【Celine贴吧】科普下咽鼓管异常扩张和治疗方式

原文链接：http://nationalpost.com/pmn/entertainment-pmn/what-is-patulous-eustachian-tube-the-disorder-affecting-celine-dion
原本咽鼓管内2/3为软骨部，软骨部经咽鼓管咽口，开口于鼻咽部的侧壁。软骨部平时闭合，仅在吞咽或呵欠时开放，以平衡中耳和外耳的气压，有利于鼓膜的正常振动。这也是导致病因的关键部位。文章中的valve我一直找不到一个专业的翻译，我想指的应该就是软骨部。

“We know that there’s a little bit of fat around the valve and people who, for example, lose a massive amount of weight will also lose fat,” he said Thursday. “And that fat pad, if you lose a lot of weight, it can almost pull open the valve and it becomes almost floppy.”
Dion is “a pretty thin lady,” Lin said. “She is the kind of typical person who has these kind of symptoms.”
会导致这种情况的确切原因还不得而知。
但是在软骨部（valve）周围是有一些脂肪的，而体重巨减的人也会减掉这部分的脂肪，而脂肪起到加垫的作用，所以缺少脂肪，这个像阀门的部位就会变松，从而导致无法闭合。而席琳正好是一位非常瘦的女人，所以她是典型拥有上述情况的人。

@Bepa0 @玥喵冰萌 @AndyGarnett110 @升哥jhashen @769308120

@0102030407 @堇挚3 @LCelineDion @madonnagwen @国外追星族

Patients may also be advised to avoid diuretics and to increase body weight.避免利尿剂和增重是治疗的一种。但有些人需要手术治疗。
One of those surgical options involves injecting fat around the eustachian tube to “bulk it up a little bit” to try to make the valve behave as it should, said Lin. “But it’s a short-term solution most of the time because the fat is resorbed.”
Some people take the extreme step of scarring the valve so it closes, but that can cause fluid to build up or the ear drum to get sucked in, he said.
“With my patients, I tell them there is no easy fix for this … these patients are very, very challenging because the number one thing is to manage their expectations so they know that what we’re going to try may only be temporary or may not work at all.”
手术一种就是注入脂肪，帮助软骨部份重新闭合，起到一个类似地基的作用，但这只是暂时的，因为脂肪是可被吸收的。
还有一种稍微极端一些，scar the valve，（对不起实在没找到翻译），不过这会导致液体堆积或者鼓膜会被卷进去（？？？）
治疗这个没有简单的方法，医生通常会告诉病人调整自己的预期，因为治疗结果可能只是暂时的或者根本没用。

结论：手术也可能根本没卵用

老 席真的太瘦了，增肥吧

顺便再发一遍老席的症状：自声加强，能很强烈的听到自己的声音，心跳和呼吸。正因为如此她听不到钢琴跟乐器声，甚至听起来刺耳且不和谐。所以唱歌对她来说是不可能的。

西医治标不治本 这种病可能需要她静下心静养

要动手术的话，深入鼻腔还是口腔？