著者

高橋 晴雄 高野 篤 畑地 憲輔 吉田 晴郎 海江田 哲 安達 朝幸 塚崎 尚紀

出版者

THE JAPAN OTOLOGICAL SOCIETY

雑誌

Otology Japan (ISSN:09172025)

巻号頁・発行日

vol.14, no.2, pp.171-175, 2004

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Pharyngeal orifice of the eustachian tube was ligated in 6 patients, 8 ears withintractable patulous eustachian tube. While the eustachian tube orifice was observed by an endoscope inserted through the contralateral nostril, the orifice was ligated transnasally and/or transorally using instruments usually used in the endoscopic nasal surgery. Now 1 to 6 months after the surgery, the outcome was excellent (both symptoms and sonotubometry were normalized) in 3 ears, good (either symptoms or sonotubometry was improved) in 3 ears, and unchanged in the remaining 2 ears. In one of the ears with an outcome of unchanged, the ligation was found to be spontaneously released soon after surgery, but the symptom was improved after the second operation 2.5months after the first operation. Temporary otitis media with effusion was seen in one ear, and mild inflammation around the ligated site also in one ear, but no other serious complication has been observed. Although further improvement in the surgical procedure and further discussion about its longterm outcome should be required, this procedure appeared to be one of the therapeutic options for intractable patulous eustachian tube.