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Patulous Eustachian tube (PET), a practical overview

World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第3期5卷 137-142页

作者： manohar bance James R.Tysome Matthew E.Smith Cambridge Ear Institute Cambridge University Hospitals TrustCambridge UK University of Cambridge CambridgeUK

Symptoms of patulous Eustachian tube(ET),particularly autophony,can overlap with other conditions,and can arise from a variety of *** review the pathophysiology of“speech hyper-resonance syndromes”,and possible mechanisms,including resonances in the tympanic membrane,Eustachian tube and *** can be directed at the eardrum or the ET depending on site of *** review typical presentations,examination findings,and useful clinical tests to distinguish PET from other disorders,and our philosophy of management.

关键词： Patulous Eustachian tube Autophony Cartilage typmpanoplasty Eustachian tube function testing Sonotubometry

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Advances in Eustachian tube function testing

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2019年第3期5卷 131-136页

作者： Matthew E.Smith manohar L.bance James R.Tysome Cambridge Ear Institute University of CambridgeCambridgeUK Department of ENT Surgery Adden-brooke's HospitalCambridgeCB20QQUK.

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.

关键词： Eustachian tube Function Test Accuracy Diagnosis

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Pharmacological management of neuropathic pain in patients with vestibular schwannomas:Experience of the Atlantic Lateral Skull Base Clinic

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World Journal of Pharmacology 2014年第2期3卷 24-32页

作者： Andrea LO Hebb Jana Sawynok manohar bance Simon Walling Ken Chisholm David P Morris Atlantic Lateral Skull Base Clinic Division of Neurosurgery Dalhousie University QEII Halifax Infirmary SiteHalifax NS B3H 3A7 Canada Capital District Health Authority QEII Halifax Infirmary Site 3~rd Floor Division of NeurosurgeryHalifax NS B3H 3A7 Canada Department of Pharmacology Dalhousie UniversityNova Scotia B3H 4R2 Canada Division Otolaryngology Dalhousie University QEII Health Sciences CentreHalifax NS B3H 2Y9 Canada Division of Neurosurgery Dalhousie UniversityHalifax Infirmary Site QEII Health Sciences CentreHalifax NS B3H 3A7 Canada Department of Anesthesia and Pain Management Dalhousie UniversityHalifax NS B3H 2Y9 Canada

Neuropathic pain is chronic pain generated by disorders of the peripheral and central nervous system, including skull base tumours. A skull base tumour can be any type of tumour that forms in the skull base, and this includes vestibular schwannomas which arise from the sheath of the inner ear vestibulocochlear nerve(eighth cranial nerve). Growth of the tumour, surgical resection, and/or stereotactic radiotherapy may result incompression and/or irritation of the fifth cranial nerve(trigeminal nerve) resulting in facial pain and/or numbness. Non-trigeminal afferent input may contribute to the wide constellation of symptoms seen in orofacial pain patients. The purpose of this report was to develop a decision tool to guide the recognition and treatment of neuropathic pain in this specialized population. Recommendations for treatment are based on evidence presented in Canadian and international neuropathic treatment guidelines. Algorithms are included for assessment and treatment of adult patients with agents that are recognized to have analgesic efficacy within the broad context of neuropathic pain.

关键词： Acoustic neuroma Stereotactic radiothera-py Tricyclic antidepressants Serotonin-norepinephrine reuptake inhibitors Calcium channel modulators Tra-madol Opioids

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