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Paper patching for patulous eustachian tube.
Su Jin Kim1, Sun Ae Shin1, Ho Yun Lee1
1a Department of Otolaryngology-Head & Neck Surgery, Division of Medical Science , Eulji University Hospital, Chungnam National University , Daejeon , Korea.
Acta Oto-Laryngologica
|February 15, 2019
Summary
Paper patching effectively treats patulous eustachian tube (PET) symptoms, offering a high rate of complete remission. This method is a viable first-line outpatient treatment for PET relief.
Area of Science:
- Otolaryngology
- Medical Devices
Background:
- Patulous eustachian tube (PET) can be treated with paper patching.
- Paper patching involves applying cigarette paper to the tympanic membrane.
Purpose of the Study:
- To compare paper patching with nasal saline irrigation for PET treatment outcomes.
Main Methods:
- 23 patients received paper patching; 16 received nasal saline irrigation.
- Outcomes were assessed based on symptom resolution (complete, partial, none) at 3 months.
Main Results:
- 87% of paper patching patients achieved complete remission (CR) immediately.
- Paper patching showed significantly higher CR rates at 1 and 3 months compared to nasal irrigation (p < .05).
Conclusions:
- Repetitive paper patching provides at least 3 months of symptom relief for most PET patients.
- Paper patching is a potential first-line outpatient treatment for patulous eustachian tube.
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