Balloon dilatation of the cartilaginous portion of the Eustachian tube in the children presenting with relapsing exudative otitis media

Burova, O. V.; Bogomilsky, M.R.; Polunin, M M; Soldatsky, Yu L

doi:10.17116/otorino201681259-60

Cited by 7 publications

(2 citation statements)

References 3 publications

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“… 3 , 4 In children only 6 studies exist to our knowledge, all of which report favorable results with regard to a decrease of ear symptoms such as pain or hearing loss and an increase in the ability to perform pressure equalization. 5 - 10 However, confounding variables have to be mentioned. For instance, 20% of the children in the study by Jenckel received a simultaneous adenotomy and all children had adjunctive procedures in the study by Toivonen.…”

Section: Introductionmentioning

confidence: 99%

Eustachian Tube Balloon Dilation in Children: Short- and Long-Term Outcome

Gürtler,

Honegger

2024

Ann Otol Rhinol Laryngol

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Objective: Eustachian Tube Balloon Dilation (ETBD) represents an innovative therapeutic approach for chronic Eustachian tube dysfunction (CETD), a common disease in children. Some evidence of a benefit of ETBD in the adults exist in contrast to sparse reports in children. The objective was to analyze short- and long-term outcome of ETBD in children with CETD. Methods: A retrospective chart-review was performed in a cohort of 19 children (mean age 13 years, 7-17) who underwent ETBD. The following parameters were analyzed: tubomanometry ( R-value), tympanogram, hearing (CPT-AMA, Air-bone gap [ABG]), Eustachian Tube Score (ETS and ETS-7), and Eustachian Tube Disease questionnaire (ETDQ). Results: Twenty-four ears were dilated (in 5 patients subsequently after successful first intervention) and grouped as A (17) without and B (7) with additional T-tube insertion. Most children suffered from either chronic otitis media with effusion or chronic perforation (12, 63%), the remainder comprising recurrent otitis media, adhesive otitis media and CETD with barotrauma. Mean duration of symptoms were 7/8.2 years and mean follow-up 13.7/11.1 months. Eighty percent of patients reported a subjective benefit. Accordingly, the R-value, ETS, and ETS-7 were significantly ( P < .05) improved. Tympanometry, CPT-AMA and ABG showed a positive trend, but the result was not significant. Tympanic retraction remained largely the same; a spontaneous closure of a chronic tympanic perforation was seen in 1 of 3 cases. Conclusions: The high subjective benefit and some significant objective improvement warrants further analysis of ETBD as part of the therapeutic management in pediatric CETD.

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Section: Introductionmentioning

confidence: 99%

Eustachian Tube Balloon Dilation in Children: Short- and Long-Term Outcome

Gürtler,

Honegger

2024

Ann Otol Rhinol Laryngol

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“…This indicator reaches its maximum values at the age of 2-5 years, and by the age of 10, 80 children have a history of at least one episode of EOM [3]. As noted by B. Sedlmeier et al (2009) [7], boys are more susceptible to the disease. In studies, a number of authors have shown [5] that in Europe EOM is the main cause of hearing loss in children aged 2 to 7 years (during mass examinations of children in this age group, it is found in 30.2 cases) [11].…”

Section: Introductionmentioning

confidence: 99%

The State of the Nasal Cavity of Patients with Exudative Otitis Media

Khasanov¹

2022

IJMRA

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The state of intranasal structures was compared in patients with EOM and AR and EOM without AR. It was determined that the most likely cause of the violation of the protective function of the nasal mucosa in patients with EOM and AR is serous inflammation, manifested by a number of structural and functional changes. Structural changes are characterized by de-epithelialization of the mucous membrane in the acute phase, an increase in the number of goblet cells, a change in the viscosity of the medium, and a change in the pH of the medium. Each of the described processes ultimately leads to a slowdown in mucociliary transport, which occurs in the patients with EOM and AR that we examined. Thus, the curvature of the nasal septum and other features of the architectonics of intranasal structures in patients with EOM to a lesser extent than in patients with EOM and AR affect the development of the disease.

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Balloon Eustachian Tuboplasty in children

Leichtle

Hollfelder

Wollenberg

et al. 2017

Eur Arch Otorhinolaryngol

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Endonasal ballon dilatation of the Eustachian tube (BET) is a promising treatment for Eustachian tube dysfunction with encouraging results over the last years in adults. In addition, in children, single studies demonstrated promising results, but revealed the necessity for broader and additional studies. Our retrospective analysis presents outcomes with BET in children with chronic obstructive dysfunction of the Eustachian tube, showing resistance to the conventional therapy after adenotomy with paracentesis or grommets (ventilation tubes). The data of 52 children, having undergone BET from April 2011 to April 2016, were retrospectively evaluated. Most children in our study presented middle ear effusion (47%), adhesive (21%), chronic otitis media (13%), or recurrent acute otitis media (11%). In 24 (37%) children, we combined BET with a paracentesis, in 5 (8%) patients with a tympanoplasty type I and in 3 (5%) patients with a type III. All children were assessed using an audiogram, tympanometry, and tubomanometry (50 mbar) before and after BET. In addition, we evaluated the results of the Lübecker questionnaire, which we performed before and after BET. The childrens' ear-related and quality of life-related symptoms, such as pressure equalization, ear pressure, hearing loss, pain and limitation in daily life, and satisfaction pre- and postoperatively, were analyzed. In the majority of patients, we could see an improvement in the ear pressure, hearing loss, limitation in daily life, and satisfaction with recurrent inflammations, underlined by better outcomes in the tubomanometry and the tympanogram. BET in children is a safe, efficient, and promising method to treat chronic tube dysfunction, especially as a second line treatment, when adenotomy, paracentesis, or grommets failed before.

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Balloon dilatation of the cartilaginous portion of the Eustachian tube in the children presenting with relapsing exudative otitis media

Cited by 7 publications

References 3 publications

Eustachian Tube Balloon Dilation in Children: Short- and Long-Term Outcome

Eustachian Tube Balloon Dilation in Children: Short- and Long-Term Outcome

The State of the Nasal Cavity of Patients with Exudative Otitis Media

Balloon Eustachian Tuboplasty in children

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