Analysis of Eustachian Tube Dysfunction by Dynamic Slow Motion Video Endoscopy and Eustachian Tube Dysfunction Questionnaire in Chronic Otitis Media

한원규; 유준; 나윤찬; 장지원; 임기정; 송재준; 채성원; 정학현; 최준

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자료유형: 학술저널

저자정보: 한원규 유준 나윤찬 장지원 임기정 송재준 채성원 정학현 최준

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제10권 제4호

발행연도: 2017.1

수록면: 315 - 320 (6page)

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이 논문의 연구 히스토리 (2)

2017

Analysis of Eustachian Tube Dysfunction by Dynamic Slow Motion Video Endoscopy and Eustachian Tube Dysfunction Questionnaire in Chronic Otitis Media

한원규 , 유준 , 나윤찬 외 6명 Clinical and Experimental Otorhinolaryngology 2017.01 학술저널

2016

Measurement of Eustachian Tube Dysfunction in Chronic Otitis Media (COM) by Dynamic Slow Motion Video Endoscopy (DSVE) and Eustachian Tube Dysfunction Questionnaire (ETDQ)

한원규 의학과 2016.01 학위논문

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Objectives. Eustachian tube dysfunction has been associated with most cases of middle-ear disease. We aimed to assess the effectiveness of dynamic slow motion video endoscopy (DSVE) as a test of eustachian tube dysfunction. Furthermore, we assessed the correlation of the test with the Valsalva maneuver, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and intraoperative findings of the eustachian tube. Methods. We retrospectively reviewed medical records from April to September 2014 to identify patients who were diagnosed with chronic otitis media (COM) at Korea University Ansan Hospital. They all underwent surgery because of COM without cholesteatoma and were assessed via the DSVE and ETDQ-7 to determine eustachian tube function. Results. We reviewed 46 COM patients and examined 46 ears with COM and 46 ears on the contralateral side to COM that were thought to be normal. The mean DSVE grade in COM ears was 1.57±0.96, while the mean DSVE grade in contralateral ears was 1.15±0.94. The difference in DSVE between COM ears and normal ears was statistically significant (P=0.006). In the ETDQ-7, a higher score was related to intraoperative obstruction of the eustachian tube (P=0.012). Conclusion. DSVE and ETDQ-7 can provide information regarding preoperative status of eustachian tube dysfunction by measuring dynamic structural changes of the eustachian tube in combination with other diagnostic tests.

#Eustachian Tube #Endoscopy #Otitis Media #Seven-Item Eustachian Tube Dysfunction Questionnaire #Dynamic Slow Motion Video Endoscopy

참고문헌 (20)

참고문헌 신청

Augustine AM / 2013 / The efficacy of dynamic slow motion video endoscopy as a test of eustachian tube function / J Laryngol Otol 127 (7) : 650 ~ 655

Bluestone CD / 1981 / Current clinical methods, indications and interpretation of eustachian tube function tests / Ann Otol Rhinol Laryngol 90 (6 Pt 1) : 552 ~ 562

Bluestone CD / 1988 / Anatomy and physiology of eustachian tube and middle ear related to otitis media / J Allergy Clin Immunol 81 (5 Pt 2) : 997 ~ 1003

Bluestone CD. / 1988 / Current management of chronic suppurative otitis media in infants and children / Pediatr Infect Dis J 7 (11 Suppl) : S137 ~ S140

Doyle WJ / 2013 / Sensitivity and specificity of eustachian tube function tests in adults / JAMA Otolaryngol Head Neck Surg 139 (7) : 719 ~ 727

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