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:Since chronic E-tube dysfunction is believed to play an important role in the development of otitis media, it is necesary to evaluate the function of the E-tube clinicaly. Recently, the endoscopic techniques have ben used more frequently to directly inspect the E-tube orifice. In this study, I evaluated the morphologic and dynamic motion of the E-tube orifice with 4 mm 30° videoendoscope and compared with the other existing tests of the E-tube function. Subjects and Method:101 E-tubes with chronic otitis media were selected. I performed the transnasal 4 mm 30°pharyngeal E-tube orifice when patients were swallowing, and classified morphologic and dynamic findings of the E-tube orifice into three categories as follows:Type A, the E-tube is opened widely on swallowing with normal mucosa (normal);Type B, the E-tube is not opened with normal mucosa (functional blockage) and Type C, the E-tube is not opened with pathologic mucosa (mechanical blockage). Throughout the study, the control group was 60 E-tubes that were free of ear pathologies. Results:There ce. The videoendoscopic analysis of the E-tube orifice had a close correlations with the results of inflation deflation test and with the clasification of otitis media, but had no significant relationship with the degre of mastoid pneumatization. Conclusion:The morphologic and dynamic examination of the E-tube orifice with videoendoscopic techniques may be an important and useful method to examine the tubal function as wel as its dysfunction. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :983-8) :Endoscopy· Eustachian tube.

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