"Céline has been dealing with a condition in her middle ear known as Patulous Eustachian tube, which causes hearing irregularities, and makes it extremely difficult to sing," the post reads.
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"Céline has been dealing with a condition in her middle ear known as Patulous Eustachian tube, which causes hearing irregularities, and makes it extremely difficult to sing," a statement on her website and social media said.
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The singer is postponing her March and April concert dates due to a middle ear condition known as Patulous Eustachian tube, "which causes hearing irregularities, and makes it extremely difficult to sing," according to an announcement about the canceled shows.
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In patulous tube syndrome, the Ostmann's pad of fat cannot be visualized using radiological methods.
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It is marked like the spaces between the sutures. The oval aperture is large. The posterior angle is acute. The outer lip is decidedly curved, almost patulous, thin.
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The body whorl is tumid. The suture is strongly marked, but hardly impressed. The aperture is round, but a little gibbous, bluntly pointed above. The thin, well arched outer lip is scarcely patulous.
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Shaped like a flattened-out cone, as an Ancylus. Patulous. Open and spreading, as the aperture in some gastropods. Paucispiral. Only slightly spiral, as some opercula. Pectinate. Like the teeth of a comb, as the gills of some mollusks. Pedal.
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The suture is impressed. The aperture is round. The outer lip is freely curved. The thin inner lip is concave at the base of the columella, straight, rounded, and very much expanded on the columella with an angulated and very patulous junction to the outer lip in front.
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There is scarcely any siphonal canal below. The outer lip is very thin, a little contracted above, and patulous below. Its curve is somewhat flattened about the periphery. Its edge forms a very regular curve with a slight shoulder above, between which and the body lies the broad, shallow, rounded sinus.
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The Kanab ambersnail is a terrestrial snail in the family Succineidae. The empty shell is a light amber color. The live snail has a mottled grayish-amber to yellowish-amber colored shell. The shell is dextral (right-handed spiral), thin-walled, with an elevated spire and a Daly, patulous (expanded) aperture.
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The aperture is narrow. The outer lip lis irate within, a little patulous. The inner lip is plain, with two strong plications near its middle, the posterior the largest. None of the specimens had completed the thickening of the outer lip and the glazing of the columella which mark the adult state, but several were very near it.
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Elfin facies is a form of facies where the patient presents with facial characteristics bearing some similarities to those traditionally associated with elves. It is characterized by prominent forehead, widely spaced eyes, upturned nose, underdeveloped mandible, dental hypoplasia, and patulous lips. It can be associated with Williams syndrome or Donohue syndrome (which is also known as leprechaunism).
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There are about 30 of these threads upon the last turn between the summit and the periphery and about 60 on the base. The aperture is very large, patulous anteriorly;. The outer lip is thin at the edge but very thick within. The columella is decidedly curved, and revolute, reinforced to the very edge by the attenuated base.
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It is thin throughout. Above it is straight, but lower down a little patulous. The inner lip spreads rather broadly across the columella, highly polished, buff-coloured, with a slightly raised edge. It is very little concave above, straight but rather short on the columella, which is cut off to a long fine point, with a blunt, rounded, very slightly twisted strongish edge.
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It is little inflected above, excessively patulous on the base. The inner lip is thickened, extremely short, and slightly disunited from the body. It is very concave on the columella, where it is bent back so as to cover the umbilical perforation, which presents a narrowed and not pervious but very strong depression. The large, yellow operculum is corneous and thin.
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The outer lip, originating markedly below the keel it leaves the body at a very acute angle. Its edge, which is sharp throughout, retreats at once, forming a very narrow and short ledge between the body whorl and the sinus, which is rounded and open, and whose depth is due entirely to the great forward sweep of the lip below, where it projects like the pinion of a wing and is slightly patulous. It curves in laterally to the origin of the siphonal canal, and then advances very straight and scarcely patulous to the rounded point of the shell. The inner lip is slightly cut out of the substance of the shell, is very narrow and very straight, the cutting away of the point of the columella being very gradual and very slightly oblique. R.B. Watson, Mollusca of H.M.S. ‘Challenger’ Expedition.
