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首页> 外文期刊>Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology >Management of patulous eustachian tube with habitual sniffing.
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Management of patulous eustachian tube with habitual sniffing.

机译：习惯性嗅探pah pah eustachian管的管理。

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OBJECTIVES: : Evaluation of the effect of conservative and surgical treatment in patients with patulous Eustachian tube (PET) associated with habitual sniffing. STUDY DESIGN: : Retrospective case review. SETTING: : University hospital otolaryngology department. PATIENTS: : Ninety-seven (23.4%) of 414 PET patients were found to have habitual sniffing to alleviate uncomfortable aural symptoms. Of these, 38 PET patients with sniffing habit were selected. INTERVENTIONS: : Conservative intervention included instructions to stop sniffing and nasal instillation of saline. Surgical interventions used ventilation tube (VT) insertion to the eardrum and/or transmyringeal insertion of the PET plug (PEP). MAIN OUTCOME MEASURES: : Relief of uncomfortable symptoms and stopping sniffing. RESULTS: : In 52 (53.6%) of the 97 sniff-positive cases, retraction-type eardrum abnormalities or operated ear due to cholesteatoma were identified, whereas normal bilateral eardrums were observed in 34 (87.2%) of 39 sniff (-) cases. Abnormal findings in the eardrum were significantly more common in the sniff-positive group than in the sniff-negative group (p < 0.0001). Twenty-three patients (65.7%) stopped sniffing with conservative treatment. VT insertion was performed in 8 ears. Subsequent PEP was necessary in 2 of the 8 ears because of PET symptoms. PEP was successful in the other 11 ears, including one ear which needed additional VT insertion because of middle ear effusion. CONCLUSION: : The management of habitual sniffing is difficult, but blocking the Eustachian tube by nasal instillation of saline and/or PEP could help PET patients to stop sniffing.
机译：目的：：评估保守和手术治疗对与习惯嗅探有关的尤斯塔克式管（PET）患者的影响。研究设计：：回顾性案例审查。设置：：大学医院耳鼻喉科系。患者：： 414名PET患者中有97名（23.4％）有习惯性嗅探以减轻不舒服的听觉症状。其中，选择了38名具有嗅探习惯的宠物患者。干预措施：：保守干预包括停止嗅探和鼻腔滴注盐水的指示。手术干预措施使用通风管（VT）插入宠物塞（PEP）的耳膜和/或跨媒介物插入。主要结局指标：：缓解不舒服的症状并停止嗅探。结果：：在97个97个嗅觉阳性病例中，有52例（53.6％）在34例嗅探病例中鉴定出34例（87.2％）的缩回型耳膜异常或因胆汁淤积性而手术的耳朵，而在34例（87.2％）中观察到正常的双侧耳膜。 。在嗅探阳性组中，耳膜中的异常发现比在嗅探阴性组中更为普遍（p <0.0001）。 23例患者（65.7％）停止接受保守治疗的嗅探。 VT插入在8耳中进行。由于宠物症状，在8只耳朵中有2只需要随后的PEP。 PEP在其他11只耳朵中取得了成功，其中包括一只由于中耳积液而需要额外的VT插入的耳朵。结论：：习惯性嗅探的管理很困难，但是通过鼻腔滴注盐水和/或PEP来阻止尤斯塔克塔克管，可以帮助宠物患者停止嗅探。

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