Eustachian Tube: Structure, Function, Role in Otitis Media

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PMPH-USA, 2005 - 219 pagini
As one of today's leading researchers of middle ear disorders, Dr. Bluestone offers a unique perspective on the diagnosis and management of common middle ear problems.The Eustachian Tubeis the first book to comprehensively cover these disorders in both adults and children.

The Eustachian Tubebegins with an overview of middle ear anatomy, and the epidemiology of middle ear disorders. Then it discusses current tests of eustachian tube function, as well as the physiology and pathophysiology of the eustachian tube. Dr. Bluestone also draws on his extensive clinical experience to describe the latest surgical and nonsurgical methods of middle ear treatment. Throughout, photographs and drawings illustrate anatomy and pathophysiology.

 

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Introduction
1
Glossary of Terms
3
Historical Perspective
4
Other Etiologic and Pathogenic Factors in the Pathogenesis of Otitis Media and Related Conditions
7
Epidemiology
11
Chronic Suppurative Otitis Media
18
Cholesteatoma
19
Impact of Otitis Media
21
Pathology
105
MucosaAssociated Lymphoid Tissue
106
Other Congenital Syndromes and Chromosomal Abnormalities
109
Other Diseases and Disorders
111
Diagnosis and Tests of Function
113
Nasopharyngoscopy and Endoscopy of the Eustachian Tube
118
Assessment of Protective and Clearance Functions of the Eustachian Tube System
137
Clinical Indications for Testing Eustachian Tube Function
140

Anatomy
25
System at the Proximal and Distal Ends of the Eustachian Tube
45
Physiology
51
Comparison of the Functions of the Eustachian Tube with the Larynx
62
Pathophysiology
67
Impairment of Pressure Regulation
68
Loss of Protective Function
73
Impairment of Clearance Function
78
Dysfunction Related to Cleft Palate
80
Comparison of Eustachian Tube Function in Special Populations
83
Swimming Diving and Air Flight
84
Pregnancy and Puberty
86
Pathogenesis
93
Viral Nasal Challenge Studies in Adult Volunteers
95
Studies of Upper Respiratory Tract Infections in Children
97
Summary and Conclusions from Human and Animal Studies
99
Role of Allergy in Etiology and Pathogenesis
100
Gastroesophageal Reflux
101
Role in Management of Otitis Media
145
Role of the Eustachian Tube System in Surgical Management
159
Role in Certain Complications and Sequelae of Otitis Media
177
Perforation of the Tympanic Membrane
178
Chronic Suppurative Otitis Media
181
Atelectasis and Retraction Pocket
186
Cholesteatoma Related to Dysfunction of the Eustachian Tube System
192
Cholesterol Granuloma
195
Future Directions
199
Epidemiology
200
Anatomy
201
Physiology
202
Pathogenesis
204
Pathology
205
Diagnosis and Tests of Function
206
Role in Management of Certain Complications and Sequelae
209
Index
213
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