surgery-and-ENT-2016_scientifictracks-abstracts

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Volume 6, Issue 6(Suppl) Surgery Curr Res
ISSN: 2161-1076, an open access journal
Page 33
Notes:
Surgery & ENT 2016
November 07-08, 2016
conferenceseries.com
Surgery & ENT November 07-08, 2016 Alicante, Spain
5th International Conference and Exhibition on
Investigation of rhythmic, synchronous and synergistic activities of paratubal muscles for opening
Eustachian tube
Murat Haluk Ozkul
Istanbul Kemerburgaz University, Turkey
Eustachian tube (ET) is a valve activated by levator and tensor veli palatine muscles and its duty is to equalize the pressure inside
the tympanic cavity (TC) with outside pressure. Eustachian tube activation is commonly believed to be a sporadic activity which
is initiated by swallowing or yawning action. Although there have been numerous electromyographic (EMG )studies to understand
the synergistic behavior of the two muscles, these studies never revealed the heart beat like periodic activity, reflex like nature and
the tight relationship between the two muscle signals in terms of amplitude and delay. In a recent clinical study done on 50+ patients
we have discovered extraordinarily periodic behavior of EMG signals of ET muscles alongside a very tight relationship between the
two signals. Furthermore, there is strong evidence that the relationship of the EMG signals may indicate health status of ET. The
study has been done using an unusual location for picking up ET muscle EMG signals which is being used for the first time. The new
signal location enabled us to use commercially available subdermal EMG electrodes submucosally firmly placed at target location and
furthermore enabled picking without using any local or topical anesthetics. The signals picked up from patients were all high fidelity
signals and this led the discovery of periodic, clock-like synergistic signal pattern observed in all patients. This discovery sheds light
into the behavior of tubal muscles which appears to be much more complex then what we used to think. Hopefully this discovery may
lead to new understanding of electrical activity of ET and may pave the way for solving ET dysfunction (ETD) problem.
Biography
Professor of Otorhinolaryngology, Istanbul Kemerburgaz University, Medical Park Gaziosmanpaşa Hospital, Department of Otorhinolaryngology, 2010 – 2015 Clinical
Director of Otorhinolaryngology Department,Turkish Ministery of Health,Haseki Training and Research Hospital,2013 - 2015 Vice President , Education Planning and
Coordination Committee ,Haseki Training and Research Hospital, Coordinator,Operating Rooms Service,Haseki Training and Research Hospital, 2013-2015 Member,
Infection Control Committee,HasekiTraining and Research Hospital, 2012-2015 Member,Clinical Research Financial Support Appraisal Committee,Haseki, 2001 2010
Clinical Chief, Otorhinolaryngology Department, Vakıf Gureba Teaching and Research Hospital, 2000 Associated Professor of Otorhinolaryngology,Hacettepe University
Medical Faculty, 1989 - 2000: Chief Intern,Vakıf Gureba Training and Research Hospital
Murat Haluk Ozkul, Surgery Curr Res 2016, 6:6(Suppl)