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Eustachian Tube Dysfunction Questionnaire Score Changes at 6 and 12 Weeks: Follow-Up Implications
Alexander R Gomez-Lara1, Emilie O'Banion2, Jagatkumar Patel3
1Kaiser Permanente Bernard J. Tyson School of Medicine Pasadena California USA.
OTO Open
|February 18, 2026
Summary
Balloon dilation of the eustachian tube (BDET) significantly improves symptoms of Eustachian tube dysfunction (ETD) by 6 weeks. Early symptom relief is sustained, suggesting a single 6-week follow-up may be sufficient.
Area of Science:
- Otolaryngology
- Medical Devices
- Clinical Outcomes Research
Background:
- Eustachian tube dysfunction (ETD) presents with aural fullness, hearing loss, and tinnitus.
- The Eustachian Tube Dysfunction Questionnaire (ETDQ-7) quantifies symptom burden.
- Balloon dilation of the eustachian tube (BDET) is an option for chronic obstructive ETD (OETD) refractory to medical treatment.
Purpose of the Study:
- To determine the optimal follow-up timing after balloon dilation of the eustachian tube (BDET).
- To evaluate the sustained efficacy of BDET by assessing symptom changes at 6 and 12 weeks post-procedure.
Main Methods:
- A cross-sectional study included 28 patients who underwent BDET.
- Eustachian Tube Dysfunction Questionnaire (ETDQ-7) scores were collected at baseline, 6 weeks, and 12 weeks.
- Repeated measures ANOVA was used to analyze changes in symptom scores.
Main Results:
- A statistically significant improvement in ETDQ-7 scores was observed from baseline to 6 weeks (P < .001).
- No significant additional benefit was found between the 6-week and 12-week follow-up points (P = .625).
- Early symptom improvements following BDET were sustained through 12 weeks.
Conclusions:
- A single 6-week follow-up may be adequate for monitoring BDET outcomes in OETD patients.
- Optimizing follow-up timing can reduce patient burden and enhance healthcare resource utilization.
- Further research with larger, diverse populations is recommended to validate these findings.

