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| Otolaryngology Head and Neck Surgery |
The Eustachian Tube: Structure, Function, and Role in the Middle Ear
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 Tube is the first book to comprehensively cover these disorders in both adults and children.
The Eustachian Tube begins 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.
Features:
* The first comprehensive book ever on this subject
* Uniquely describes disorders in both adults and children
* Covers the full spectrum of the topic, including definition, diagnosis, and management
* Accompanied by a CD-Rom with the complete text and illustrations of the book, in fully searchable PDF files
| Author: |
Charles D. Bluestone |
| ISBN: |
1550090666 |
| Publisher: |
BC Decker |
| Binding: |
Hardcover |
| Year Published: |
tentative - Jan 2003 |
| No. of Pages: |
240 |
| Contents: |
I. INTRODUCTION
A. Overview of book
B. Epidemiology and Impact:
1. CDC OM study,
2. AOM,
3. OME,
4. CSOM,
5. Cholesteatoma,
6. Impact
C. Historical perspective:
1. The "discovers", Eustachius, Toynbee, Valsalva, Politzer,
2. The "pioneers", Rich, Perlman, Ingelstedt
D. Part of a system and relation to other factors:
1. Venn diagram,
2. Other factors: a. Microbiology, b. Immunology, c. Allergy, d. Environmental, e. Social
E. Comparison of Eustachian Tube to Larynx
II. ANATOMY
A. The System
B. Eustachian Tube as an Organ:
1. Relations,
2. Muscles,
3. Innervation,
4. Blood supply and lymphatics,
5. Developmental changes
C. Middle Ear and Mastoid:
1. Relations,
2. Muscles,
3. Innervation,
4. Blood supply,
5. Developmental changes
III. TESTS OF EUSTACHIAN Tube FUNCTION
A. Classical Methods
B. Intact tympanic membrane
C. Nonintact tympanic membrane
IV. PHYSIOLOGY OF EUSTACHIAN TUBE
A. The System
B. Functions:
1. Pressure Regulation ("Ventilatory function"),
2. Protection,
3. Clearance
C. Developmental changes
D. Cycle and seasonal changes
E. Positional changes
F. Middle Ear and Mastoid:
1. Tympanic membrane and tensor tympani,
2. Mastoid volume considerations
V. PATHOPHYSIOLOGY OF EUSTACHIAN TUBE
A. General considerations:
1. Middle ear,
2. Relation to other causative factors
B. Abnormal Functions:
1. Pressure Regulation,
2. Protection,
3. Clearance
C. Racial Differences
D. Nasal Obstruction
E. Upper Respiratory Tract Infection
F. Allergy
G. Adenoids and Tonsils
H. Congenital Malformations:
1. Cleft palate,
2. Down syndrome,
3. Other
I. Tumors and Radiation
J. Barotrauma (Hyperbaric chamber)
K. Dentofacial and deviated nasal septum
L. Trauma
VI. PATHOGENESIS: ROLE IN OTITIS MEDIA AND RELATED CONDITIONS
A. Acute Otitis Media
B. Otitis Media With Effusion
C. Eustachian Tube Dysfunction:
1. Obstruction,
2. Abnormally patent
D. Atelectasis of the Tympanic Membrane-Middle Ear
E. Retraction Pocket/Cholesteatoma
F. Perforation of Tympanic Membrane
G. Chronic Suppurative Otitis Media (without cholesteatoma)
VII. RELATION TO MANAGEMENT AND PREVENTION OF OTITIS MEDIA AND RELATED CONDITIONS
A. Nonsurgical Methods:
1. Antimicrobial agents,
2. Decongestant/antihistamines,
3. Corticosteroids,
4. Eustachian Tube-middle ear inflation
B. Surgical Methods:
1. Myringotomy,
2. Tympanostomy Tubes,
3. Tympanoplasty,
4. Mastoid surgery,
5. Adenoidectomy and tonsillectomy,
6. Surgery of the head and neck:
a. Maxillectomy,
b. Palatectomy,
c. Hyperbaric chamber treatment,
7. Nasal septum,
8. Patulous eustachian Tube
VII. FUTURE DIRECTIONS |
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