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Long‐Term Middle Ear Ventilation
Author(s) -
Adkins Warren Y.
Publication year - 1977
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.1977.87.11.1833
Subject(s) - middle ear , myringotomy , medicine , eustachian tube , promontory , tube (container) , surgery , ossicles , flange , ventilation (architecture) , anatomy , materials science , mechanical engineering , archaeology , engineering , composite material , history
Successful long‐term middle ear ventilation was established in 12 patients with chronic eustachian tube hypofunction that had failed to respond to repeated myringotomy and tympanotomy tube insertions by conventional techniques. The 12 patients (13 ears) had insertion of an untrimmed large flange “Per‐Lee” type tube through a posterior‐inferior tympanomeatal flap approach. The flange extended under the long process of the malleus, and into the hypotympanum and middle ear opening of the eustachian tube. The stem of the tube was brought out through the inferior central pars tensa. All tubes have remained in place for more than three years without serious complications providing adequate middle ear ventilation and preventing adherence of the tympanic membrane to the promontory.