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Clinical Notes
May 1, 1967

Abnormal Patency of the Eustachian Tube: A Complication of Oral Contraception

Author Affiliations

From the Department of Otolaryngology, Northwestern University Medical School, Chicago.

JAMA. 1967;200(5):412-413. doi:10.1001/jama.1967.03120180100022
Abstract

ALL OF THE ESSENTIAL features of the condition of abnormal patency of the eustachian tube were described by Jago,1 who himself suffered from it, in 1867. It is characterized by an unpleasant feeling of tension upon the ear drum, an abnormal loudness of the voice and respiratory sounds in the affected ear termed "autophony," absence of deafness, and a normal appearance of the tympanic membrane. Jago discovered that the tube could be made to close temporarily by a sudden inspiratory effort with nose and mouth held closed. Symptoms also disappeared after a period during which he gained weight. After 14 years of practice, he had discovered only one other case. For many years this was considered to be a very rare entity, being found usually in association with rapid weight loss. It seems more likely that it has been overlooked or misdiagnosed. Although there are brief references to pregnancy

References
1.
Jago, J.:  Functions of the Tympanum ,  Brit For Med Chir Rev 39:496-520 ( (April) ) 1867.
2.
Miller, J.B.:  Patulous Eustachian Tubes in Pregnancy ,  Western J Surg 70:156-159 ( (May) -June) 1962.
3.
Perlman, H.:  The Eustachian Tube: Abnormal Patency and Normal Physiologic State ,  Arch Otolaryng 30:212-238 ( (Aug) ) 1939.Crossref
4.
Perlman, H.:  Observations on the Eustachian Tube ,  Arch Otolaryng 53:370-385 ( (April) ) 1951.Crossref
5.
Schiff, M.:  Juvenile Nasopharyngeal Angiofibroma ,  Laryngoscope 69:981-1016 ( (Aug) ) 1959.Crossref
6.
Metz, O.:  Influence of the Patulous Eustachian Tube on the Acoustic Impedance of the Ear ,  Acta Otolaryng , (suppl 109) , pp 105-112, 1953.
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