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Medium-term assessment of Eustachian tube function after balloon dilation
D Schmitt1, M Akkari1, T Mura2
1Département d'ORL et CMF, CHU Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34295 Montpellier, France.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|January 1, 2018
Summary
Eustachian tube balloon dilation shows promising efficacy and safety for obstructive Eustachian tube dysfunction, even after medical treatment failure. Further prospective studies are needed to confirm these findings.
Area of Science:
- Otolaryngology
- Medical Devices
- Surgical Innovation
Background:
- Obstructive Eustachian tube dysfunction lacks a treatment consensus.
- Medical and pressure therapies are often insufficient.
- Eustachian tube balloon dilation is a potential alternative.
Purpose of the Study:
- To evaluate the efficacy and safety of Eustachian tube balloon dilation.
- To assess clinical outcomes and patient satisfaction.
- To determine the complication rate of the procedure.
Main Methods:
- Retrospective single-center study.
- Assessed clinical and tubomanometric results.
- Included 38 patients undergoing 45 balloon dilation procedures.
Main Results:
- 88% symptom improvement at 2 months, sustained at 6 months and 1 year.
- 81% improved Eustachian tube function on tubomanometry.
- Low complication rate (4%) and good tolerance.
Conclusions:
- Eustachian tube balloon dilation is effective and safe for obstructive Eustachian tube dysfunction.
- Results are comparable to existing literature, even in treatment-resistant cases.
- Prospective studies are recommended for definitive evidence.
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