More work is required to validate the described Eustachian tube function tests,and there remain individuals,such as those with dysfunction limited to pressure challenges,in whom function tests have yet to fully characterise the disorder.展开更多
Review articles can be extremely valuable.They synthesize information for readers,often provide clarity and valuable insights into a topic;and good review articles tend to be cited frequently.Review articles do not re...Review articles can be extremely valuable.They synthesize information for readers,often provide clarity and valuable insights into a topic;and good review articles tend to be cited frequently.Review articles do not require Institutional Review Board(IRB)approval if the data reviewed are public(including private and government databases)and if the articles reviewed have received IRB approval previously.展开更多
文摘本文是由Robert T.Sataloff,Ehab Y.Hanna,李大庆教授等20余位耳鼻咽喉头颈外科领域知名期刊主编共同撰写的一篇针对系统评价等不同类型综述文章标准及复杂性分析的述评类文章。该文章将于2021年7月在包括《世界耳鼻咽喉头颈外科杂志(英文)》,Journal of Voice,Head&Neck,American Journal of Rhinology&Allergy,The Laryngoscope等20余本国际知名耳鼻咽喉头颈外科期刊同时以英文版本刊出,为了便于中国读者对该内容进行深入了解,在获得相应授权后,本刊特别邀请刘争教授团队对该文章进行翻译,同期在本刊以中文版本刊登。希望本文对广大读者在撰写综述类文章时有所裨益。
文摘Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of causes.We review the pathophysiology of“speech hyper-resonance syndromes”,and possible mechanisms,including resonances in the tympanic membrane,Eustachian tube and nasopharynx.Treatment can be directed at the eardrum or the ET depending on site of pathology.We review typical presentations,examination findings,and useful clinical tests to distinguish PET from other disorders,and our philosophy of management.
文摘Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management challenge.The development of new treatments such as balloon Eustachian tuboplasty has generated renewed interest in measuring Eustachian tube function,as a method of selecting appropriate patients for intervention,and measuring their treatment outcomes.This review summarises recent findings relating to Eustachian tube function assessment.Increasingly it is recognised that patient reported outcome measures based on symptoms are highly non-specific and non-diagnostic,and clinical assessment alone may not permit the selection of individuals with abnormal Eustachian tube opening.Tests of Eustachian tube opening therefore may represent a practical and objective addition to patient assessment in clinic,allowing the identification of individuals with abnormal(patulous or obstructive)Eustachian tube function.A diagnostic pathway is described on this basis.More work is required to validate the described Eustachian tube function tests,and there remain individuals,such as those with dysfunction limited to pressure challenges,in whom function tests have yet to fully characterise the disorder.
文摘Review articles can be extremely valuable.They synthesize information for readers,often provide clarity and valuable insights into a topic;and good review articles tend to be cited frequently.Review articles do not require Institutional Review Board(IRB)approval if the data reviewed are public(including private and government databases)and if the articles reviewed have received IRB approval previously.
