Balloon Catheter Dilatation of Eustachian Tube

Abstract

Endoscopic transnasal ET balloon dilation is a novel approach to treating ET dysfunction. Benefits can be durable up to 3 years. This technique holds much promise and merits further investigation.

Balloon dilation for eustachian tube dysfunction: systematic review

“…Nine prospective studies, 4,6,[8][9][10][11][12][13][14] describing 713 eustachian tube balloon dilations in 474 patients (aged 18-86 years), were identified. Follow-up duration ranged from 1.5 to 18 months.…”

“…More serious complications included two cases of self-resolving subcutaneous emphysema in two separate studies. 4,13 Complications associated with a learning curve were described by Wanscher and Svane-Knudsen, 14 who reported 3 cases of acute otitis media in the first 20 eustachian tube balloon dilations, which decreased to 1 out of 30 after 5 days of post-operative prophylactic oral antibiotics.…”

“…1,2 Treatment may entail multiple insertions of ventilation tubes in patients with chronic eustachian tube dysfunction, leading to complications such as tympanosclerosis, chronic perforation and cholesteatoma. 4 Recently, eustachian tube balloon dilation has been researched in prospective cohort studies and is currently used 'off-label' as a potential treatment for chronic eustachian tube dysfunction. 5,6 It aims to improve eustachian tube compliance and middle-ear ventilation.…”

Eustachian tube dysfunction in children after surgical interventions into the nasopharynx

“…В данном случае основным оценочным критерием являлось состояние барабан-ной перепонки [21]. В других исследованиях основ-ное внимание уделялось не тимпанометрическим данным, а пробе Вальсальвы, а также субъективной оценке состояния пациентов [22][23][24][25]. C нашей точки зрения, не менее важно определить, насколько бы-стро наступают или не наступают изменения в венти-ляции полости среднего уха.…”

Panel 2: Anatomy (Eustachian Tube, Middle Ear, and Mastoid—Anatomy, Physiology, Pathophysiology, and Pathogenesis)

“…Due to risk of injury to the ICA, balloon dilation of the bony ET is contraindicated. 55 Jurkiewicz et al, 56 McCoul et al, 19 Tisch et al, 57 Catalano et al, 58 Schröder et al, 59 Silvola et al, 60 again Schröder et al, 21 and Dalchow et al 61 reported successful outcomes of balloon dilation. Kivekäs et al 62 compared biopsies of the ET mucosa before and after balloon dilation and found reduction of inflammatory epithelial changes and submucosal inflammatory infiltrate after the balloon procedure.…”