Treatment of Adult-Onset Otitis Media with Effusion by Morphologic Difference of Nasopharynx and Eustachian Tube Orifice / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Recently, adult-onset otitis media with effusion(OME) tends to increase in its incidence. We compared the treatment of OME by morphologic difference of nasopharynx and eustachian tube orifice in adult-onset OME. MATERIALS AND METHODS: 156 patients were retrospectively studied. 156 patients were divided into 4 groups; group 0: normal finding on eustachian tube orifice and nasopharynx, group I: pathologic lesions on eustachian tube orifice and torus tubarius, group II: pathologic lesions on nasopharynx, group III: pathologic lesions on group I and II. Pathologic lesions are hyperemia, edema, lymphoid follicle hyperplasia. First, we treated patients with antibiotics, if OME was not improved, combined treatment of antibiotics and steroid was administered. If OME was not improved by medical treatment, myringotomy or ventilation tube insertion was done. RESULTS: Antibiotics treatment was effective in group 0, combined treatment of antibiotics and steroid was effective in group I, II. Many cases of surgical treatmnent was done in group III and it was effective. CONCLUSION: Careful examination of nasopharynx and eustachian tube orifice can predict prognosis and choice of treatment.

Two Cases of Free Fat Graft at Patulous Eustachian Tube / 대한이비인후과학회지

Previously the patulous eustachian tube has been regarded as troublesome but benign condition. Recently some cases have been reported in conjunction with middle ear complications. In spite of its intractability, pathophysiology and specific therapy for this condition has not been fully investigated. We experienced two cases of abnormally patulous eustachian tube, the 23-year-old patient who complained autophonia and the 36-year-old female patient who complained autophonia with tinnitus, and they were treated with autologous free fat injection. We report these cases with a brief review of the literatures.