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Comparison of patulous Eustachian tube patients with and without a concave defect in the anterolateral wall of the tubal valve

  • S-W Choi (a1), J-H Park (a1), S Lee (a1), S-J Oh (a1) and S-K Kong (a1)...

Abstract

Objective

Patulous Eustachian tube appears to be caused by a concave defect in the anterolateral wall of the tubal valve of the Eustachian tube. This study aimed to compare the clinical features of patulous Eustachian tube patients with or without a defect in the anterolateral wall of the tubal valve.

Methods

Sixty-six patients with a patulous Eustachian tube completed a questionnaire, which was evaluated alongside endoscopic findings of the tympanic membrane, nasal cavity and Eustachian tube orifice.

Results

Females were more frequently diagnosed with a patulous Eustachian tube, but the valve defect was more common in males (p = 0.007). The ratio of patulous Eustachian tube patients with or without defects in the anterolateral wall of the tubal valve was 1.6:1. Weight loss in the previous six months and being refractory to conservative management were significantly associated with the defect (p = 0.035 and 0.037, respectively). Symptom severity was significantly higher in patients with the defect.

Conclusion

Patulous Eustachian tube patients without a defect in the anterolateral wall of the tubal valve can be non-surgically treated more often than those with the defect. Identification of the defect could assist in making treatment decisions for patulous Eustachian tube patients.

Copyright

Corresponding author

Author for correspondence: Dr Soo-Keun Kong, Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Gudeok-ro 179, Seo-Gu, Busan, 49241, Republic of Korea E-mail: entkong@gmail.com Fax: +82 51 246 8668

Footnotes

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Dr S-K Kong takes responsibility for the integrity of the content of the paper

Footnotes

References

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Keywords

Comparison of patulous Eustachian tube patients with and without a concave defect in the anterolateral wall of the tubal valve

  • S-W Choi (a1), J-H Park (a1), S Lee (a1), S-J Oh (a1) and S-K Kong (a1)...

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