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논문 기본 정보

자료유형
학위논문
저자정보

한원규 (고려대학교, 고려대학교 대학원)

지도교수
최준
발행연도
2016
저작권
고려대학교 논문은 저작권에 의해 보호받습니다.

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이 논문의 연구 히스토리 (2)

초록· 키워드

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Background and Objective: Eustachian tube dysfunction has been associated with most cases of middle-ear disease. We aimed to assess the effectiveness of dynamic slow motion video endoscopy (DSVE) as a test of eustachian tube dysfunction. Furthermore, we assessed the correlation of the test with the Valsalva maneuver, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and intra-operative findings of the eustachian tube.
Materials and Methods: We retrospectively reviewed medical records from April to September 2014 to identify patients who were diagnosed with chronic otitis media (COM) at the Department of Otorhinolaryngology-Head and Neck Surgery at Korea University Ansan hospital. They all underwent surgery because of COM without cholesteatoma and were assessed via the DSVE and ETDQ-7 to determine eustachian tube function.
Results: We reviewed 46 COM patients and examined 46 ears with COM and 46 ears on the contralateral side to COM that were thought to be normal. The mean DSVE grade in COM ears was 1.57 ± 0.96, while the mean DSVE grade in contralateral ears was 1.15 ± 0.94. The difference in DSVE between COM ears and normal ears was statistically significant (p = 0.006). In the ETDQ-7, a higher score was related to intraoperative obstruction of the eustachian tube (p = 0.012).
Conclusion: DSVE and ETDQ-7 can provide information regarding preoperative status of eustachian tube dysfunction by measuring dynamic structural changes of the eustachian tube in combination with other diagnostic tests.

목차

Abstract 5
I. Introduction 8
II. Materials and Methods 11
III. Results 16
IV. Discussion 18
V. Conclusion 22
Tables 23
References 30

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