Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-22T17:43:38.053Z Has data issue: false hasContentIssue false
  • English
  • Français

Balloon Eustachian tuboplasty treatment of longstanding Eustachian tube dysfunction

Published online by Cambridge University Press:  15 May 2017

T Singh ,
V Taneja ,
K Kulendra ,
M Farr ,
J Robinson  and
D Rejali
T Singh
Affiliation:
ENT Department, University Hospitals Coventry and Warwickshire NHS Trust, UK
V Taneja*
Affiliation:
ENT Department, University Hospitals Coventry and Warwickshire NHS Trust, UK
K Kulendra
Affiliation:
ENT Department, University Hospitals Coventry and Warwickshire NHS Trust, UK
M Farr
Affiliation:
ENT Department, University Hospitals Coventry and Warwickshire NHS Trust, UK
J Robinson
Affiliation:
ENT Department, University Hospitals Coventry and Warwickshire NHS Trust, UK
D Rejali
Affiliation:
ENT Department, University Hospitals Coventry and Warwickshire NHS Trust, UK
*
Address for correspondence: Ms Virangna Taneja, House No 16, Wind Rush Grove, Edgbaston, Birmingham B15 2DL, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Eustachian tube dysfunction is a poorly defined condition associated with various symptoms and it can predispose to middle-ear disease. Balloon dilation Eustachian tuboplasty has been proposed as a treatment for Eustachian tube dysfunction.

Objective:

To evaluate the subjective and objective outcomes of balloon dilation Eustachian tuboplasty in patients with recurrent, previously treated chronic Eustachian tube dysfunction.

Methods:

The study was conducted on 11 patients (13 ears) who had undergone previous unsuccessful medical and surgical treatment. Tympanometry was the primary outcome measure. Secondary outcome measures included pure tone audiogram assessment and seven-item Eustachian Tube Dysfunction Questionnaire score.

Results:

Balloon dilation Eustachian tuboplasty resulted in significant improvements in 11 patients’ subjective but not objective outcome measures.

Conclusion:

The objective abnormality and subjective symptoms in Eustachian tube dysfunction may represent two distinct pathological processes, which may nevertheless influence and exacerbate each other.

