Management of Patulous Eustachian Tube With Habitual Sniffing

@article{Ikeda2011ManagementOP,
  title={Management of Patulous Eustachian Tube With Habitual Sniffing},
  author={Ryoukichi Ikeda and Takeshi Oshima and Hidetoshi Oshima and Makiko Miyazaki and Toshiaki Kikuchi and Tetsuaki Kawase and Toshimitsu Kobayashi},
  journal={Otology \& Neurotology},
  year={2011},
  volume={32},
  pages={790-793}
}
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… 

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Management of Patulous Eustachian Tube

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Habitual sniffing in response to aural discomfort was found to be an important risk factor for cholesteatomas, and investigations into other pathogeneses of cholisteatomas should be continued, since the sniff-related cases reported here were limited to one-fourth of the cases of acquired cholsteatomas studied.

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The purpose of this communication is to call attention to this generally unrecognized clinical condition, to add several other etiologic factors to the single factor described by Bezold and to add a therapeutic measure to that advised by bezold.

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