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Patulous Eustachian Tube Dysfunction Symptoms Following Balloon Dilation.
Richard D Hubbell1, Joonas Toivonen2,3, Kosuke Kawai2
1Department of Otolaryngology-Head and Neck Surgery, Loyola Stritch School of Medicine, 23 West Chicago Avenue, Apt 3606, Chicago, Illinois, 60654, USA.
The Laryngoscope
|March 17, 2023
Summary
Balloon dilation of the Eustachian tube (BDET) can cause patulous Eustachian tube dysfunction (PETD) in about 7% of cases. Younger patients and those with severe inflammation or repeat procedures face a higher risk of developing PETD.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Patient Safety
Background:
- Obstructive Eustachian tube dysfunction (OETD) is increasingly managed with balloon dilation of the Eustachian tube (BDET).
- Reported complications of BDET are limited, with patulous Eustachian tube dysfunction (PETD) being a known, albeit infrequent, adverse event.
Purpose of the Study:
- To determine the incidence of PETD following BDET.
- To identify factors associated with the development of PETD after BDET.
Main Methods:
- A multicenter study included 182 patients (295 Eustachian tubes) undergoing BDET for OETD.
- PETD was diagnosed via patient-reported symptoms (autophony).
- Associated factors analyzed included patient demographics, comorbidities, and procedural details.
Main Results:
- Twenty cases of PETD occurred (6.8% of procedures; 9.3% of patients).
- Increased risk of PETD was associated with younger age (≤18 years), repeat BDET procedures, and severe preoperative Eustachian tube inflammation.
- Most PETD symptoms were mild or intermittent, but persistence was noted.
Conclusions:
- BDET is associated with a 6.8% incidence of PETD.
- Risk factors for PETD include younger age, repeat procedures, and severe inflammation.
- Clinicians should be aware of these risk factors to mitigate potential complications.
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