By John L. Dornhoffer
This e-book, written via overseas specialists, is an in depth consultant to the Eustachian tube, with emphasis on these elements of such a lot relevance to the practitioner. the outlet 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 designated emphasis on a singular conservative therapy routine that has confirmed to be a leap forward for sufferers with this scientific syndrome. an extra huge bankruptcy examines total functionality of the Eustachian tube, basically from the center ear surgeon’s perspective. Tuboplasty methods, together with laser tuboplasty, and tympanoplasty are defined, and the results of other heart ear pathologies for surgical operation are defined. The formerly unpublished therapy tools which are defined during this publication could be necessary in making sure the absolute best scientific outcomes.
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Additional info for A Practical Guide to the Eustachian Tube
In cases of cholesteatoma, the use of a patient’s own ossicles should be avoided in order to prevent recurrences. Homogeneous ossicles have been widely used with satisfactory results regarding audiology and middle ear acceptance. However, because of the risk of transmitting viruses (HIV, hepatitis) and prions (Creutzfeldt–Jakob disease), the use of homogeneous ossicles has been almost completely abandoned. Heterogeneous materials are not used in middle ear surgery. 1 Alloplastic Materials Since the origination of tympanoplasty, alloplastic materials have been used extensively and uncritically.
52 4 Tubal Function from a Middle Ear Surgeon’s Viewpoint Fig. 3 Materials for Reconstruction of the Ossicular Chain A broad variety of materials are used for reconstruction of the ossicular chain. A patient’s own material remains the gold standard. Autogenous ossicles, with the incus being the first choice, followed by the head of the malleus, are used with great acceptance. Adverse reactions from the implantation site are not expected. If the reconstruction is dislocated, there may be a problem with growth towards the promontory or the Fallopian canal, resulting in osseous fixation.
These patients also received tympanostomy tubes for ventilation. The advantage of this method is its reversibility. 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.
A Practical Guide to the Eustachian Tube by John L. Dornhoffer