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The aperture is long and narrow, sharply angulated above, scarcely contracted below, and with hardly any canal in front. There is a slight tinge of buff within. The outer lip is very sharp and thin and a little contracted, except just toward the end of the canal, where it becomes slightly patulous. Its course is an angulated curve, steep above and long-drawn below.
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The outer lip is thin and broken, not descending. The inner lip is shortly but flatly bent over the umbilicus, and here it is patulous and sinuated, it then advances in a straight line toward the base. It is toothed in the middle by a strongish spiral protuberance at which point it projects. But from this to the junction with the base it is thin and retreats.
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The outer lip is thin and sharp, not at all expanded. The inner lip is thin and sharp, a very little patulous on the columella, where it also retreats a little, so as to form a slight open sinus. The shell is brilliantly iridescent within. The umbilicus is wide and pervious, and deeply impressed at the suture, which runs spirally up to the apex within.
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When gas pressure within the middle ear is less than atmospheric pressure, the eardrum can become sucked into the middle ear space. This may be caused by disrupted gas exchange in the middle ear mucosa, inadequate opening of the Eustachian tube or a combination of these factors. People with a patulous Eustachian tube may also cause negative middle ear pressure by repeatedly sniffing to try to keep their Eustachian tube closed.
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The periphery of the body whorl is somewhat inflated. The base of the shell is well rounded, attenuated anteriorly to reenforce the columella. The entire surface is covered by numerous somewhat wavy, subequal and subequally closely placed spiral lirations, of which about 40 occur between the summit and the periphery and about an equal number on the base of the last whorl. The aperture is large, decidedly patulous anteriorly.
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It leaves the body at an acute angle and retreats towards the right to form the sinus, which is open and near but not immediately at the body: from the sinus the lip-edge advances with a strong forward convexity to the point of the siphonal canal. Laterally it is also rather convex, but is contracted into the aperture, along the edge of which it is pretty straight with a somewhat oblique direction towards the left, and here it is patulous. The inner lip is porcellanous, smooth, narrow, cut off, and slightly twisted in front, and running out at the point to a sharp edge along the siphonal canal, the point of which is then rounded and patulous. Report on the scientific results of the voyage of H.M.S. Challenger during the years 1873-76 under the command of Captain George S. Nares ... and the late Captain Frank Tourle Thomson, R.N.; Zoology vol.
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The suture is very strong and distinct, from the concave curve of the whorl above it and the horizontal tabulation of the collar below. The aperture is largish, angularly pear-shaped. The outer lip thin, angulated, straight and horizontal above, convex and patulous below the angle, drawn in at the siphonal canal. It retreats at once on leaving the body to form the rather deep, narrow, rounded sinus which occupies the shoulder.
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The aperture is large and irregularly semicircular, angulated above, and ending in a distinct open siphonal canal below. The outer lip is excessively thin, slightly patulous below, but not at all above. It leaves the body at a right angle, and advances across the sinus- area in a perfectly straight line. It is angulated at the keel, from which point it curves very regularly, till towards the edge of the siphonal canal it becomes concave and finally straight.
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The columellar lip is slightly patulous, bending flatly over the umbilicus, and then advancing in a straight line to the point of the columella, where it is slightly angulated just where the beaded umbilical spiral ends. The umbilicus is funnel-shaped, rather open, but a good deal contracted within, sharply scored with the lines of growth. The operculum is yellow, horny, very thin, consists of 7 to 8 whorls. The animal has a uniform light colour.
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The prolapse may be obvious, or it may require straining and squatting to produce it. The anus is usually patulous, (loose, open) and has reduced resting and squeeze pressures. Sometimes it is necessary to observe the patient while they strain on a toilet to see the prolapse happen (the perineum can be seen with a mirror or by placing an endoscope in the bowl of the toilet). A phosphate enema may need to be used to induce straining.
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Tympanostomy tube. In chronic cases of otitis media with effusions present for months, surgery is sometimes performed to insert a grommet, called a "tympanostomy tube" into the eardrum to allow air to pass through into the middle ear, and thus release any pressure buildup and help clear excess fluid within. This is also a correcting measure for a patulous Eustachian tube (when air moves to and from the middle ear with each breath making the eardrum flap).
