[New aspects of the mechanics of the auditory tube].
The aim of the present article is to describe the mechanical components of the auditory tube and the role of these components in auditory tube function. Particular attention will be given to those aspects which have not been sufficiently dealt with in the past, such as the role of the isthmus region, the function of the lateral mucosal folds, the significance of the of the surfactant proteins and the pathophysiology of the patulous auditory tube. Special attention is given to the tensor veli palatini muscle and its physiology. Because of its isometric contraction, the function of this muscle depends on so-called hypomochlia changing the direction of its force. In the context of this article, the three hypomochlia involved are the pterygoid hamulus, Ostmann's fatty tissue and the medial pterygoid muscle. The so-called "Eppendorf-maneuver" is depicted for the first time.
Leuwer
R
R
Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg. leuwer@uke.uni-hamburg.de
Schubert
R
R
Wenzel
S
S
Kucinski
T
T
Koch
U
U
Maier
H
H
D001696:Biomechanical Phenomena; D002908:Chronic Disease; D003251:Constriction, Pathologic; D005064:Eustachian Tube / Q000503:physiopathology*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007537:Isometric Contraction / Q000502:physiology; D008279:Magnetic Resonance Imaging; D009079:Mucociliary Clearance / Q000502:physiology; D009092:Mucous Membrane / Q000503:physiopathology; D010033:Otitis Media / Q000503:physiopathology; D010160:Palate, Soft / Q000503:physiopathology; D011626:Pterygoid Muscles / Q000503:physiopathology; D013501:Surface-Active Agents / Q000378:metabolism; D013719:Tensor Tympani / Q000503:physiopathology
D013501:Surface-Active Agents