שאלה משלב א׳ בא.א.ג וכירורגיה של ראש וצוואר · מועד 2024 (מאי), שאלה 81

Aural fullness with AUTOPHONY after a 20 kg weight loss is a PATULOUS EUSTACHIAN TUBE, and the imaging finding that supports it is AIR visible along the Eustachian TUBE (a persistently patent lumen on CT, best seen in the cartilaginous portion). Middle ear fluid, adenoid hypertrophy and a calcified tensor tympani tendon would indicate the opposite problem - obstructive dysfunction - and management of a patulous tube begins with weight gain, stopping drying nasal sprays, and oestrogen or saline drops, with tubal injection or shim procedures in refractory cases.