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Patulous eustachian tube complicating gastric bypass surgery

  • M Alhammadi (a1), R Jönsson (a1), T Olbers (a2) and O Yassin (a2)

Abstract

Objective:

We report the first case in the English literature of a patulous eustachian tube occurring after laparoscopic Roux-en-Y gastric bypass surgery for obesity.

Method:

Case report of a 44-year-old woman who was referred to our ENT clinic complaining of autophonia and bilateral aural fullness. The patient had noticed these symptoms after she had undergone a laparoscopic Roux-en-Y gastric bypass surgery to aid weight loss.

Result:

On the basis of the medical history, clinical examination and immittance measurement (revealing a change in acoustic immittance synchronous with normal breathing in the right ear), a diagnosis of patulous eustachian tube was made, more severe in the right ear than the left.

Conclusion:

We report a case of patulous eustachian tube occurring after laparoscopic gastric bypass surgery for weight loss, which could be considered as one of the possible complications of this surgery. Our patient began to notice the symptoms of patulous eustachian tube after a 20 kg weight loss.

Copyright

Corresponding author

Address for correspondence: Dr Mohammed Alhammadi, Department of Otolaryngology and Head and Neck Surgery, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden. Fax: +46 (0) 31259953 E-mail: maam970@hotmail.com

References

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2 Karwautz, A, Hafferl, A, Ungar, D, Sailer, H. Patulous Eustachian tube in a case of adolescent anorexia nervosa. Int J Eat Disord 1999;25:353–5
3 Poe, DS. Diagnosis and management of the patulous Eustachian tube. Otol Neurotol 2007;28:668–77
4 Yoshida, H, Kobayashi, T, Takasaki, K, Takahashi, H, Ishimaru, H, Morikawa, M et al. Imaging of the patulous Eustachian tube: high-resolution CT evaluation with multiplanar reconstruction technique. Acta Otolaryngol 2004;124:918–23
5 Virtanen, H. Patulous Eustachian tube; diagnostic evaluation by sonotubometry. Acta Otolaryngol 1978;86:401–7
6 Kikuchi, T, Oshima, T, Ogura, M, Hori, Y, Kawase, T, Kobayashi, T. Three-dimentional computed tomography imaging in the sitting position for the diagnosis of the patulous Eustachian tube. Otol Neurotol 2007;28:199203
7 Lena, LN, Wong, MA, Nabil, S, Iris, HY, Yau, H. Patulous Eustachian tube after Le Fort 1 osteotomy in a cleft palate patient. J Oral Maxillofac Surg 2005;63:1374–6
8 Doherty, JK, Slattery, WH. Autologus fat grafting for the refractory patulous Eustachian tube. Otolaryngol Head Neck Surg 2003;128:8891
9 Yoshida, H, Kobayashi, T, Morikawa, M, Hayashi, K, Tsujii, H, Sasaki, Y. CT imaging of the patulous Eustachian tube – comparison between sitting and recumbent position. Auris Nasus Larynx 2003;30:135–40
10 Olbers, T, Lonroth, H, Dalenback, J, Haglind, E, Lundell, L. Laporoscopic gastric bypass; development of technique, respiratory function and long term outcome. Obes Surg 2003;13:260–3
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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