By John L. Dornhoffer
This e-book, written by means of overseas specialists, is an in depth advisor to the Eustachian tube, with emphasis on these elements of such a lot relevance to the practitioner. the hole chapters rfile the scientific anatomy and supply crucial details on body structure, with clarification of the hot version of tubal mechanics. analysis and remedy for the patulous Eustachian tube are then mentioned, putting detailed emphasis on a singular conservative therapy routine that has confirmed to be a step forward for sufferers with this scientific syndrome. one other huge bankruptcy examines total functionality of the Eustachian tube, essentially from the center ear surgeon’s point of view. Tuboplasty systems, together with laser tuboplasty, and tympanoplasty are defined, and the results of other center ear pathologies for surgical procedure are defined. The formerly unpublished remedy equipment which are defined during this ebook should be valuable in making sure the very best scientific outcomes.
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Extra info for A Practical Guide to the Eustachian Tube
Officially, injection of Teflon® paste anterior to the mouth of the Eustachian tube has been stopped by the manufacturer of the paste because of serious complications caused by the Teflon paste being accidentally injected into the internal carotid artery . 2 shows an MRI of a young adult German patient treated by Pulec himself in the 1990s. Other materials have been used for augmentation and/or obstruction, such as autologous fat, collagen and even silicone. Surprisingly there are no long-term results published.
5 × 1 cm are implanted between the tensor veli palatini muscle and the Eustachian tube under full anaesthesia (Fig. 3a, b). For implantation a transpalatinal approach is used, which is controlled by nasal endoscopy. A navigation system can help to avoid misplacement (Fig. 4). Once the bed for the cartilage is formed by a scissor, the splint is pushed upward as far as possible (Fig. 5). Due to the good results of the physiotherapy, only seven patients have been treated using this augmentation method.
Unfortunately, exact numbers of patients successfully treated are unknown. Another technical approach is to impair the opening force of the tensor veli palatini muscle, either by resection or by toxic inhibition [120, 187, 206]. Stroud et al.  cut off the tensor’s tendon in 10 patients with pET, with a reported success rate of 90 % (9 of 10 patients). Virtanen and Palva  extended the concept by the fracture or resection of the pterygoid hamulus. According to the authors, 9 of 13 patients remained without pET complaints up to 60 months.
A Practical Guide to the Eustachian Tube by John L. Dornhoffer