Consenso sobre el tratamiento de la disfunción tubárica obstructiva mediante dilatación con balón

Plaza, Guillermo; Navarro, Javier Martínez; Alfaro, Jorge; Sandoval, Marta; Marco, J

doi:10.1016/j.otorri.2019.01.005

Cited by 9 publications

(3 citation statements)

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“…In our study, no procedure-related adverse events were reported, which is in agreement with other studies, 11 but it can also be due to the low number of procedures performed Regarding the effectiveness of BET in the treatment of ETD, several studies and systematic reviews on the subject have been published in the past decade since its introduction into clinical practice. 3,6,[15][16][17][18][19] To evaluate BET results, multiple tools, both subjective and objective, have been used that assess ET function. Tympanometry remains the most frequently used test in most studies to objectively report ET function.…”

Section: Discussionmentioning

confidence: 99%

“… 5 In rare cases it may be associated with complications such as the creation of a false passage, AOM, patent Eustachian tube, tympanic membrane (TM) perforation, tinnitus, emphysema and hemotympanum. 6 Even so, it is a less invasive procedure when compared with other ET plasty techniques. Despite the promising results in the literature, the scientific evidence to determine the procedural effectiveness is still controversial, since the methods used for its evaluation are very variable, causing disagreement in the results and making their comparison difficult.…”

Section: Introductionmentioning

confidence: 99%

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Prospective Evaluation of the Efficacy of Isolated Balloon Eustachian Tuboplasty: Short- and Medium-term Follow-up Results Based on Tubomanometry, ETDQ-7, Tympanometry, and Valsalva Maneuver

Azevedo,

Moreira,

Lima

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Balloon eustachian tuboplasty (BET) allows the treatment of the main etiology of eustachian tube disfunction (ETD). Objective To evaluate the efficacy of isolated BET, through objective and subjective results, in the short and medium term, in patients with chronic obstructive ETD. Methods Adult patients diagnosed with chronic obstructive ETD who underwent BET between January 2018 and December 2020 were enrolled in the study. We performed a prospective observational study of BET efficacy, by comparing subjective data, based on the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7), and objective data, obtained by tympanometry, objective Valsalva maneuver and tubomanometry, prior to BET with these outcome tools on postprocedure follow-up. Results In total, 30 BETs were performed and analyzed. There were no complications with the procedure. Analysis of BET efficacy was performed in the short-term (average of 7.5 weeks) and in the medium-term (average of 8 months). There was a significant reduction (p < 0.0001) in the total ETDQ-7 score from baseline to both follow-up periods. A normalization of the ETDQ-7 score was observed in 60 and 83.3% of the performed procedures, in the short- and medium-term, respectively. In tubomanometry, we verified a significant improvement (p < 0.0001) at all pressures, with a normalization of tubomanometry values in 53.3% and 43.3% of cases in the short- and medium-term, respectively. Tympanogram normalization occurred in 71.4% of patients with abnormal preoperative assessments. Conclusion As an isolated procedure, BET results in significant improvements in symptomatology and objective metric results. This, associated with its safety profile, currently makes BET the most indicated therapeutic option in refractory obstructive ETD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prospective Evaluation of the Efficacy of Isolated Balloon Eustachian Tuboplasty: Short- and Medium-term Follow-up Results Based on Tubomanometry, ETDQ-7, Tympanometry, and Valsalva Maneuver

Azevedo,

Moreira,

Lima

et al. 2023

Int Arch Otorhinolaryngol

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“…Desde entonces, la evidencia la ha posicionado como una alternativa terapéutica sencilla, segura y, particularmente, eficaz para el tratamiento de la disfunción tubárica barotraumática [40][41][42] . Según el consenso español sobre el tratamiento de la disfunción tubárica obstructiva 43 , la tuboplastía con balón está indicada en adultos que padecen síntomas de presión ótica u otalgia (uni o bilateral) secundaria a barotrauma en contexto de aviación o buceo.…”

Section: Prevención Y Tratamientounclassified

Barotrauma inducido por vuelo en otorrinolaringología: Una revisión de la literatura

Alarcón P.,

Zelada E.,

Ibeas A.

et al. 2023

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Balloon Eustachian tuboplasty for obstructive Eustachian tube dysfunction: retrospective multicentre cohort study of 248 patients

Sandoval

Navarro²,

Martínez-Beneyto

et al. 2023

Eur Arch Otorhinolaryngol

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Objective To present the results after balloon eustachian tuboplasty (BET) in patients with obstructive Eustachian tube dysfunction (OETD) grouped up into: baro-challenge, chronic serous otitis media and adhaesive otitis media. Methods A retrospective study was carried out on patients who underwent BET surgery. As outcome measures, otoscopy, tympanometry, Eustachian tube dysfunction questionnaire-7 (ETDQ-7) and ability to perform the Valsalva manoeuvre were recorded at baseline and at 3, 12 and 24 months after BET. A p value of 0.05 was used to indicate a statistically significant difference for all statistical tests. Results Three hundred and nineteen ears (248 patients) were included with a 3-month follow-up, 272 ears had a 12-month follow-up, and 171 ears had 24-month follow-up. Globally, a statistical significance improvement in all groups in all outcome measures was found. According to BET indication, in the baro-challenge group, there was no improvement in otoscopy, but ETDQ-7, Valsalva manoeuvre and tympanogram improved significantly. In the chronic serous otitis media group, otoscopy, ETDQ-7 and Valsalva manoeuvre were significantly improved in all the three timelines, including the avoidance of a new transtympanic tube after the BET in over 80% of cases. In the adhaesive otitis media group, Valsalva manoeuvre improved significantly, ETDQ-7 decreased and tympanogram improved but not significantly. Few mild complications were reported. Conclusions BET is an effective method for the treatment of OETD in all etiologic groups. The greatest benefit was observed in patients with baro-challenge. A long-term follow-up is recommended since the benefit seems to increase over time.

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Consenso sobre el tratamiento de la disfunción tubárica obstructiva mediante dilatación con balón

Cited by 9 publications

References 50 publications

Prospective Evaluation of the Efficacy of Isolated Balloon Eustachian Tuboplasty: Short- and Medium-term Follow-up Results Based on Tubomanometry, ETDQ-7, Tympanometry, and Valsalva Maneuver

Prospective Evaluation of the Efficacy of Isolated Balloon Eustachian Tuboplasty: Short- and Medium-term Follow-up Results Based on Tubomanometry, ETDQ-7, Tympanometry, and Valsalva Maneuver

Barotrauma inducido por vuelo en otorrinolaringología: Una revisión de la literatura

Balloon Eustachian tuboplasty for obstructive Eustachian tube dysfunction: retrospective multicentre cohort study of 248 patients

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