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一、前言咽鼓管(Auditory tube or Eustachian tube)又称耳咽管、欧氏管,是中耳的重要组成部分,是沟通中耳和鼻咽的管道。咽鼓管是人体最复杂的结构之一,与中耳和鼻咽疾病关系甚为密切。早在公元前500年左右,古希腊的Alcmaeon就认识了咽鼓管的存在。1564年意大利解剖学家Bartolommeo Eustachio第一次精确地描述咽鼓管的位置、径路和结构,因此,该管又命名为欧氏管。1654年Tulpius首先叙述了咽鼓管闭塞与耳聋的关系,50年后Valsalva发现吹张术在治疗耳聋上的价值,并讨论咽鼓管的功能,认为中耳的分泌可通过此管得以引流。1724年Guyon经口腔、1741年Cleland经鼻腔作插管术,1755年Jonatha
I. Introduction Eustachian tube (Auditory tube or Eustachian tube), also known as the eustachian tube, Eu aisles, is an important part of the middle ear, is to communicate the middle ear and nasopharyngeal tube. Eustachian tube is one of the most complex structure of the human body, and the relationship between the middle ear and nasopharyngeal disease is very close. As early as about 500 BC, the ancient Greek Alcmaeon knew the existence of Eustachian tube. 1564 Italian anatomist Bartolommeo Eustachio for the first time accurately describe the location, path and structure of the eustachian tube, therefore, the tube was named the Eurasian tube. Tulipus first described the relationship between eustachian tube occlusion and deafness in 1654 and 50 years later Valsalva found the value of blowing herniation in the treatment of deafness and discussed the function of the eustachian tube through which the secretion of the middle ear can be diverted. Guyon’s oral cavity in 1724, Cleland transnasal intubation in 1741, Jonatha in 1755