著者
大島 昭夫
出版者
耳鼻咽喉科臨床学会
雑誌
耳鼻咽喉科臨床 (ISSN:00326313)
巻号頁・発行日
vol.99, no.8, pp.643-646, 2006-08-01 (Released:2011-10-07)
参考文献数
15
被引用文献数
1 1

Patent eustachian tube patients are becoming increasingly rare.I proposed to classify these patients into a lighter grade I to severe grade III, according to their symptoms and examinations findings and used this to decide on an appropriate therapy.Grade I: Fullness of the ear. No finding in the tympanic membrane during Toynbee's maneuver.Therapy·Administer the Chinese medicine KAMIKIHITO. Pour a mixture of jel-foam, glycerin and 0.9% saline solution into the eustachian tube.Grade II: Grade I plus autophonia and tympanic membrane movement during Toynbee's or Valsalva's maneuver.Therapy·In addition to that proposed for Grade I, submembranous injection of dimethyl polysiloxan or aterocollagen into the nasopharyngeal tubal orifice.Grade III: Most severe case.Therapy·In addition to that proposed for Grade II, insertion of KOBAYASHI's eustachian tube pin into the tympanic orifice of the eustachian tube.
著者
大島 昭夫 中井 栄一 西崎 和則 結縁 晃治
出版者
日本耳科学会
雑誌
Otology Japan (ISSN:09172025)
巻号頁・発行日
vol.10, no.5, pp.571-577, 2000-12-25 (Released:2011-06-17)
参考文献数
21

The tympanic membrane and nasopharyngeal orifice of the Eustachian tube of 40 former leprosy patients were reported.There were 16 cases of secretory otitis media, 20 ears, in 40 patients.13 cases in these 16 cases have deformity of the nasal cavity, especially a large perforation or defect of the nasal septum, and remarkable atrophy of the nasal conchae.They have a large nasal cavity. In 9 cases, the nasopharyngeal orifice of the Eustachian tube might be deformed due to leprosy.The patients of patent tube are observed in 16 cases, also they are aged.They have little deformity of their nasal cavity and the nasopharyngeal orifice of the Eustachian tube, but their mucous membrane and submucous tissue of the nasopharyngeal orifice of the Eustachian tube is remarkably atrophic.