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The prostatic utricle is the homologue of the uterus and vagina, usually described as derived from the paramesonephric duct, although this is occasionally disputed. In 1905 Robert William Taylor described the function of the utricle: "In coitus it so contracts that it draws upon the openings of the ejaculatory ducts, and thus renders them so patulous that the semen readily passes through."R. W. Taylor. "A practical treatise on sexual disorders of the male and female".
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Round the front of the siphonal canal it is not in the least patulous. Its edge forms a semicircular curve with a high shoulder, between which and the body lies the large, broad, open, rounded sinus. The inner lip, which, though very narrow, is continued to the point of the columella, is cut into the substance of the shell, and is defined by a slight raised margin beyond it. The line across the body is very short, and joins the columella at a very obtuse angle.
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The columellar lip is patulous and reverted, with a furrow behind it, twisted, with a broad deep sinus above. A strong twisted tooth projects at about two- thirds of its length, below which is a smaller sinus running out into a point at the extreme end of the columella. This point corresponds to the umbilical carina. The umbilicus is more open than large, perpendicular and deep, being only slightly narrowed by the reverted coluimellar lip and by the corresponding ridge which twines spirally round the columellar wall.
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The aperture is oval, with an acute angle above, an obtuse angle at the side where the body and the columella join, and a truncation at the point. The outer lip is thin, a little patulous, with an equable convex curve throughout. The anal sinus is very shallow and round, with no shelf above it; and below it is a very high but little prominent shoulder made by the very slightly advancing lip-edge. The inner lip is very narrow, shallowly hollowed into the substance of the shell.
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The square aperture is perpendicular. The sharp outer lip is thickened by a slight internal remote callus, not patulous, not descending, advancing at its junction with the body whorl and then slightly retreating so as to form the very shallow open sinus. It is right-angled at the periphery, flat on the base, where it retreats so as to form two rounded sinuses, making with the columella an angle that is scarcely obtuse. The columellar lip is straight, a little thickened and reverted, so as to leave a slight groove behind it.
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The suture is linear, but strongly defined by the constriction and impressed angulation of the shell at that point. The aperture is perpendicular, nearly square. The outer lip sharp and thin, not patulous, not descending. The curves are very faintly indicated by the lines of growth, but are similar to those described in Seguenzia formosa Jeffreys, 1876, there being three sinuses, one near the suture between the first and second spinose thread, a second, very small but sharp, at the carina, and a third toward the exterior of the base.
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The aperture is perpendicular, rhomboidal, the basal and palatal lines being parallel, the other two are somewhat diverging and curved, broader than high. The outer lip is sharp and thin, not patulous, not descending, with a shallow open sinus below the suture, then, about the middle of the whorl, it advances with a rounded sweep, retreating sharply across the carina to form the open rounded basal sinus toward the outer edge of the base. The columellar lip is sharp and thin. It rises from the body a good way within the edge of the umbilicus.
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The aperture is perpendicular, somewhat rectangular, and broader than high. The outer lip is sharp and thin, not patulous, not descending, with a rather deep but broad and open sinus at the suture, forming a slightly acute angle at the periphery, where it advances very markedly, retreating immediately to form a sinus on the base, where it is barely arched. The columellar lip is somewhat thickened. It advances very little at its junction with the body, then retreats slightly so as to form a small sinus, bending at the same time a very little over the umbilicus.
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The suture is linear, very minute, but defined by a very slight shelf, which projects horizontally just below it. The aperture is perpendicular, squarish, buttoo much broken for description. The lines of growth on the outer lip show it to have the same three sinuses as those described in Seguenzia formosa Jeffreys, 1876. The columellar margin is patulous, a little reverted, scarcely twisted, with a broad deep sinus above, a strong, but not sharp, twisted tooth projecting at about three-fourths of its length, below which is a smaller sinus running out into a point at the extreme end of the columella.
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He speculated that the disease was transmitted by "putrid particles" explaining that "after delivery infectious matter is readily and copiously admitted by the numerous patulous orifices [of the birth canal] which are open to imbibe it." He recognised a relationship with the spread of an epidemic of the skin infection erysipelas, which began, peaked, and ended over the same period of time as the puerperal fever epidemic. He concluded that "the cause was obvious, for the infectious matter which produces erysipelas was at the time readily absorbed by the lymphatics which were open to receive it." His views on prevention were also innovative.
