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[Two-year experience in the balloon dilatation treatment of children with persistent auditory tube dysfunction]
A I Kryukov1,2, N L Kunelskaya1,2, A Yu Ivoylov1,2,3
1Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Insights
Balloon dilatation of the auditory tube effectively treats persistent auditory tube dysfunction in children. This minimally invasive procedure normalized clinical, radiological, and audiological parameters in most patients.
Area of Science:
- Otolaryngology
- Pediatric Medicine
- Medical Engineering
Background:
- Persistent auditory tube dysfunction (PATD) significantly impacts children's quality of life.
- Current treatment options for PATD in pediatric populations have limitations.
- Objective diagnostic tools for PATD assessment are crucial.
Purpose of the Study:
- To evaluate the efficacy of balloon dilatation of the auditory tube in children with PATD.
- To assess the safety and long-term outcomes of this minimally invasive intervention.
- To correlate clinical improvements with objective radiological and audiological findings.
Main Methods:
- A cohort of 28 children (aged 5-16 years) with PATD underwent balloon dilatation.
- Pre- and post-treatment assessments included: patient history, ENT examination, endoscopic evaluation, functional multispiral computed tomography (fMSCT) of auditory tubes, and audiological tests (tympanometry, audiometry).
- Follow-up examinations were conducted at 2, 6, and 12 months post-procedure.
Main Results:
- Balloon dilatation was successfully performed in all participants.
- Clinical, radiological (fMSCT), and audiological parameters normalized in 25 out of 28 children (89.3%) at follow-up.
- No significant complications were reported during or after the procedure.
Conclusions:
- Balloon dilatation of the auditory tube is a safe and highly effective treatment for persistent auditory tube dysfunction in children.
- This technique offers a promising minimally invasive solution, leading to significant functional improvements.
- Objective diagnostic methods are vital for confirming treatment success in pediatric PATD.
Objective:
Is to study the effectiveness of the of balloon dilatation of the auditory tube in children with persistent dysfunction of the auditory tube. Examination and treatment of 28 children aged 5 to 16 years with persistent dysfunction of the auditory tube was performed. To diagnose and objectify the results of the treatment, taking of complaints and medical history of the patient, examination of ENT organs, endoscopic examination of the nose, nasopharynx and otoendoscopy, functional multispiral computed tomography of the auditory tubes, audiological examination (tympanometry, tonal threshold audiometry) were performed. Treatment included balloon dilatation of the auditory tubes. In 25 (89.3%) children, upon repeated examination after 2, 6, 12 months, the clinical, radiological, and audiological parameters were normal.
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