Eustachian Tube and Otitis Media

  • Desiderio Passàli
  • Valerio Damiani
  • Giulio Cesare Passàli
  • Luisa Bellussi


Upper airways pathologies represent extremely common medical problems in children, and from the daily clinical practice clearly emerges that alterations of rhinopharyngeal homeostasis can produce nasal symptoms and otitis media as well. Nose and middle ear are, in fact, not independent entities, but they belong to a system of contiguous organs including the nose, Eustachian tube, palate, rhino- pharynx, middle ear and mastoid cells, the so called rhinopharyngotubal unit The key element of this anatomo-physiological unit is, considering its multiple functions, certainly the Eustachian tube.


Otitis Medium Eustachian Tube Secretory Otitis Medium Airway Pathology Oral Breathing 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ingelstendt S, Ivarsson A, Jonson B: Mechanism of the human middle ear. Acta Oto-laryngol (Stockh) 1967 (Suppl): 228–32.Google Scholar
  2. 2.
    Elner A: Indirect determination of gas absorption from the middle car. Studentlitt Lund University Sveden 1971.Google Scholar
  3. 3.
    Tos M: Development of mucous glands in the human Eustachian tube. Acta Otolaryngoi (Stockh) 1970; 70: 340–4.CrossRefGoogle Scholar
  4. 4.
    Cantekin ET, Bluestone CD, Parkin LP: Eustachian tube ventilatory funetion in children. 1 Ann Otol Rhinol Laryngol (Suppl. 25 ) 1984; 110: 108–12.Google Scholar
  5. 5.
    Passali D: L’unità rino faringo tubarica. Milano: CRS Amplifon 1985.Google Scholar
  6. 6.
    Passali D, Bellussi L, Lauriello M: Alcune considerazioni sulla patogenesi dell’otite media con versamento. Riv Ital ORL Aud e Fon 1986; 2: 149–53.Google Scholar
  7. 7.
    By lander A, Tjerstrom O: Changes in Eustachian tube function with age in children with normal ears. Aeta Otolaryngol (Stockh) 1983; 96: 467–71.CrossRefGoogle Scholar
  8. 8.
    Piccini A, Biagini C, Anselmi M, Passali D: Oral breathing, upper airways infections, hearing screening on 259 school children. In: Procedings of the 3rd International Conference of the European Working Group for Pediatric Otolaryngology. Amsterdam London New York-Tokyo: Excepta Medica 1994: 327 330.Google Scholar
  9. 9.
    Passali D, Bellussi L, Lauriello M. Methods of experimental obstruction of the eustachian tube: our experience. Amsterdam Milano New York: Kugier and Ghedini Publ. 1991.Google Scholar
  10. 10.
    Kokko E: Chronic secretory otitis media in children: a clinical study. Acta Otolaryngoi 1974 (Suppl): 327–31.Google Scholar
  11. 11.
    Doyle WJ, Takahara T, Fireman P: The role of allergy in the pathogenesis of otitis media with effusion. Arch Otolaryngol 1985; 111: 502–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Passàli D. Relationship between SOM and allergy. First International Symposium Ankara Otorhinolaryngology Society: Chronic Otitis Media and its Treatment 49–50, 1988.Google Scholar
  13. 13.
    Bernstein JM: Role of IgE-mediated hypersensitivity in otitis media with effusio: pathophysiologic considerations. Ann Otol Rhinol Laryngol suppl. 1994; 163: 15–19.PubMedGoogle Scholar
  14. 14.
    Terracol J, Corone A, Guerrier Y. La trompe d’Eustache. Masson Ed., Paris; 1949.Google Scholar

Copyright information

© Springer-Verlag Tokyo 2004

Authors and Affiliations

  • Desiderio Passàli
    • 1
  • Valerio Damiani
    • 1
  • Giulio Cesare Passàli
    • 1
  • Luisa Bellussi
    • 1
  1. 1.E.N.T. DepartmentUniversity of Siena Medical SchoolSienaItaly

Personalised recommendations