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Balloon Eustachian tuboplasty for Eustachian tube dysfunction: report of long-term outcomes in a UK population

  • A E L McMurran (a1), G E Hogg (a2), S Gordon (a3), P M Spielmann (a1) and S E Jones (a1)...

Abstract

Background

Balloon Eustachian tuboplasty is a surgical management option for Eustachian tube dysfunction; it has shown promising results in studies worldwide, but has had limited uptake in the UK. This study reports long-term outcomes for patients offered balloon Eustachian tuboplasty for chronic dilatory and baro-challenge-induced Eustachian tube dysfunction, and describes practical experience gained from its implementation.

Methods

Balloon Eustachian tuboplasty was conducted in 25 patients (36 ears) with Eustachian tube dysfunction over three years. Information on presenting symptoms and signs, audiometric findings, tympanometry, and Eustachian Tube Dysfunction Questionnaire-7 scores were recorded pre- and post-operatively with a minimum follow up of one year.

Results

Sixteen (64 per cent) of the 25 patients demonstrated symptom resolution after balloon Eustachian tuboplasty according to the Eustachian Tube Dysfunction Questionnaire-7. Fourteen (64 per cent) of the 22 patients with a type B or C tympanogram pre-operatively, had a type A trace post-operatively. Fifteen (75 per cent) of 20 patients with pre-operative conductive hearing loss showed improvement post-operatively, and 11 (50 per cent) of 22 patients with pre-operative middle-ear effusion or tympanic membrane retraction showed resolution.

Conclusion

Balloon Eustachian tuboplasty can improve subjective and objective measures of Eustachian tube dysfunction, and provide longer-term resolution.

Copyright

Corresponding author

Author for correspondence: Ms A E L McMurran, Department of Otolaryngology, Ninewells Hospital and Medical School, DundeeDD2 1SY, Scotland, UK E-mail: aelmcmurranacademic@gmail.com

Footnotes

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Ms A E L McMurran takes responsibility for the integrity of the content of the paper

Presented at the British Society of Otology Symposium on Middle Ear Surgery at the British Academic Conference in Otolaryngology (‘BACO’) International meeting, 4–6 July 2018, Manchester, and at the ENT Scotland Winter Meeting, 9 November 2018, Stirling, Scotland, UK.

Footnotes

References

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1Schilder, AG, Bhutta, MF, Butler, CC, Holy, C, Levine, LH, Kvaerner, KJ et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol 2015;40:407–11
2Smith, ME, Takwoingi, Y, Deeks, J, Alper, C, Bance, ML, Bhutta, MF et al. Eustachian tube dysfunction: a diagnostic accuracy study and proposed diagnostic pathway. PLoS One 2018;13:e0206946
3Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhoff, HH. Balloon dilation eustachian tuboplasty: a feasibility study. Otol Neurotol 2010;31:1100–3
4Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhoff, HH. Balloon dilatation eustachian tuboplasty: a clinical study. Laryngoscope 2010;120:1411–16
5Poe, D, Silvola, J, Pyykko, I. Balloon dilation of the cartilaginous eustachian tube. Otolaryngol Head Neck Surg 2011;144:563–9
6Poe, D, Anand, V, Dean, M, Roberts, WH, Stolovitzky, JP, Hoffmann, K et al. Balloon dilation of the eustachian tube for dilatory dysfunction: a randomized controlled trial. Laryngoscope 2018;128:1200–6
7Jurkiewicz, D, Bien, D, Szczygielski, K, Kantor, I. Clinical evaluation of balloon dilation Eustachian tuboplasty in the Eustachian tube dysfunction. Eur Arch Otorhinolaryngol 2013;270:1157–60
8McCoul, ED, Anand, VK. Eustachian tube balloon dilation surgery. Int Forum Allergy Rhinol 2012;2:191–8
9Wanscher, JH, Svane-Knudsen, V. Promising results after balloon dilatation of the Eustachian tube for obstructive dysfunction. Dan Med J 2014;61:A4818
10Randrup, TS, Ovesen, T. Balloon eustachian tuboplasty: a systematic review. Otolaryngol Head Neck Surg 2015;152:383–92
11Luukkainen, V, Kivekas, I, Silvola, J, Jero, J, Sinkkonen, ST. Balloon Eustachian tuboplasty: systematic review of long-term outcomes and proposed indications. J Int Adv Otol 2018;14:112–26
12Bowles, PF, Agrawal, S, Salam, MA. Balloon tuboplasty in patients with Eustachian tube dysfunction: a prospective study in 39 patients (55 ears). Clin Otolaryngol 2017;42:1057–60
13Singh, T, Taneja, V, Kulendra, K, Farr, M, Robinson, J, Rejali, D. Balloon Eustachian tuboplasty treatment of longstanding Eustachian tube dysfunction. J Laryngol Otol 2017;131:614–19
14Spiggle & