Nasal instillation of physiological saline for patulous eustachian tube
Nasal instillation of physiological saline for patulous eustachian tube
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DOI：
10.3109/00016480903314009
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发表时间：
2010-05-01
影响因子：
1.4
通讯作者：
Kobayashi, Toshimitsu
中科院分区：
文献类型：
--
作者：
Oshima, Takeshi;Kikuchi, Toshiaki;Kobayashi, Toshimitsu
结论：咽鼓管扩张症的临床表现多样，从无症状到严重影响患者的生活质量。鼻内滴注生理盐水应作为扩张性ET的初始治疗方法。目的：探讨鼻内滴注生理盐水治疗扩张性鼻内窥镜检查的疗效。方法：对52例扩张性ET患者进行回顾性分析。患者接受生理盐水鼻腔滴注治疗，2-8周后评估主观改善情况。结果如下：扩张性ET患者的年龄分布呈两个高峰，一个高峰出现在40岁左右，女性占主导地位，另一个高峰主要由老年男性患者组成。52例扩张性ET患者中，33例（63.5%）鼻内滴注生理盐水有效。特别是，25例病程较短的患者中有20例（80%）从治疗中获得了一些改善。男性（81.8%）的有效性高于女性（50.0%）。
Conclusion: Patulous eustachian tube (ET) shows a wide range of manifestations from asymptomatic to severe disturbance in quality of life. Nasal instillation of saline should be attempted as the initial treatment for patulous ET. Objectives: To investigate the effectiveness of nasal instillation of saline as a treatment for patulous ET. Methods: This was a retrospective chart review of 52 patients with patulous ET. They were treated with nasal instillation of saline, followed by assessment of subjective improvement after 2-8 weeks. Results: The age distribution of the patients with patulous ET revealed two peaks, one with female predominance in the fourth decade, the other consisting mostly of aged male patients. Nasal instillation of saline was effective in 33 (63.5%) of 52 patients with patulous ET. In particular, 20 (80%) of the 25 patients with short duration of disease obtained some improvement from the treatment. More effectiveness was observed in males (81.8%) than in females (50.0%).