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Thus far, described treatment methods are often temporary or ineffective. Here, we describe a minimally invasive method for the treatment of pET that involves cauterization with autologous fat graft plugging of the ET at its nasopharyngeal orifice, in conjunction with myringotomy and ventilation tube placement. This procedure has been successful for the treatment of refractory pET in 2 patients at the House Ear Clinic with at least 1\u2010year follow\u2010up and we propose that it may accomplish relief of symptoms by permanent stenosis of the ET.<\/jats:p>","DOI":"10.1067\/mhn.2003.34","type":"journal-article","created":{"date-parts":[[2003,2,17]],"date-time":"2003-02-17T17:37:05Z","timestamp":1045503425000},"page":"88-91","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Autologous Fat Grafting for the Refractory Patulous Eustachian Tube"],"prefix":"10.1002","volume":"128","author":[{"given":"Joni K.","family":"Doherty","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery LAC + USC Medical Center Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"William H.","family":"Slattery","sequence":"additional","affiliation":[{"name":"House Ear Clinic Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_4_2_1","unstructured":"SchwartzeH.Respiratorische Behebung des Trommelfelles.Arch Ohrenheilkd1864."},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198109000-00003"},{"key":"e_1_2_4_4_1","first-page":"6","article-title":"Tinnitus II: Surgical management of conditions associated with tinnitus and somatosounds","volume":"19","author":"Hazell JWP","year":"1990","journal-title":"J Otolarygol"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1938.00650030431004"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)33175-3"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540740211"},{"key":"e_1_2_4_8_1","first-page":"483","article-title":"Eustachian tube lymphatics","volume":"84","author":"Pulec JL","year":"1975","journal-title":"Ann Otol"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-198007000-00008"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110500610"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1976.00780100062006"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198211000-00013"},{"key":"e_1_2_4_13_1","first-page":"287","article-title":"Die klaffende Ohrtrompete, St\u00f6rungen dadurch und Vorschl\u00e4ge zu ihrer Behebung","volume":"42","author":"Z\u00f6llner F.","year":"1937","journal-title":"Z Hals Nasen Ohr"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1969.00770030298009"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196708000-00019"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1974.00780030433006"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1982.00790590057016"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2003.34","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2003.34","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2003.34","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:06:59Z","timestamp":1760954819000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2003.34"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2003,1]]}},"alternative-id":["10.1067\/mhn.2003.34"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2003.34","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,1]]},"assertion":[{"value":"2016-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}