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A novel, computed tomography guided, trans-cutaneous approach to treat refractory autophony in a patient with a patulous eustachian tube

Published online by Cambridge University Press:  27 January 2014

J C L Rodrigues ,
A Waddell  and
J-L Cook
J C L Rodrigues*
Affiliation:
Department of Radiology, Great Western Hospital, Swindon, UK
A Waddell
Affiliation:
Department of Ear, Nose and Throat, Great Western Hospital, Swindon, UK
J-L Cook
Affiliation:
Department of Radiology, Great Western Hospital, Swindon, UK
*
Address for correspondence: Dr Jonathan C L Rodrigues, Department of Radiology, Great Western Hospital, Great Western NHS Foundation Trust, Malborough Rd, Swindon SN3 6BB, UK Fax: +44 (0)1793 604795 E-mail: jonrodrigues@doctors.org.uk
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Abstract

Objective:

We report a novel, computed tomography guided treatment for autophony associated with a patulous eustachian tube.

Methods:

Case report and literature review of the management of patulous eustachian tube.

Results:

A 36-year-old woman presented with disabling autophony. Otoscopic examination revealed a poorly mobile right tympanic membrane. High resolution temporal bone computed tomography excluded superior semicircular canal dehiscence. The patient was diagnosed with patulous eustachian tube but failed to achieve therapeutic benefit from conventional endoscopic placement of a silicone elastomer suspension implant adjacent to the eustachian tube. Subsequently, she underwent further silicone elastomer suspension implant placement via a trans-cutaneous, computed tomography guided approach. The patient achieved prompt symptomatic relief and remained symptom-free at six-month follow up.

Conclusion:

This is the first published description of treatment of patulous eustachian tube using a computed tomography guided, trans-cutaneous approach. It serves to highlight to otolaryngologists the fact that computed tomography guided treatment of patulous eustachian tube may control disabling symptoms in patients who have failed to respond to convention endoscopic management.

Keywords

Eustachian TubeMultidetector Computed TomographyPathologyMedical Imaging
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 2 , February 2014 , pp. 182 - 184
Copyright
Copyright © JLO (1984) Limited 2014 

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