Skip to main content

Changes in tympanograms after middle ear inflation

European Archives of Oto-Rhino-Laryngology volume 247, pages 125–128 (1990)Cite this article

Summary

To determine the effects of politzerization or middle ear (ME) inflation by a catheter, we studied the membranes (29 patients). Serial tympanometries were performed prior to the ME inflation and immediately, 10, 20, 30 and 60 min after the procedure. The present study showed that the more negative the ME pressure was before the inflation, the greater the pressure change was after the treatment. The elevated ME pressure induced by the procedure declined rapidly within the first 20 min after the inflation. This was probably caused mainly by spontaneous elimination of ME gas through the eustachian tube and gas absorption from the ME mucosa. During the post-inflation course, some ears demonstrated more negative pressures in the ME cavity than those before the inflation. The present investigation demonstrated that the use of inflation to treat secretory otitis media had short-term benefits which could be improved by minimizing gas absorption.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

References

  1. Ashida T (1982) Tympanometry before and after tubal inflation. Audiol Jpn 25:591–599

    Google Scholar 

  2. Buckingham RA, Ferrer JL (1973) Middle ear pressure in eustachian tube malfunction: manometric studies. Laryngoscope 83:1585–1593

    Google Scholar 

  3. Buckingham RA, Ferrer JL (1980) Observations of middle ear pressure: commentary with movie. Ann Otol Rhinol Laryngol [Suppl] 68:56–61

    Google Scholar 

  4. Cantekin EI (1985) Eustachian tube function in children with tympanostomy tubes.Antis Nasus Larynx [Suppl] 1:46–48

    Google Scholar 

  5. Cantekin EL Doyle WJ, Phillips DC, Bluestone CD (1980) Gas absorption in the middle ear. Ann Otol Rhinol Laryngol [Suppl] 68:71–75

    Google Scholar 

  6. Elner A (1970) Gas diffusion through the tympanic membrane. Acta Otolaryngol (Stockh) 69:185–191

    Google Scholar 

  7. Gimsing S (1983) Gas absorption in serous otitis. A clinical aspect. Ann Otol Rhinol Laryngol 92:305–308

    Google Scholar 

  8. Kawabata I, Nomura Y, Dohi T (1985) Middle ear pressure in patients with middle ear effusion —direct measurement by pressure microtransducer. Antis Nasus Larynx [Suppl] 1:108–110

    Google Scholar 

  9. Magnuson B (1981) On the origin of the high negative pressure in the middle ear space. Am J Otolaryngol 2:1–12

    Google Scholar 

  10. Renvall U (1984) Reduction of artificially increased middle ear air pressure. In: Lim DJ, Bluestone CD, Klein JO, Nelson JD (eds) Recent advances in otitis media with effusion. Proceedings of the third international symposium. Decker, Toronto, pp 264–266

    Google Scholar 

  11. Sadé J, Halevy A, Hadas E (1976) Clearance of middle ear effusion and middle ear pressures. Ann Otol Rhinol Laryngol [Suppl] 25:58–62

    Google Scholar 

  12. Schwarzt DM, Schwartz RH, Redfield NP (1978) Treatment of negative middle ear pressure and serous otitis media with Politzer's technique. An old procedure revisited. Arch Otolaryngol 104: 487–490

    Google Scholar 

  13. Shinkawa H, Sasaski Y, Inamura N, Okitsu T, Takasaka T (1988) Middle ear pressure and gas diffusion. In: Lim DJ, Bluestone CD, Klein JO, Nelson JD (eds) Recent advances in otitis media. Proceedings of the fourth international symposium. Decker, Toronto, pp 83–86

    Google Scholar 

  14. Takahashi H, Hayashi M, Honjo I (1987) Direct measurement of middle ear pressure through the eustachian tube. Arch Otorhinolaryngol 243: 378–381

    Google Scholar 

Download references

Author information

Affiliations

  1. Department of Otolaryngology, Tohoku University School of Medicine, 1-1, Seiryo-machi, 980, Sendai, Japan

    H. Shinkawa & M. Ishidoya

  2. Department of Otolaryngology, Tohoku Teishin Hospital, 29-1,2-chome, Yamato-machi, 983, Sendai, Japan

    T. Okitsu

Authors
  1. H. Shinkawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Ishidoya
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Okitsu
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Shinkawa, H., Ishidoya, M. & Okitsu, T. Changes in tympanograms after middle ear inflation. Eur Arch Otorhinolaryngol 247, 125–128 (1990). https://doi.org/10.1007/BF00183183

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00183183

Key words

  • Middle ear inflation
  • Middle ear pressure
  • Tympanometry
  • Gas absorption
  • Secretory otitis media