Skip to main content

Radio-Tympano-Sinu-Orthesis as a Treatment Option in Chronic Otitis Media and Paranasal Mucositis

  • Chapter
  • First Online:
Therapeutic Nuclear Medicine

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

  • 2637 Accesses

Abstract

Intracavitary treatment of patients with chronic otitis media or sinusitis by application of 186Re-colloids into the middle ear or the paranasal sinuses, called RTSO, is effective and well tolerated. Clinical improvement is supported by objective data from audiometry, endoscopy, and CT. The method of local irradiation of an inflamed mucosa by β-emitting radionuclides can thus be extended from RSO to otherwise therapy-resistant patients with chronic otitis media and paranasal sinusitis. Compared with other intracavitary treatments, such as irradiation of intracranial cystic tumors, RTSO exerts much less radiation load and does not show any severe side effects. RTSO may overcome the disadvantages of insufficient radiation dose and high invasiveness as seen in former treatment methods using simple X-ray therapy or different applicator tubes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Beck C (1969) Surface irradiation of the Eustachian tube. Arch Otolaryngol 90:406–409

    Article  CAS  PubMed  Google Scholar 

  • Beck C, Lau HH (1961) Ten years of intratubal radiation therapy. Z Laryngol Rhinol Otol 40:957–963 (in German)

    CAS  PubMed  Google Scholar 

  • Behrbohm H, Kaschke O, Sydow K (1995) Effect of the phytogenic secretolytic drug Gelomyrtol forte on the mucociliary clearance of the maxillary sinus. Laryng Orhino Otol 74:733–737

    Article  CAS  Google Scholar 

  • Braestrup CB (1950) Irradiation of lymphoid tissue in nasopharynx. Tr Am Acad Ophth Otolaryng 54:496–501

    CAS  Google Scholar 

  • Brenner W, Bohuslavizki KH, Kroker B et al (1997) Ventilation scintigraphy of the middle ear. J Nucl Med 38:66–70

    CAS  PubMed  Google Scholar 

  • Chen WC, Liao CT, Tsai HC et al (1999) Radiation-induced hearing impairment in patients treated for malignant parotid tumor. Ann Otol Rhinol Laryngol 108:1159–1164

    CAS  PubMed  Google Scholar 

  • Clunie G, Ell PJ (1995) A survey of radiation synovectomy in Europe, 1991–1993. Eur J Nucl Med 22:970–976

    Article  CAS  PubMed  Google Scholar 

  • Crowe SJ (1939) The prevention of deafness in children. Laryngoscope 49:591–598

    Article  Google Scholar 

  • de Collogny LG, Lafaye M, Veyre A, Bruneaud D, Callier J, Meyniel G (1977) Physiological exploration of the eustachian tube using labeed compounds. Applications in the control of treatment. Ann Otolaryngol Chir Cervicofac 94:233–243

    PubMed  Google Scholar 

  • Heineke C (1905) Experimentel study on the effect of X-rays to inner organs. Mit Grenzgeb Med Chir 14:21–94 (in German)

    Google Scholar 

  • Johnson LS, Yanch JC (1991) Absorbed dose profiles for radionuclides of frequent use in radiation synovectomy. Arthritis Rheum 34:1521–1530

    CAS  PubMed  Google Scholar 

  • Kampen WU, Godbersen SG, Czech N, Besch OF, Brenner W, Henze E (2004) Radio-Tympano-Sinu-Orthesis with 186 Re-colloid: A new treatment modality for chronic otitis media and paranasal mucositis. J Nucl Med 44:559–564

    Google Scholar 

  • Lange M, Kirsch CM, Steude U, Oeckler R (1995) Intracavitary treatment ofintrasellar craniopharangeomas with 90-Yttrium by trans-sphenoidal approach. Acta Neurochir 135:206–209

    Article  CAS  PubMed  Google Scholar 

  • Loeb WJ (1979) Radiation therapy of the nasopharynx: a 30 year view. Laryngoscope 89:16–21

    Article  CAS  PubMed  Google Scholar 

  • Manil L, Voisin P, Aubert B et al (2001) Physical and biological dosimetry in patients undergoing radiosynoviorthesis with erbium-169 and rhenium-186. Nucl Med Commun 22:405–416

    Article  CAS  PubMed  Google Scholar 

  • Mazeron JJ, Desvaux P, Piedbois P, Peynegre R, Pierquin B (1990) Curietherapy of the Eustachian tube using Ir-192 in chronic otitis of tubal origin. Bull Cancer Radiother 77:119–124

    CAS  PubMed  Google Scholar 

  • Myers SL, Slowman SD, Brandt KD (1989) Radiation synovectomy stimulates glycosaminoglycan synthesis by normal articular cartilage. J Lab Clin Med 114:27–35

    CAS  PubMed  Google Scholar 

  • Pollock BE, Lunsford LD, Kondziolka D, Levine G, Flickinger JC (1995) Phosphorus-32 intracavitary irradiation of cystic craniopharyngeomas: current technique and long-term results. Int J Radiat Oncol Biol Phys 33:437–446

    Article  CAS  PubMed  Google Scholar 

  • Thompson TP, Lunsford LD, Kondziolka D (2000) Successful management of sellar and suprasellar arachnoid cysts with stereotactic intracavitary irradiation: an expanded report on four cases. Neurosurgery 46:1518–1522

    Article  CAS  PubMed  Google Scholar 

  • Thullen A (1951) Therapeutic irradiation of the Eustachian tube with an intratubal beta-emitter. Arch Ohren Nasen Kehlkopfheilkd 159:327–328 (in German)

    Article  Google Scholar 

  • Verduijn PG (1996) Late health effects of radiation for eustachian tube dysfunction: previous results and ongoing study in the Netherlands. Otolaryngol Head Neck Surg 115:417–421

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ulf Lützen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Lützen, U., Henze, E. (2012). Radio-Tympano-Sinu-Orthesis as a Treatment Option in Chronic Otitis Media and Paranasal Mucositis. In: Baum, R. (eds) Therapeutic Nuclear Medicine. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2012_732

Download citation

  • DOI: https://doi.org/10.1007/174_2012_732

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-36718-5

  • Online ISBN: 978-3-540-36719-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics