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Diagnostic criteria for Patulous Eustachian Tube: A proposal by the Japan Otological Society

  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Toshimitsu Kobayashi
    Correspondence
    Corresponding author.
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Sen-En Rifu Otologic Surgery Center, Rifu, Miyagi, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Masahiro Morita
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Osaka Ear & Eustachian Tube Clinic, Osaka, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Satoshi Yoshioka
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otolaryngology, Fujita Health University School of Medicine, Toyoake, Aichi, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Kunihiro Mizuta
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Ear Surgery Center, Hamamatsu Medical Center, Hamamatsu, Shizuoka, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Shigeto Ohta
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otolaryngology – Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Toshiaki Kikuchi
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otolaryngology, Japan Community Health Care Organization Sendai Hospital, Sendai, Miyagi, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Tatsuya Hayashi
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otolaryngology – Head and Neck Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Akihiro Kaneko
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Kaneko Ear, Nose & Throat Clinic, Suita, Osaka, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Nobumasa Yamaguchi
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Yamaguchi Internal Medicine & ENT Clinic, Tokyo, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Sho Hashimoto
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    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    National Sendai Medical Center, Sendai, Miyagi, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Hiromi Kojima
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Shingo Murakami
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otolaryngology, Head and Neck Surgery, Nagoya City University, Nagoya, Aichi, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Haruo Takahashi
    Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
    Affiliations
    Department of Otolaryngology – Head and Neck Surgery, Nagasaki University Institute of Biomedical Sciences, Nagasaki, Japan
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  • Author Footnotes
    1 All authors belong to the Eustachian Tube Committee of the Japan Otological Society (JOS).
Published:November 15, 2017DOI:https://doi.org/10.1016/j.anl.2017.09.017

      Abstract

      Patulous Eustachian Tube (PET) is of increasing importance in otology. However, despite the abundance of diseases requiring a differential diagnosis from PET, such as superior semicircular canal dehiscence syndrome, perilymphatic fistula, acute low-tone sensorineural hearing loss, etc., there are currently no established diagnostic criteria for PET.
      In view of these circumstances, the Japan Otological Society (JOS) Eustachian Tube Committee proposed the diagnostic criteria for Patulous Eustachian Tube in 2012, in order to promote clinical research on PET. A revision was made in 2016, maintaining the original concept that the criteria should be very simple, avoid any contamination of “Definite PET” with uncertain cases. Moreover, it was also intended to minimize the number of cases that could be accidentally excluded even in the presence of some suspected findings (“Possible PET”).
      The criteria can be used by all otolaryngologists even without using the Eustachian tube function test apparatus. However, the use of such an apparatus may increase the chances of detecting “Definite PET”. The algorithm for the diagnosis of PET using the criteria has also been described.
      The JOS diagnostic criteria for Patulous Eustachian Tube will further promote international scientific communication on PET.

      Keywords

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