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- Endo Shiori
- Shizuoka Saiseikai General Hospital
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- Mizuta Kunihiro
- Shizuoka Saiseikai General Hospital Hamamatsu Medical Center
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- Oishi Hiroto
- Shizuoka Saiseikai General Hospital
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- Ikeba Hiroshi
- Shizuoka Saiseikai General Hospital
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- Kita Junya
- Hamamatsu University School of Medicine
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- Ban Akihiro
- Shizuoka Saiseikai General Hospital
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- Nakanishi Hiroshi
- Hamamatsu University School of Medicine
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- Takizawa Yoshinori
- Hamamatsu University School of Medicine
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- Arai Maki
- Hamamatsu Medical Center
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- Morita Sho
- Shizuoka Saiseikai General Hospital
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- Hosokawa Kumiko
- Hamamatsu University School of Medicine
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- Misawa Kiyoshi
- Hamamatsu University School of Medicine
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- Hosokawa Seiji
- Hamamatsu University School of Medicine
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- Takebayashi Satoru
- Shizuoka Saiseikai General Hospital
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- Mineta Hiroyuki
- Hamamatsu University School of Medicine
Bibliographic Information
- Other Title
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- 鼻すすり型耳管開放症の2例
- ハナススリ ガタ ジカン カイホウショウ ノ 2レイ
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Abstract
<p>We encountered two cases of refractory sniff-type patulous Eustachian tubes. Case 1, a 14-year-old girl visited our hospital with the chief complaint of “aural fullness”. The diagnosis of patulous Eustachian tube was made according to the diagnostic criteria for this condition. Conservative treatments, such as oral medicines, instillation of physiological saline, and application of adhesive tape on the tympanic membrane proved ineffective, and we performed ventilation tube insertion. Immediately after placement of the ventilation tube, the patient developed “auditory hyperacusis” (hypersensitivity to surrounding sounds), but this improved from the 16th day after insertion. Wearing earplugs was effective during this period when environmental noise was particularly noticeable. With the improvement of the auditory hyperacusis, the aural fullness also improved. It is important to explain to the patients about the possible development of auditory hyperacusis before the ventilation tube insertion. Case 2 was a 31-year-old woman with the chief complaint of “autophonia”. She also had anorexia nervosa. The diagnosis of patulous Eustachian tube was made according to the diagnostic criteria for this condition. We considered that the “sound invasion into the middle ear” had a greater effect on the pathology than the “pressure change in the middle ear” in this case, and inserted Kobayashi plugs into the Eustachian tube. We also inserted a ventilation tube in anticipation of continued sniffing and worsening of the tympanic membrane retraction due to negative pressure. Thereafter, the patient exhibited the behavior of sniffing while inserting a finger into the external auditory meatus, but we considered that there was no direct effect on the tympanic membrane. The Kobayashi plugs were replaced (sized up) during follow-up, and the ear symptoms, mainly autophonia, resolved.</p>
Journal
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- Practica oto-rhino-laryngologica. Suppl.
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Practica oto-rhino-laryngologica. Suppl. 156 (0), 217-222, 2021
The Society of Practical Otolaryngology
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Details 詳細情報について
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- CRID
- 1390850313413450624
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- NII Article ID
- 130007996832
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- NII Book ID
- AN10020883
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- ISSN
- 21851557
- 09121870
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- HANDLE
- 10271/00004138
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- NDL BIB ID
- 031287263
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- NDL
- Crossref
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed