Eustachian tube functions, revisited: a review

Manish Munjal; Shubham Munjal; Vineeta Arora; Loveleen Sandhu; Swati Chauhan; Garima Bansal; Rubaldeep; Manik Kaushal; Sakshi Jarewa; Prachee Budhiraja; Sidharth Chopra; Sharan Kaur; Muskan Ahluwalia

doi:10.18203/issn.2454-5929.ijohns20252270

Authors

Manish Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Shubham Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Vineeta Arora Guru Teg Bahadur Hospital, Ludhiana, Punjab, India
Loveleen Sandhu Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Swati Chauhan Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Garima Bansal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Rubaldeep Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Manik Kaushal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Sakshi Jarewa Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Prachee Budhiraja Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Sidharth Chopra Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Sharan Kaur Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Muskan Ahluwalia Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20252270

Keywords:

Eustachian tube, Sono tubometry, Tympanometry, Valsalva

Abstract

Myringoplasty conventionally is the reconstitution of the perforated tympanic membrane. There is a state of equilibrium between nasopharyngeal, middle ear and the external ear, air pressures. Middle ear ventilation and drainage is undertaken by the eustachian tube, a partially collapsible and rigid pipe linking the nasopharynx with the middle ear. There are controversial views regarding the value of a preoperative assessment of the function of the eustachian tube. Historically active and passive procedures for evaluation of the tubal function are vital components of the otological test battery. Outpatient tests like the Valsalva may not necessitate acquisition of sophisticated armamentarium but sono-tubometry and tube-manometry do so and are a bit expensive. The variety of subjective and objective tests have been elaborated upon wrt a successful uptake of the graft in myringoplasty.

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References

Flisberg K, Ingelstedt S, Örtegren U. Controlled “ear aspiration” of air: A “physiological” test of the tubal function. Acta Oto-Laryngologica. 1963;56(182):35-8. DOI: https://doi.org/10.3109/00016486309139990

Dutta NN, Kacker SK, Sinha A. Eustachian tubal function in health and diseases. Indian J Otolaryngol. 1971;23:163-75. DOI: https://doi.org/10.1007/BF03048448

Zollner F. Therapy of the Eustachian tube. Arch Otolaryngol. 1963;78(3):186-91. DOI: https://doi.org/10.1001/archotol.78.3.186

Wullstein HL. Past and future of tympanoplasty. Arch Otolaryngol. 1963;78(3):163-77. DOI: https://doi.org/10.1001/archotol.78.3.163

Farrior JB. Total Tympanoplasty Type V: Eustachian Tube Patency in Tympanoplasty. Arch Otolaryngol. 1965;81(4):398-409. DOI: https://doi.org/10.1001/archotol.1965.00750050409015

House WF. The function of the Eustachian tube. AMA Arch Otolaryngol. 1960;71(3):405-7. DOI: https://doi.org/10.1001/archotol.1960.03770030047010

Holmquist J. The role of the Eustachian tube in myringoplasty. Acta oto-laryngologica. 1968; 66(6):289-95. DOI: https://doi.org/10.3109/00016486809126296

Podoshin L, Fradis M, Malatskey S, Ben-David J. Tympanoplasty in adults: a five-year survey. Ear, Nose Throat J. 1996;75(3):149-56. DOI: https://doi.org/10.1177/014556139607500310

Sheehy JL, Glasscock ME. Tympanic membrane grafting with temporalis fascia. Arch Otolaryngol. 1967;86(4):391-402. DOI: https://doi.org/10.1001/archotol.1967.00760050393008

Ekvall L. Eustachian tube function in tympanoplasty clinical aspects. Acta Oto-Laryngologica. 1970;69(263):33-42. DOI: https://doi.org/10.3109/00016487009131515

Holmquist J. Middle ear ventilation in chronic otitis media. Arch Otolaryngol. 1970;92(6):617-23. DOI: https://doi.org/10.1001/archotol.1970.04310060089016

Sengupta RP, Kacker SK. Study of Eustachian tube function with particular reference to long term follow up in myringoplasty. Indian J Otolaryngol. 1974;26:132-7. DOI: https://doi.org/10.1007/BF03047565

Miller GF. Eustachian tubal function in normal and diseased ears. Archives of Otolaryngology. 1965;81(1):41-8. DOI: https://doi.org/10.1001/archotol.1965.00750050046011

Palva A, Kärjä J. Eustachian—tube patency in chronic ears preoperative evaluation correlated to postoperative results. Acta Oto-Laryngologica. 1970;69(sup263):25-8. DOI: https://doi.org/10.3109/00016487009131513

MacKinnon DM. Homograft tympanic membrane in myringoplasty. Ann Otol Rhinol Laryngol. 1972;81(2):194-202. DOI: https://doi.org/10.1177/000348947208100204

