ISSN:
1434-4726
Keywords:
Tympanic membrane
;
Sensory innervation
;
Anesthesia
;
Eustachian tube function
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary In our previous histological studies of the tympanic membrane, we reported the presence of encapsulated nerve corpuscles that are capable of detecting middle ear pressure. Based on these findings, the relation between sensory receptors in the tympanic membrane and tubal function was examined in a clinical study. Tubal function was tested during Valsalva maneuvers and its active equilibration. Function was recorded as a change of the static compliance of the tympanic membrane on an otoadmittance meter. To paralyze the sensory receptors in the tympanic membrane, iontophoresis was used to induce anesthesia of the drum. Forty ears of 20 subjects were tested. All ears were able to equalize positive middle ear pressure without or with a single swallowing. After anesthesia, 13 ears needed more than two swallows and 4 ears failed to equalize middle ear pressure in spite of repeated swallowings. As eustachian tube function changed following anesthesia of the tympanic membranes, a neural connection between sensory receptors in the tympanic membrane and tubual muscles is suggested.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00453664
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