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The outer lip is flat at the shoulder, angulated at the keel, slightly convex below this. The edge projects thinly beyond the last longitudinal rib, which serves as a varix . It presents a flattened, but regular curve from the point of the shell to the keel, where the edge forms a little shoulder, between which and the body lies the narrow round small sinus, with its flanged border. The inner lip is straight, with a very thin narrow glaze which early runs out to the rim, being cut off by the slightly oblique and twisted edge, which continues with a slight patulous margin to the point of the shell.
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A patulous Eustachian tube is a rare condition in which the Eustachian tube remains intermittently open, causing an echoing sound of the person's own heartbeat, breathing, and speech. This may be temporarily relieved by holding the head upside down. Smoking can also cause damage to the cilia that protect the Eustachian tube from mucus, which can result in the clogging of the tube and a buildup of bacteria in the ear, leading to a middle ear infection. Recurring and chronic cases of sinus infection can result in Eustachian tube dysfunction caused by excessive mucus production which, in turn, causes obstruction to the openings of the Eustachian tubes.
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The aperture is a little oblique, rhomboidal, the basal and palatal lines being nearly parallel, while the outer and inner lip diverge downwards. The outer lip is thin, not patulous, not descending, advancing at its junction with the body whorl, and then retreating so as to form a shallow, broad, open sinus a little below the suture, acutely, but roundedly, angulate at the periphery, nearly flat on the base, with a very slight nick at the point of the columella, where it joins the inner lip at a slightly obtuse angle. The pcolumellar lip is straight. It is a very little thickened, and is slightly porcellanous.
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This album debuted at number 1 in the Oricon weekly charts, and marked the first time in 4 years for the singer to top said chart for either a single or album since Voice (released in November 2008); it was also her first chart topping work in Japan after she made a comeback from the 6-month hiatus resulting from her patulous auditory tube disorder. It has also been released in Taiwan and South Korea. Some presses of the album come with a bookmark denoting the artist and album name on one side, and a picture of a flower with the words "Be Real...Be Mine" on the other side of the bookmark.
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From the keel the lip-edge advances with a long, free, forward curve and a sinuous double sweep, first convex and then concave, to the point of the snout, where the edge is prominent, rounded, and patulous. The columellar lip is almost hyaline, being cut into the substance of the body whorl, but not extending beyond the edge of the aperture. It is slightly concave above, straight in the middle, and very early and obliquely cut away in front, from which point, for the sixth of an inch, it advances to the extreme point of the shell as a delicate, thin, sharp lamina bordering the siphonal canal. The operculum seems to have been broken, probably in the attempt to extract it; but it is obviously small, thin, and pale yellow. R.B. Watson, Mollusca of H.M.S. ‘Challenger’ Expedition.
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The outer lip is sharp and thin, not patulous, not descending, advancing at its junction with the body whorl, then retreating so as to form the broad open sinus, acute angled at the periphery, slightly arched across the base, nicked close to the point of the pillar. The columellar lip is arched, strengthened by a thin pad; reverted on the umbilicus so as to leave a slight groove behind it, it has a slight tooth in front. From the body whorl it bends very much over to the left, so as largely to cover the umbilicus, and then it curves over to the right to join the outer lip on the base at an obtuse angle. The umbilicus is small, oblique edged, funnel-shaped, nearly covered by the columellar lip, contracted within, scored with hair-like lines of growth.
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The body whorl is feebly tumid below the keel, and is drawn out from a produced conical base into a long, narrow, cylindrical, very slightly upturned snout, which projects on the right side of the base. The suture is a fine, sharp, slightly irregular line, well defined by the contraction of the whorl above and the straight line of the shoulder on the whorl below. The aperture is club-shaped, being oval above, and prolonged below into a long, but not very narrow siphonal canal, which is a little sinuous, and widens towards its end in consequence of the oblique cutting-away of the columellar lip. The outer lip, which is thin, sharp, and patulous, leaves the body at a right angle and advances quite straight to the keel, above which lies the deep, thin-lipped, U-shaped sinus, whose lower margin runs parallel to, but a little above, the carinal thread.
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