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Submucous resection

The treatment of choice in the Nose-Ear Distress Syndrome

Published online by Cambridge University Press:  29 June 2007

W. D. McNicoll  and
S. G. Scanlan
W. D. McNicoll
Affiliation:
Surgeon Commander
S. G. Scanlan
Affiliation:
Surgeon Commander
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Abstract

The combination of nasal septal deviation and Eustachian tube dysfunction, in the absence of any other pathology, constitutes the Nose–Ear Distress Syndrome.

We have undertaken a clinical assessment of the relationship between uncomplicated deviation of the nasal septum and Eustachian tube dysfunction in Naval Personnel who are serving in environments of primarily increased barometric pressure.

120 candidates to the Submarine, Diving and Aircrew branches of the Royal Navy who presented with the Nose–Ear distress syndrome were initially surveyed. None were able to equilibrate their middle ear pressures at an increased ambient pressure of 3 metres of water. Submucous resection was performed on 116, of whom 110 (94·83 per cent) were able to equilibrate their middle ear pressures at an increased ambient pressure of 9 metres of water post-operatively.

Xenon 133 Scintigraphy was performed on a further 25 recruits to delineate the post-nasal airflow. This investigation was performed pre- and post-operatively. Pre-operatively, Scintigraphy showed the presence of turbulence in the post-nasal space, while post-operatively the turbulence was absent. All the candidates were unable to equilibrate their middle ear pressures pre-operatively, but after submucous resection 24 (96 per cent) were able to equilibrate their middle ear pressures at an increased barometric pressure of 9 metres of water.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 93 , Issue 4 , April 1979 , pp. 357 - 367
Copyright
Copyright © JLO (1984) Limited 1979

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References

BIBLIOGRAPHY

Armstrong, H. G., and Heim, J. W. (1937) The Effect of Flight on the Middle Ear. Journal of American Medical Association, 109, 417–421.CrossRefGoogle Scholar
Brooks, D. N. (1969) The Use of Electroacoustic Impedance Bridge in the Assessment of Middle Ear Function. International Audiology, 8, 563–569.Google Scholar
Feldman, A. S. (1967) Acoustic Impedance Studies of the Normal Ear. Journal of Speech and Hearing Research, Vol. 10, 165–176.CrossRefGoogle ScholarPubMed
Flisberg, K., Ingelstedt, S., Ortegren, U. (1963) On Middle Ear Pressure. Acta Otolaryn-gologica, Stockholm, Sweden. Supplement 182, 43–56.CrossRefGoogle ScholarPubMed
Flisberg, K. (1966) Ventilatory Studies on the Eustachian Tube. Acta Otolaryngologica, Stockholm, Sweden. Supplement 219, 5–82.Google Scholar
Graves, G. O., and Edwards, E. F. (1944) The Eustachian Tube. Archives of Otolaryngology, 39, 359–397.Google Scholar
Holmgren, L. (1940) Experimental Tubal Occlusion. Acta Otolaryngologica, 28, 587–592.CrossRefGoogle Scholar
Ingelstedt, S., and Jonson, B. (1967) Mechanism of the Gas Exchange in the Normal Human Middle Ear. Acta Otolaryngologica, Stockholm, Sweden. Supplement 224, 452–461.CrossRefGoogle Scholar
Jerger, J., Jerger, S., and Maudlin, L. (1972) Studies in Impedance Audiometry. Archives of Otolaryngology, 95, 513–523.Google Scholar
McGibbon, J. E. G. (1942) The Nature of the Valvular Action (Passive Opening) of the Eustachian Tube in Relation to Changes in Atmospheric Pressure and to Aviation Pressure. Journal of Laryngology & Otology, 57, 344–350.Google Scholar
McMyn, J. K. (1940) The Anatomy of the Salpingo–Pharyngeus Muscle. Journal of Laryngology & Otology, 55, 1–22.Google Scholar
McNicoll, W. D., and Scanlan, S. G. (1975) The Nose–Ear Distress Syndrome. Journal of the Royal Naval Medical Service. Spring Edition, 27–29.CrossRefGoogle ScholarPubMed
Miller, G. W. (1965) Eustachian Tube Function in Normal and Diseased Ears. Archives of Otolaryngology, 81, 41–48.Google Scholar
Naunton, R. F., and Galluser, J. (1967) Measurement of Eustachian Tube Function. Annals of Otology, Rhinology and Laryngology, 76, 455–471.Google Scholar
Perlman, H. B. (1943) Quantitative Tubal Function. Archives of Otolaryngology, 38, 453–465.CrossRefGoogle Scholar
Perlman, H. B. (1951) Mouth of the Eustachian Tube. Archives of Otolaryngology, 53, 353–369.Google Scholar
Perlman, H. B. (1967) Normal Tube Function. Archives of Otolaryngology, 86, 632–638.Google Scholar
Proctor, B. P. (1967) Embryology & Anatomy of the Eustachian Tube. Archives of Otolaryngology, 86, 503–514.CrossRefGoogle ScholarPubMed
Rich, A. R. (1920) A Physiological Study of the Eustachian Tube and its Related Muscles. Johns Hopkins Hospital Bulletin, 31, 206–214.Google Scholar
Thompson, St. C., and Negus, V. E. (1948) Diseases of the Ear, Nose & Throat (11th Edition). London. Baillière, Tindall, & Cox.Google Scholar
Toynbee, J. (1853) On the Muscles which Open the Eustachian Tube (Abstracts). Proceedings of the Royal Society of Medicine, 6, 286–287.Google Scholar
Van Dishoeck, H. A. E. (1952) Tubal Disorders and the Pheumophone. Acta Otolaryngologica, 41, 196–203.Google Scholar
Williams, R. A. (1971) Scott Brown, 3rd Edition. Chapter V. Page 102. Butterworth & Co. Ltd.Google Scholar