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Eustachian tube malfunction and middle ear disease in new perspective.
J Otolaryngol. 1983 Jun; 12(3):187-93.JO

Abstract

Our traditional concepts relating to the development of middle ear disease are based on the assumption that obstruction of the Eustachian tube with reduced ventilation of the middle ear space leads to the development of high negative pressure in the middle ear and, ultimately, to the development of middle ear disease. This hypothesis, which focuses on Eustachian tube opening failure, has not been verified satisfactorily. Results of recent studies indicate that another approach to the problem can lead to a better understanding of the Eustachian tube pathophysiology leading to the development of ear disease. Direct measurements of middle ear pressure in patients with manifest ear disease have revealed that high negative intratympanic pressure is generated by the voluntary act of sniffing. This type of Eustachian tube malfunction is thus characterized by Eustachian tube closing failure. The repetitive barotrauma induced by sniffing or reverse Valsalva maneuvers seems to be a basic predisposing factor in the development of recurrent middle ear effusion and chronic middle ear disease, including adhesive otitis and cholesteatoma.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

6876245

Citation

Magnuson, B, and B Falk. "Eustachian Tube Malfunction and Middle Ear Disease in New Perspective." The Journal of Otolaryngology, vol. 12, no. 3, 1983, pp. 187-93.
Magnuson B, Falk B. Eustachian tube malfunction and middle ear disease in new perspective. J Otolaryngol. 1983;12(3):187-93.
Magnuson, B., & Falk, B. (1983). Eustachian tube malfunction and middle ear disease in new perspective. The Journal of Otolaryngology, 12(3), 187-93.
Magnuson B, Falk B. Eustachian Tube Malfunction and Middle Ear Disease in New Perspective. J Otolaryngol. 1983;12(3):187-93. PubMed PMID: 6876245.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eustachian tube malfunction and middle ear disease in new perspective. AU - Magnuson,B, AU - Falk,B, PY - 1983/6/1/pubmed PY - 1983/6/1/medline PY - 1983/6/1/entrez SP - 187 EP - 93 JF - The Journal of otolaryngology JO - J Otolaryngol VL - 12 IS - 3 N2 - Our traditional concepts relating to the development of middle ear disease are based on the assumption that obstruction of the Eustachian tube with reduced ventilation of the middle ear space leads to the development of high negative pressure in the middle ear and, ultimately, to the development of middle ear disease. This hypothesis, which focuses on Eustachian tube opening failure, has not been verified satisfactorily. Results of recent studies indicate that another approach to the problem can lead to a better understanding of the Eustachian tube pathophysiology leading to the development of ear disease. Direct measurements of middle ear pressure in patients with manifest ear disease have revealed that high negative intratympanic pressure is generated by the voluntary act of sniffing. This type of Eustachian tube malfunction is thus characterized by Eustachian tube closing failure. The repetitive barotrauma induced by sniffing or reverse Valsalva maneuvers seems to be a basic predisposing factor in the development of recurrent middle ear effusion and chronic middle ear disease, including adhesive otitis and cholesteatoma. SN - 0381-6605 UR - https://www.unboundmedicine.com/medline/citation/6876245/Eustachian_tube_malfunction_and_middle_ear_disease_in_new_perspective_ L2 - https://medlineplus.gov/eardisorders.html DB - PRIME DP - Unbound Medicine ER -