To the Editor.—
In the QUESTIONS AND ANSWERS section (1982;247:883) the response mentioned the use of Teflon paste for an excessively patent (patulous) eustachian tube. In patients with patulous eustachian tubes, good relief can be obtained by cautery with silver nitrate solution on wire wrapped with cotton. This treatment of autophony was reported in detail in an article published in Laryngoscope.1 Injection of Teflon paste around the tube is dangerous and has resulted in cerebrovascular accidents and death. A former distributor of Teflon paste discontinued its investigational program and withdrew the material for this use after these complications were reported, although it is still available for injection into the vocal cords when they do not meet properly.
Shea JJ. Use of Teflon Paste for Patulous Eustachian Tube Challenged. JAMA. 1982;248(12):1452. doi:10.1001/jama.1982.03330120022024
Customize your JAMA Network experience by selecting one or more topics from the list below.