耳管開放症の重症度分類と治療 [in Japanese] Classification and Therapy for Patent Eustachian Tube Patients [in Japanese]
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Patent eustachian tube patients are becoming increasingly rare.<br>I proposed to classify these patients into a lighter grade I to severe grade III, according to their symptoms and examinations findings and used this to decide on an appropriate therapy.<br>Grade I: Fullness of the ear. No finding in the tympanic membrane during Toynbee's maneuver.<br>Therapy·Administer the Chinese medicine KAMIKIHITO. Pour a mixture of jel-foam, glycerin and 0.9% saline solution into the eustachian tube.<br>Grade II: Grade I plus autophonia and tympanic membrane movement during Toynbee's or Valsalva's maneuver.<br>Therapy·In addition to that proposed for Grade I, submembranous injection of dimethyl polysiloxan or aterocollagen into the nasopharyngeal tubal orifice.<br>Grade III: Most severe case.<br>Therapy·In addition to that proposed for Grade II, insertion of KOBAYASHI's eustachian tube pin into the tympanic orifice of the eustachian tube.
- Pract.Otol. (Kyoto)
Pract.Otol. (Kyoto) 99(8), 643-646, 2006-08-01
The Society of Practical Otolaryngology