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Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Concurrent balloon eustachian tuboplasty and type I tympanoplasty in chronic otitis media with eustachian tube
Lixin Wang1, Yao Li1, Wanjin Jiang1
1Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Wannan Medical University (Yijishan Hospital of Wannan Medical University), Wuhu city, Anhui Province, China.
Background:
Eustachian tube dysfunction (ETD) may impair graft outcomes after type I tympanoplasty in chronic suppurative otitis media (CSOM).
Objective:
To compare concurrent balloon Eustachian tuboplasty (BET) plus tympanoplasty with tympanoplasty alone in CSOM with ETD.
Materials And Methods:
This retrospective propensity score-matched cohort included CSOM patients with ETD treated from May 2021 to April 2024. The primary endpoint was 24-month tympanic membrane integrity; secondary endpoints were air-bone gap (ABG) closure, ETDQ-7, tubo-manometry, and complications.
Results:
Sixty matched pairs were analyzed. At 24 months, graft integrity was higher with BET plus tympanoplasty than with tympanoplasty alone (57/60, 95.0% vs. 49/60, 81.7%); BET was associated with lower graft-failure hazard (HR 0.28, 95% CI 0.11-0.74; p = 0.024). The combined group also had greater ABG closure (10.3 ± 3.4 vs. 5.4 ± 3.8 dB), lower ETDQ-7 scores (11.2 ± 2.4 vs. 15.8 ± 3.5), and more frequent TMM normalization (86.7% vs. 58.3%) (all p < 0.001). No severe complications occurred.
Conclusion:
Concurrent BET was associated with better long-term graft, hearing, and ETD-related outcomes.
