ASSESSMENT OF EUSTACHIAN TUBE FUNCTION IN MIDDLE EAR DISEASES

Abstract

Objective - Purposes of the current study evaluate the function of eustachian tube and compare the outcome of surgery with normal and abnormal eustachian tube functions. Research Design- The present study was using the purposive observational clinical research design. Method-This prospective clinical study was conducted at the department of otorhinolaryngology- Head and Neck surgery, command hospital (eastern command), Kolkata, for a period of eighteen months from Jan 2013 to Jun 2014. The study group comprised of 52 patients who were diagnosed to have Chronic Otitis Media (mucosal disease). The details of history with special emphasis on ear discharge, duration, character and period of dryness were noted. Statistical Analyses- Purpose of the current study descriptive analyses was done with the help of SPSS. Result- The present study shown the age group of 41-60 years (40.38%), mean of age is 39.35 years and standard deviation 17.61 was higher than other age group. Male patients were 28 (53.84%) higher than female patients 24 (46.16%). Methylene blue dye test, otologic instillation test and toynbee's test, were performed, the toynbee's test was statistical signicant in other test. Conclusion- Eustachian tube function tests (Toynbee test) correlated well with severity of disease. The outcome of the middle ear surgery would be a success in normal eustachian tube function, while in dysfunction the outcome need necessarily not be a failure. Tympanometry is a safe easy and effective method to assess the tube function. Gross dysfunction of eustachian tube function predicts poor result.