Cargando…

Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score

Chronic obstructive Eustachian tube dysfunction (ETD) is a common disorder of the middle ear. In recent years, two main diagnostic tools have become available: Eustachian tube score (ETS-7) and computed tomography (CT) combined with Valsalva maneuver. The aim of this study is to evaluate the outcome...

Descripción completa

Detalles Bibliográficos
Autores principales: Angeletti, Diletta, Pace, Annalisa, Iannella, Giannicola, Rossetti, Valeria, Colizza, Andrea, Visconti, Irene Claudia, Gulotta, Giampiero, Messineo, Daniela, de Vincentiis, Marco, Greco, Antonio, D’Ambrosio, Ferdinando, Magliulo, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924743/
https://www.ncbi.nlm.nih.gov/pubmed/33651800
http://dx.doi.org/10.1371/journal.pone.0247708
_version_ 1783659153440374784
author Angeletti, Diletta
Pace, Annalisa
Iannella, Giannicola
Rossetti, Valeria
Colizza, Andrea
Visconti, Irene Claudia
Gulotta, Giampiero
Messineo, Daniela
de Vincentiis, Marco
Greco, Antonio
D’Ambrosio, Ferdinando
Magliulo, Giuseppe
author_facet Angeletti, Diletta
Pace, Annalisa
Iannella, Giannicola
Rossetti, Valeria
Colizza, Andrea
Visconti, Irene Claudia
Gulotta, Giampiero
Messineo, Daniela
de Vincentiis, Marco
Greco, Antonio
D’Ambrosio, Ferdinando
Magliulo, Giuseppe
author_sort Angeletti, Diletta
collection PubMed
description Chronic obstructive Eustachian tube dysfunction (ETD) is a common disorder of the middle ear. In recent years, two main diagnostic tools have become available: Eustachian tube score (ETS-7) and computed tomography (CT) combined with Valsalva maneuver. The aim of this study is to evaluate the outcomes of ETS-7 and CT in a group of patients affected by middle ear atelectasis with a strong suspicion of ETD. Three males and nine females, affected by middle ear atelectasis with retraction of the TM were enrolled. Each patient underwent to Eustachian tube dysfunction evaluation adopting the ETS-7 score and a temporal bone CT with Valsalva maneuver. The ears analyzed at steady state were divided into 2 groups: ETS<7 group and ETS≥ 7 group. The same division was applied for the ears analyzed after the Valsalva maneuver: ETS<7 group and ETS≥ 7 group. ETs were categorized as “well defined” (WD) and “not defined” (ND). The results of the analysis of the ETS-7 score in all 24 ears showed that 42% presented ETS ≥7, while 58% had ETS <7, indicating a diagnosis of ETD. In the ETS<7 group after Valsalva, ET was visualized in 33% of patients. In the ETS≥7 group it was WD in 29% after the Valsalva manoeuver. In both groups the comparison between the visualization of the ET before and after the Valsalva manoeuver did not present a statistical difference. No correlation emerged between ET evaluation with CT scan during Valsalva maneuver and ETS-7 score. It confirms that there is not a gold standard for the study of ET dysfunction.
format Online
Article
Text
id pubmed-7924743
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-79247432021-03-10 Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score Angeletti, Diletta Pace, Annalisa Iannella, Giannicola Rossetti, Valeria Colizza, Andrea Visconti, Irene Claudia Gulotta, Giampiero Messineo, Daniela de Vincentiis, Marco Greco, Antonio D’Ambrosio, Ferdinando Magliulo, Giuseppe PLoS One Research Article Chronic obstructive Eustachian tube dysfunction (ETD) is a common disorder of the middle ear. In recent years, two main diagnostic tools have become available: Eustachian tube score (ETS-7) and computed tomography (CT) combined with Valsalva maneuver. The aim of this study is to evaluate the outcomes of ETS-7 and CT in a group of patients affected by middle ear atelectasis with a strong suspicion of ETD. Three males and nine females, affected by middle ear atelectasis with retraction of the TM were enrolled. Each patient underwent to Eustachian tube dysfunction evaluation adopting the ETS-7 score and a temporal bone CT with Valsalva maneuver. The ears analyzed at steady state were divided into 2 groups: ETS<7 group and ETS≥ 7 group. The same division was applied for the ears analyzed after the Valsalva maneuver: ETS<7 group and ETS≥ 7 group. ETs were categorized as “well defined” (WD) and “not defined” (ND). The results of the analysis of the ETS-7 score in all 24 ears showed that 42% presented ETS ≥7, while 58% had ETS <7, indicating a diagnosis of ETD. In the ETS<7 group after Valsalva, ET was visualized in 33% of patients. In the ETS≥7 group it was WD in 29% after the Valsalva manoeuver. In both groups the comparison between the visualization of the ET before and after the Valsalva manoeuver did not present a statistical difference. No correlation emerged between ET evaluation with CT scan during Valsalva maneuver and ETS-7 score. It confirms that there is not a gold standard for the study of ET dysfunction. Public Library of Science 2021-03-02 /pmc/articles/PMC7924743/ /pubmed/33651800 http://dx.doi.org/10.1371/journal.pone.0247708 Text en © 2021 Angeletti et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Angeletti, Diletta
Pace, Annalisa
Iannella, Giannicola
Rossetti, Valeria
Colizza, Andrea
Visconti, Irene Claudia
Gulotta, Giampiero
Messineo, Daniela
de Vincentiis, Marco
Greco, Antonio
D’Ambrosio, Ferdinando
Magliulo, Giuseppe
Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score
title Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score
title_full Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score
title_fullStr Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score
title_full_unstemmed Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score
title_short Chronic obstructive Eustachian tube dysfunction: CT assessment with Valsalva maneuver and ETS-7 score
title_sort chronic obstructive eustachian tube dysfunction: ct assessment with valsalva maneuver and ets-7 score
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924743/
https://www.ncbi.nlm.nih.gov/pubmed/33651800
http://dx.doi.org/10.1371/journal.pone.0247708
work_keys_str_mv AT angelettidiletta chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT paceannalisa chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT iannellagiannicola chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT rossettivaleria chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT colizzaandrea chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT viscontiireneclaudia chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT gulottagiampiero chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT messineodaniela chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT devincentiismarco chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT grecoantonio chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT dambrosioferdinando chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score
AT magliulogiuseppe chronicobstructiveeustachiantubedysfunctionctassessmentwithvalsalvamaneuverandets7score