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Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease
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Balloon dilation for persistent unilateral chronic obstructive Eustachian tube dysfunction is effective: a

Akil Kaderbay1, Alexandre Karkas2, David Schmitt3

  • 1Oto-Rhino-Laryngology-Head and Neck Surgery Department, Montpellier University, CHU Gui de Chauliac, 80 Avenue Augustin Fliche, 34295, Montpellier, France. a-kaderbay@chu-montpellier.fr.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|August 6, 2022
PubMed
Summary

Balloon dilatation of the Eustachian tube (BDET) improved symptoms and objective measures in patients with chronic obstructive Eustachian tube dysfunction (COETD) refractory to medical treatment. This study evaluated BDET

Keywords:
Balloon dilationBalloon tuboplastyEustachian tube dysfunctionEustachian tube scoreTubomanometry

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Area of Science:

  • Otolaryngology
  • Medical Devices
  • Interventional Procedures

Background:

  • Chronic obstructive Eustachian tube dysfunction (COETD) significantly impacts quality of life.
  • Medical management is the first-line treatment for COETD.
  • Balloon dilatation of the Eustachian tube (BDET) is an emerging therapeutic option for refractory cases.

Purpose of the Study:

  • To prospectively evaluate the efficacy of BDET in unilateral COETD.
  • To assess outcomes in patients with COETD unresponsive to medical therapy.

Main Methods:

  • Prospective, multicenter study involving adult patients with unilateral COETD.
  • Patients with Eustachian Tube Score (ETS) < 5 despite medical therapy were included.
  • Primary endpoint: change in ETS at 2, 6, and 12 months post-BDET. Secondary endpoints included ETDQ-7, audiometry, tympanometry, and otoscopy.

Main Results:

  • Twenty-eight patients underwent BDET with no adverse effects.
  • Significant improvement in ETS observed at 2, 6 months, and 1 year post-BDET (p < 0.0001).
  • Sustained improvement in ETDQ-7 scores (p = 0.0012) and suggestive improvement in tympanometry at 1 year.

Conclusions:

  • BDET is an effective treatment for unilateral COETD refractory to medical management.
  • The procedure demonstrates significant improvements in patient-reported symptoms and objective measures.
  • BDET offers a valuable therapeutic option for improving Eustachian tube function.