title: Ligation of eustachian tube for intractable patulous eustachian tube: a preliminary report.
abstract: Pharyngeal orifice of the eustachian tube was ligated on ten patients, 15 ears with intractable patulous eustachian tube. While the eustachian tube orifice was observed by an endoscope inserted through the contralateral nostril, the orifice was ligated transnasally and/or transorally using instruments usually used in the endoscopic nasal surgery. Now 13-27 months after the surgery, the outcome was excellent (both symptoms and sonotubometry were normalized) in two ears, good (either symptoms or sonotubometry was improved) in seven ears, and unchanged in the remaining six ears. In one of the ears with an outcome of unchanged, the ligation was found to be spontaneously released soon after surgery, but the symptom was improved after the second operation 2.5 months after the first operation. Temporary otitis media with effusion was seen in one ear, mild inflammation around the ligated site also in one ear, but no other serious complication has been observed. Although further improvement in the surgical procedure and further discussion about its long-term outcome should be required, this procedure appeared to be one of the therapeutic options for intractable patulous eustachian tube.
authors.affiliation: Division of Otorhinolaryngology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. atakano@na-robyo.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takano
authors.forename: Haruo
authors.initials: H
authors.lastname: Takahashi
authors.forename: Kensuke
authors.initials: K
authors.lastname: Hatachi
authors.forename: Haruo
authors.initials: H
authors.lastname: Yoshida
authors.forename: Satoru
authors.initials: S
authors.lastname: Kaieda
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Adachi
authors.forename: Kenji
authors.initials: K
authors.lastname: Takasaki
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Kumagami
authors.forename: Naoki
authors.initials: N
authors.lastname: Tsukasaki
mesh_terms: D000328:Adult; D000368:Aged; D004427:Ear Diseases / Q000503:physiopathology* / Q000601:surgery*; D005064:Eustachian Tube / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D011312:Pressure; D012086:Reoperation