Keywords

Eustachian Tube DysfunctionBalloon TuboplastyEustachian Tube
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 7 , July 2017 , pp. 614 - 619
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Bluestone, CD. Definitions, terminology, and classification In: Rosenfeld, RM, Bluestone, CD, eds. Evidence-based Otitis Media. Hamilton, ON: BC Decker, 1999;85–104 Google Scholar
2 Schilder, AG, Bhutta, MF, Butler, CC, Holy, C, Levine, LH, Kvaerner, KJ et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol 2015;40:407–11Google Scholar
3 Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhoff, HH. Balloon dilatation Eustachian tuboplasty: a clinical study. Laryngoscope 2010;120:1411–16Google Scholar
4 Choi, SH, Han, JH, Chung, JW. Pre-operative evaluation of Eustachian tube function using a modified pressure equilibration test is predictive of good postoperative hearing and middle ear aeration in type 1 tympanoplasty patients. Clin Exp Otorhinolaryngol 2009;2:61–5Google Scholar
5 Politzer, A. On the arbitrary movements of the tympanic membrane [in German]. Weiner Med Hall 1862;18:103 Google Scholar
6 Zollner, R. Anatomy, Physiology and Clinic of the Eustachian Tube [in German]. Berlin: Springer Publishing, 1942 Google Scholar
7 Suehs, OW. Secretory otitis media. Laryngoscope 1952;62:998–1027 Google Scholar
8 Senturia, BH, Gessert, CF, Carr, CD. Studies concerned with tubotympanitis. Ann Otol Rhinol Laryngol 1958;67:440–67CrossRefGoogle ScholarPubMed
9 Sadé, J. Pathology and pathogenesis of serous otitis media. Arch Otolaryngol 1966;84:297–305 Google Scholar
10 Podoshin, L, Fradis, M, Malatskey, S, Ben-David, J. Tympanoplasty in adults: a five-year survey. Ear Nose Throat J 1996;75:149–52, 155–6Google Scholar
11 Dorrie, A, Dommerich, S, Pau, HW. Early postoperative middle-ear ventilation – risk for the transplant or guarantee for aeration of the tympanic cavity [in German]? Laryngorhinootologie 2003;82:102–4Google Scholar
12 McCoul, ED, Anand, VK, Christos, PJ. Validating the clinical assessment of eustachian tube dysfunction: the eustachian tube dysfunction questionnaire (ETDQ-7). Laryngoscope 2012;122:1137–41Google Scholar
13 Randrup, TS, Ovesen, T. Balloon Eustachian tuboplasty: a systematic review. Otolaryngol Head Neck Surg 2015;152:383–92Google Scholar
14 Jurkiewicz, D, Bien, D, Szczygielski, K, Kantor, I. Clinical evaluation of balloon dilation Eustachian tuboplasty in the Eustachian tube dysfunction. Eur Arch Otorhinolaryngol 2013;270:1157–60Google Scholar
15 Seibert, JW, Danner, CJ. Eustachian tube function and the middle ear. Otolaryngol Clin North Am 2006;39:1221–35Google Scholar
16 Todd, NW. There are no accurate tests for Eustachian tube function. Arch Otolaryngol Head Neck Surg 2000;126:1041–2CrossRefGoogle ScholarPubMed
17 Wullstein, H. Eustachian tube in tympanoplasty. AMA Arch Otolaryngol 1960;71:408–11CrossRefGoogle ScholarPubMed
18 Bluestone, CD. Assessment of Eustachian tube function. In: Jerger, J, ed. Handbook of Clinical Impedance Audiometry. New York: American Electromedics, 1975;127–48Google Scholar
19 Cantekin, EI, Saez, CA, Bluestone, CD, Bern, SA. Airflow through the Eustachian tube. Ann Otol Rhinol Laryngol 1979;88:603–12Google Scholar
20 Gluth, MB, McDonald, DR, Weaver, AL. Management of Eustachian tube dysfunction with nasal steroid spray: a prospective, randomized, placebo-controlled trial. Arch Otolaryngol Head Neck Surg 2011;137:449–55Google Scholar
21 Gates, GA. Adenoidectomy for otitis media with effusion. Ann Otol Rhinol Laryngol Suppl 1994;163:54–8CrossRefGoogle ScholarPubMed
22 Nguyen, LH, Manoukian, JJ, Yoskovitch, A, Al-Sebeih, KH. Adenoidectomy: selection criteria for surgical cases of otitis media. Laryngoscope 2004;114:863–6Google Scholar
23 Zollner, F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol 1955;69:637–52Google Scholar
24 Metson, R, Pletcher, SD, Poe, DS. Microdebrider Eustachian tuboplasty: a preliminary report. Otolaryngol Head Neck Surg 2007;136:422–7Google Scholar
25 Kujawski, OB, Poe, DS. Laser Eustachian tuboplasty. Otol Neurotol 2004;25:1–8 CrossRefGoogle ScholarPubMed
26 Politzer, A. History of Otology, Vol 1. Phoenix: Columella Press, 1981 Google Scholar
27 Miller, GF. Influence of an oral decongestant on Eustachian tube function in children. J Allergy 1970;45:187–93Google Scholar
28 Ockermann, T. Balloon Dilatation of the Eustachian Tube for the Treatment of Obstructive Tubal Dysfunction [in German]. Bochum: Universität Bochum, 2009 Google Scholar
29 McCoul, ED, Anand, VK. Eustachian tube balloon dilation surgery. Int Forum Allergy Rhinol 2012;2:191–8Google Scholar
30 Elner, A, Ingelstedt, S, Ivarsson, A. The normal function of the Eustachian tube. A study of 102 cases. Acta Otolaryngol 1971;72:320–8Google Scholar