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Those requiring myringotomy usually have an obstructed or dysfunctional eustachian tube that is unable to perform drainage or ventilation in its usual fashion. Before the invention of antibiotics, myringotomy without tube placement was also used as a major treatment of severe acute otitis media (middle ear infection). [1]
Eustachian tube dysfunction can be caused by a number of factors. Some common causes include the flu, allergies, a cold, and sinus infections. [6] In patients with chronic ear disease such as cholesteatoma and chronic discharge, studies showed that they have obstructive pathology at the ear side of the Eustachian tube.
The EarPopper is a hand-held, battery-operated device that delivers controlled air flow through the nostril and can be used by the patient without medical supervision. Clinical studies have demonstrated the device's efficacy in the treatment of ear blockage caused by Eustachian tube dysfunction [1] and otitis media with effusion. [2]
The Eustachian tube (/ j uː ˈ s t eɪ ʃ ən /), also called the auditory tube or pharyngotympanic tube, [1] is a tube that links the nasopharynx to the middle ear, of which it is also a part. In adult humans, the Eustachian tube is approximately 35 mm (1.4 in) long and 3 mm (0.12 in) in diameter. [ 2 ]
Diver clearing ears Section of the human ear, the Eustachian tube is shown in colour. Ear clearing, clearing the ears or equalization is any of various maneuvers to equalize the pressure in the middle ear with the outside pressure, by letting air enter along the Eustachian tubes, as this does not always happen automatically when the pressure in the middle ear is lower than the outside pressure.
Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from the external ear Toynbee's auscultation tube: Otoscope/Auriscope: to examine the external auditory canal and ear drum; used during aural toileting, removal of wax, myringotomy, stapedectomy and to dilate the stenosis of canal Mouth gag - •Doyen's mouth gag
Although a temporary solution, surgical ventilation tube placement in the ear drum has also proven to be an effective treatment option. This treatment is known as either a unilateral or bilateral myringotomy. 50% of patients reported relief of patulous Eustachian tube symptoms when given this treatment. [15]
Balloon Eustachian tuboplasty (BET) [1] is a minimally invasive procedure for the causal treatment of Eustachian tube dysfunction (ETD), an often-chronic disorder in which the regulation of middle ear pressure and the removal of secretions are impaired. The dysfunction often causes significant discomfort in affected patients and can trigger ...