Balloon Dilation Eustachian Tuboplasty

Ockermann, Thorsten; Reineke, Ulf; Upile, Tahwinder; Ebmeyer, Jörg; Sudhoff, Holger

doi:10.1097/mao.0b013e3181e8cc6d

Cited by 104 publications

(101 citation statements)

References 8 publications

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“…As a potential solution for this, eustachian tube balloon dilation (proposed as a treatment for chronic eustachian tube dysfunction) aims to ventilate and drain the middle ear by improving the physiological function of the eustachian tube. 6,10 The initial papers by Ockermann et al in 2010 5,6 and Poe et al in 2011 10,17 focused on establishing the safety of eustachian tube balloon dilation by performing both cadaveric and clinical studies. The cadaveric studies revealed no evidence of fractures to the cartilaginous or bony lumen, and no damage to the internal carotid artery.…”

Section: Discussionmentioning

confidence: 99%

“…Only minor mucosal lacerations at the eustachian tube orifice were noted. 5,17 Since then, numerous prospective cohort studies have examined the role of eustachian tube balloon dilation. Pooled data analysis in this review revealed that the ability to perform a Valsalva improved from 8 per cent pre-eustachian tube balloon dilation to 72 per cent post-eustachian tube balloon dilation, while the rate of type A tympanograms increased from 5 to 61 per cent.…”

Section: Discussionmentioning

confidence: 99%

“…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. Its proposed mechanisms include mechanical dilation of the cartilaginous eustachian tube and initiation of histopathological changes to the mucosa that can alter the inflammatory process.…”

Section: Introductionmentioning

confidence: 99%

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Balloon dilation for eustachian tube dysfunction: systematic review

2016

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Background: Eustachian tube dysfunction is a disorder for which there are limited medical and surgical treatments. Recently, eustachian tube balloon dilation has been proposed as a potential solution.Method: A systematic literature review was performed. Abstracts were selected for relevance, and pooled data analysis and qualitative analysis was conducted.Results: Nine prospective studies, 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. Ability to perform a Valsalva manoeuvre improved from 20 to 177 out of 245 ears following eustachian tube balloon dilation and, where data were reported in terms of patient numbers, from 15 to 189 out of 210 patients. Tympanograms were classified as type A in 7 out of 141 ears pre-operatively and in 86 out of 141 ears post-operatively.Conclusion: Prospective case series can confirm the safety of eustachian tube balloon dilation. As a potential solution for chronic eustachian tube dysfunction, further investigations are warranted to establish a higher level of evidence of efficacy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Balloon dilation for eustachian tube dysfunction: systematic review

2016

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“…Дилатация слухо-вой трубы с баллоном, введенным в хрящевую часть слу-ховой трубы под контролем эндоскопа, была предложена в 2010 г. H. Sudhoff и соавт. [7,8], которые представили доказательства ее эффективности.…”

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

Burova

Bogomilsky

Polunin

et al. 2016

Vestn. otorinolaringol.

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“…Nasal pathologies have been shown to worsen the middle ear ventilation via a negative influence on airflow parameters. Nasal obstruction has been reported to increase nasal resistance to airflow, thereby changing the opening pressure threshold of the ET [7][8][9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

Should Nasal Function be Considered Prior to Tympanoplasty?

Akyıldız¹,

Özmen

Demir

et al. 2018

Int Adv Otol

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OBJECTIVE:To evaluate the association between nasal airway function and Eustachian tube (ET) functions and their impact on tympanoplasty in patients with chronic suppurative otitis media (CSOM). MATERIALS and METHODS:The study group (CSOM group) consisted of 33 patients scheduled to undergo tympanoplasty for CSOM. Two control groups were formed: a nasal septal deviation (NSD) group of 25 patients scheduled to undergo nasal surgery for NSD, and a control group of 25 healthy individuals with no otologic or rhinologic symptoms. ET functions were assessed tympanometrically with automatic Williams test (ETF1) and modified pressure equalization inflation-deflation test (ETF2) and nasal functions were analyzed using acoustic rhinometry and rhinomanometry. The patients in the CSOM group underwent tympanoplasty, and tests were repeated at the end of the 3rd postoperative month. RESULTS:Both acoustic rhinometry and rhinomanometry revealed similar nasal function in the CSOM and NSD groups, which was inferior to that of the control group. The CSOM group had the worst ET function. Dysfunctional ETs in the CSOM group improved at 3 months postsurgery, and all groups had a similar outcome regarding ET functions. The outcome of ear surgery was not affected by nasal function, and the graft take rate was 90%. CONCLUSION:Patients with NSD had generally poor ET function; however, this did not affect the outcomes of tympanoplasty. The preoperative ET function results were inconsistent with the results following tympanoplasty; therefore, they were not predictive of need for septoplasty. Thus, we do not universally recommend surgical correction of NSD prior to ear surgery; however, this decision should be made on an individual basis.

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Balloon Dilation Eustachian Tuboplasty

Abstract: This newly introduced method seems to be a feasible and safe procedure to dilate the Eustachian tube.

Cited by 104 publications

References 8 publications

Balloon dilation for eustachian tube dysfunction: systematic review

Balloon dilation for eustachian tube dysfunction: systematic review

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

Should Nasal Function be Considered Prior to Tympanoplasty?

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