Balloon Eustachian Tuboplasty in Treatment of Chronic Otitis Media with Effusion
Authors:
D. Formánková 1; M. Formánek 1,2; Karol Zeleník 1,2
; Pavel Komínek 1,2
Authors‘ workplace:
Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Ostrava
1; Katedra kraniofaciálních oborů, Lékařská fakulta, Ostravská univerzita, Ostrava
2
Published in:
Otorinolaryngol Foniatr, 68, 2019, No. 4, pp. 194-198.
Category:
Original Article
Overview
Background: Up to 2.6% of adults suffer from otitis media with effusion (OME). OME is caused by Eustachian tube (ET) dysfunction. Tympanostomy is therapy of choice, if there is no nasopharyngeal anatomical obstruction of the ET. However, there is mostly only temporary effect. Balloon Eustachian tuboplasty (BET) is a novel surgical technique, which restores ET function by dilation its cartilaginous part. It could be promising therapeutic option in OME, but the success rate remains unknown.
Methods: Adults with recurrent OME (after tympanostomy) lasting for more than 6 months, without any nasopharyngeal obstruction of the ET were included in the study and underwent BET. The ETDQ-7 questionnaire, tympanometry, pure tone audiometry and ability to perform Valsalva and Toynbee maneuvers were used to evaluate the effect of BET.
Results: Ten BETs were performed in 8 patients (31 – 66 years old; 4 female and 4 male). After 2 months there was improvement in 5, resp. 6/9 cases (55,5 %, resp. 66,7 %) with 10 points in ETDQ-7 and 11 dB HL the air-bone gap reduction on average. There was subjective improvement in all cases. After 6 months the lesser improvement lasted in 3, resp. 4/9 cases (33,3 %, resp. 44,4 %), no new improvement was detected.
Conclusion: BET could be suitable therapeutic option for OME. However, the results did not seem to be as good and long-lasting as in the case of other ET dysfunction groups.
Keywords:
otitis media with effusion – balloon tuboplasty – Eustachian tube – Eustachian tube dysfunction
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Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2019 Issue 4
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