Management of Acquired Cholesteatoma Associated With Patulous Eustachian Tube and Habitual Sniffing

최성원; 이동주; 이석환; 오세준; 공수근

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자료유형: 학술저널

저자정보: 최성원 이동주 이석환 오세준 공수근

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제12권 제4호

발행연도: 2019.1

수록면: 385 - 391 (7page)

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Objectives. To investigate the effect of surgical treatment with eustachian tube (ET) catheter insertion in patients with acquired cholesteatoma associated with patulous eustachian tube (PET) and habitual sniffing. Methods. Nine ears of nine patients (two men and seven women; age, 20 to 65 years; average, 37.9±12.0 years) of acquired cholesteatoma associated with PET and habitual sniffing who underwent cholesteatoma surgery with simultaneous additional ET catheter insertion were examined in this study. Successful treatment was defined as stoppage of sniffing, a relief of a PET handicap inventory-10 (PHI-10), an improvement of autophony grade and no cholesteatoma recurrence. Results. ET catheter insertion was performed in all ears. Follow-up duration ranged from 16 to 37 months (average, 25.4 months). Cases consisted of nine pars flaccida type (100%). All patients obtained relief from aural symptoms and stopped sniffing. Postoperative PHI-10 scores were significantly lower than preoperative scores (P<0.001). During an average follow-up of 25.4 months, no cholesteatoma recurrence has occurred to date. One patient developed otitis media with effusion (OME) post-catheterization; OME resolved spontaneously without treatment. Four patients had a consecutive ET catheter insertion on the other side to resolve PET-related aural symptoms. Conclusion. In case of acquired cholesteatoma with PET and habitual sniffing, ET catheter insertion performed simultaneously with cholesteatoma surgery could help reduce aural symptoms and stop sniffing. Moreover, the procedure might help in preventing cholesteatoma recurrence.

참고문헌 (25)

참고문헌 신청

Ikeda R / 2011 / Management of patulous eustachian tube with habitual sniffing / Otol Neurotol 32(5):790~793

Magnuson B / 1978 / Tubal closing failure in retraction type cholesteatoma and adhesive middle ear lesions / Acta Otolaryngol 86(5-6):408~417

Magnuson B / 1981 / On the origin of the high negative pressure in the middle ear space / Am J Otolaryngol 2(1):1~12

Magnuson B / 1981 / Tympanoplasty and recurrent disease : sniff-induced high negative pressure in the middle ear space / Am J Otolaryngol 2(4):277~283

Falk B / 1984 / Evacuation of the middle ear by sniffing : a cause of high negative pressure and development of middle ear disease / Otolaryngol Head Neck Surg 92(3):312~318

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최성원

소속기관 Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Ko