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The Eustachian tube (/ j uː ˈ s t eɪ ʃ ən /), also called the auditory tube or pharyngotympanic tube, [1] is a tube that links the nasopharynx to the middle ear, of which it is also a part. In adult humans, the Eustachian tube is approximately 35 mm (1.4 in) long and 3 mm (0.12 in) in diameter. [ 2 ]
The tensor veli palatini muscle (tensor palati or tensor muscle of the velum palatinum) is a thin, triangular muscle of the head that tenses the soft palate and opens the Eustachian tube to equalise pressure in the middle ear.
The middle ear is hollow in the tympanic cavity and Eustachian tube. In a high-altitude environment or on diving into water, there will be a pressure difference between the middle ear and the outside environment. This pressure will pose a risk of bursting or otherwise damaging the tympanum (eardrum) if it is not relieved.
Ostmann's pad of fat (Ostmann fatty bodies) is a thin triangular layer of fatty tissue found in the Eustachian tube of the ear. It is seen on the lateral side of the cartilaginous part of Eustachian tube. [1] Its function is to keep the tube closed and thereby protect it from reflux of nasopharyngeal secretions.
Diver clearing ears Section of the human ear, the Eustachian tube is shown in colour. Ear clearing, clearing the ears or equalization is any of various maneuvers to equalize the pressure in the middle ear with the outside pressure, by letting air enter along the Eustachian tubes, as this does not always happen automatically when the pressure in the middle ear is lower than the outside pressure.
It arises from the lower part of the cartilage of the Eustachian tube, [1] and inserts into the palatopharyngeus muscle by blending with its posterior fasciculus. It is innervated by vagus nerve (cranial nerve X) via the pharyngeal plexus. It raises the pharynx and larynx during deglutition (swallowing) and laterally draws the pharyngeal walls up.
The middle ear also connects to the upper throat at the nasopharynx via the pharyngeal opening of the Eustachian tube. [3] [11] The three ossicles transmit sound from the outer ear to the inner ear. The malleus receives vibrations from sound pressure on the eardrum, where it is connected at its longest part (the manubrium or handle) by a ligament.
The results are usually interpreted as R values. An R-value less than or equal to one indicates regular eustachian tube function and an R-value greater than 1 indicates a delayed opening of eustachian tube, thereby supporting the diagnosis of chronic eustachian tube dysfunction. [3]
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