Sharp M. The manometric investigation of tubal function1: with reference to myringoplasty results. The J Laryngol Otol. 1970;84(6):545-51. DOI: https://doi.org/10.1017/S0022215100072248

Anderson L, Harris S. Middle ear mechanics and Eustachian tube function in tympanoplasty. Acta Oto-Laryngologica. 1978;86(360):141-7. DOI: https://doi.org/10.3109/00016487809123500

Gimenez F, Marco-Algarra J. The prognostic value of mucociliary clearance in predicting success in tympanoplasty. J Laryngol Otol. 1993;107(10):895-7. DOI: https://doi.org/10.1017/S0022215100124727

House WF, Iii ME, Miles J. Eustachian tuboplasty. The Laryngosc. 1969;79(10):1765-82. DOI: https://doi.org/10.1288/00005537-196910000-00008

Vartiainen E, Kärjä J, Karjalainen S, Härmä R. Failures in myringoplasty. Arch Oto-rhino-laryngol. 1985;242:27-33. DOI: https://doi.org/10.1007/BF00464402

Lindeman P, Holmquist J, Åberg B. Ear drum mobility and middle ear volume measured with tympanometry. Scandinavian Audiol. 19841;13(3):147-50. DOI: https://doi.org/10.3109/01050398409043053

Smith ME, Takwoingi Y, Deeks J, Alper C, Bance ML, Bhutta MF, et al. Eustachian tube dysfunction: a diagnostic accuracy study and proposed diagnostic pathway. PLoS One. 2018;13(11):206946. DOI: https://doi.org/10.1371/journal.pone.0206946

Smith ME, Zou CC, Blythe AJ, Tysome JR. Tuba-impedance: a new test of Eustachian tube function. Otolaryngol Head Neck Surg. 2017;156(4):717-21. DOI: https://doi.org/10.1177/0194599816686546

Doyle WJ, Swartz JD, Banks J, Casselbrant ML, Mandel EM, Alper CM. Sensitivity and specificity of Eustachian tube function tests in adults. JAMA Otolaryngol–Head Neck Surg. 2013;139(7):76. DOI: https://doi.org/10.1001/jamaoto.2013.3559

Asenov DR, Nath V, Telle A, Antweiler C, Walther LE, Vary P, et al. Sonotubometry with perfect sequences: first results in pathological ears. Acta oto-laryngologica. 2010;130(11):1242-8. DOI: https://doi.org/10.3109/00016489.2010.492481

Pyne JM, Amoako-Tuffour Y, Earle G, McIntyre G, Butler MB, Bance M. Transmission of a novel sonotubometry acoustic click stimulus in healthy and patulous Eustachian tube subjects: a retrospective case-control study. J Otolaryngol Head Neck Surg. 2017;46(1):47. DOI: https://doi.org/10.1186/s40463-017-0227-x

Linstrom CJ, Silverman CA, Rosen A, Meiteles LZ. Eustachian tube endoscopy in patients with chronic ear disease. Laryngoscope. 2000;110(11):1884-9. DOI: https://doi.org/10.1097/00005537-200011000-00022

Di Martino E, Walther LE, Westhofen M. Endoscopic examination of the Eustachian tube: a step-by-step approach. Otol Neurotol. 2005;26(6):1112-7. DOI: https://doi.org/10.1097/01.mao.0000176175.71894.98

Poe DS, Pyykkö I. Measurements of Eustachian tube dilation by video endoscopy. Otol Neurotol. 2011;32(5):794-8. DOI: https://doi.org/10.1097/MAO.0b013e31821c6355

Alper CM, Teixeira MS, Swarts JD, Doyle WJ. Quantitative description of Eustachian tube movements during swallowing as visualized by transnasal video endoscopy. JAMA Otolaryngol Head Neck Surg. 2015;141(2):160-8. DOI: https://doi.org/10.1001/jamaoto.2014.3002

Han WG, Yoo J, Rah YC, Chang J, IM GJ, Song JJ, et al. Analysis of Eustachian tube dysfunction by dynamic slow motion video endoscopy and Eustachian tube dysfunction questionnaire in chronic otitis media. Clin Exp Otorhinolaryngol. 2017;10(4):315-20. DOI: https://doi.org/10.21053/ceo.2016.01683

Augustine AM, Varghese L, Michael RC, Albert RR, Job A. The efficacy of dynamic slow motion video endoscopy as a test of Eustachian tube function. J Laryngol Otol. 2013;127(7):650-5. DOI: https://doi.org/10.1017/S0022215113001023

Sadé J. Middle ear and auditory tube: middle ear clearance, gas exchange and pressure regulation. Otolaryngol Head Neck Surg. 1997;116(4):499-524. DOI: https://doi.org/10.1016/S0194-59989770302-4

Bluestone CD. Eustachian tube: structure, function, role in otitis media. PMPH-USA. 2005.