Advances in Eustachian tube function testing

作     者：Matthew E.Smith Manohar L.Bance James R.Tysome 

作者机构：Cambridge Ear InstituteUniversity of CambridgeCambridgeUK Department of ENT SurgeryAdden-brooke's HospitalCambridgeCB20QQUK. 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2019年第5卷第3期

页      面：131-136页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Eustachian tube Function Test Accuracy Diagnosis 

摘      要：Obstructive and patulous Eustachian tube dysfunction provide a significant diagnostic and management *** 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 *** review summarises recent findings relating to Eustachian tube function *** 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 *** 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 *** 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.