Document Detail


Autologous fat grafting for the refractory patulous eustachian tube.
MedLine Citation:
PMID:  12574764     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The patulous eustachian tube (pET) presents a challenging management problem. Patients with the pET disorder are disturbed to the point of mental illness by their symptoms of aural fullness and autophony, especially the echo of their own voice. Thus far, described treatment methods are often temporary or ineffective. Here, we describe a minimally invasive method for the treatment of pET that involves cauterization with autologous fat graft plugging of the ET at its nasopharyngeal orifice, in conjunction with myringotomy and ventilation tube placement. This procedure has been successful for the treatment of refractory pET in 2 patients at the House Ear Clinic with at least 1-year follow-up and we propose that it may accomplish relief of symptoms by permanent stenosis of the ET.
Authors:
Joni K Doherty; William H Slattery
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  128     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-02-07     Completed Date:  2003-03-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  88-91     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, LAC + USC Medical Center and the House Ear Clinic, Los Angeles, CA, USA.
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MeSH Terms
Descriptor/Qualifier:
Acoustic Impedance Tests
Adipose Tissue / transplantation*
Adult
Audiometry
Combined Modality Therapy
Ear Diseases / diagnosis,  surgery*
Eustachian Tube / physiopathology,  surgery*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Middle Ear Ventilation / methods
Risk Assessment
Tissue Transplantation / methods
Transplantation, Autologous
Treatment Outcome
Tympanic Membrane / physiopathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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