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Updated: Feb 9, 2026

Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
Patulous Eustachian tube obliteration using endovascular coils: a novel technique
K Jolly1, A Darr1, S V Chavda2
1Department of Otolaryngology,Princess Royal Hospital,Telford,UK.
Background:
Patulous Eustachian tube is a distressing condition characterised by chronic patency of the Eustachian tube and its failure to close. Patients typically present with symptoms of autophony and aural fullness. In patients requiring surgical intervention, a variety of different procedures have been demonstrated (both transtympanic and endonasal), with limited success. Evidence of the effectiveness of a number of surgical interventions is limited to small case series only.
Objective:
This paper describes a novel treatment for patulous Eustachian tube using a 3 mm VortX Diamond endovascular coil.Case reportA transnasal endoscopic approach was adopted, with cannulation of the Eustachian tube orifice using a Relieva sinus guide suction tube from a balloon sinuplasty set. The coil was deployed 1.5 cm deep into the Eustachian tube. Post-operative imaging was used to confirm correct positioning. Regular follow up was arranged. The patient reported complete resolution of her symptoms.
Conclusion:
The technique has so far proved highly effective and minimally invasive. It will be employed in more patients to fully establish its effectiveness in treating patulous Eustachian tube.
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