• Tawfiq Khurayzi, Saad Alenzi, Anwar Alshehri, and Abdurrahman Alsanosi.
• Otorhinolaryngology-Head & Neck Department, King Abdullah Ear Specialist Centre, King Abdulaziz University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail. tawfiqaakk@hotmail.com.
• Saudi Med J. 2020 Jun 1; 41 (6): 572-582.

ObjectivesTo systematically review the literature and to summarize all evidence related to the diagnosis and management of patulous eustachian tube.MethodsThe present study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.ResultsOverall, 59 articles were retrieved and included in the analysis. Studies investigating treatments enrolled 1279 patients collectively, with follow-up duration varying from few days and up to 2 years. Eight studies reported medical treatments with intranasal saline instillation as the most frequently studied option. Other studies reported various surgical treatments varying from simple tympanostomy to invasive procedures targeting the orifice of the ET or the anatomical features surrounding it. In addition, 10 studies including 367 subjects investigated different diagnostic methods.ConclusionCurrently, there is a wide spectrum of diagnostic and therapeutic interventions with minimal clinical efficacy, a persistent lack of systematic guidelines, and several gaps in previous research endeavours.

24 keywords...

hide…