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Tensor veli palatini electromyography for monitoring Eustachian tube rehabilitation in otitis media

Published online by Cambridge University Press:  15 March 2017

P M Picciotti ,
G Della Marca ,
L D'Alatri ,
D Lucidi ,
M Rigante  and
E Scarano
P M Picciotti*
Affiliation:
ENT Department, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
G Della Marca
Affiliation:
Institute of Neurology, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
L D'Alatri
Affiliation:
ENT Department, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
D Lucidi
Affiliation:
ENT Department, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
M Rigante
Affiliation:
ENT Department, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
E Scarano
Affiliation:
ENT Department, Agostino Gemelli Hospital, Catholic University of Sacred Heart, Rome, Italy
*
Address for correspondence: Dr P M Picciotti, Department Head and Neck Surgery, Institute of Otorhinolaryngology, Agostino Gemelli Hospital, Catholic University School of Medicine and Surgery, Largo A. Gemelli n.1, 00168 Rome, Italy Fax: +39 63051194 E-mail: pmpicciotti@rm.unicatt.it
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Abstract

Background:

The pathogenesis of otitis media is related to Eustachian tube dysfunction. The tensor veli palatini muscle actively opens the Eustachian tube and promotes middle-ear ventilation. This study describes a technique for paratubal electromyography that uses a surface, non-invasive electrode able to record tensor veli palatini muscle activity during swallowing.

Methods:

Twenty otitis media patients and 10 healthy patients underwent tensor veli palatini electromyography. Activity of this muscle before and after Eustachian tube rehabilitation was also assessed.

Results:

In 78.5 per cent of patients, the electromyography duration phase and/or amplitude were reduced in the affected side. The muscle action potential was impaired in all patients who underwent Eustachian tube rehabilitation.

Conclusion:

This study confirmed that Eustachian tube muscle dysfunction has a role in otitis media pathogenesis and showed that muscle activity increases after Eustachian tube rehabilitation therapy.

Keywords

Otitis MediaEustachian TubeElectromyographyRehabilitation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 5 , May 2017 , pp. 411 - 416
Copyright
Copyright © JLO (1984) Limited 2017 

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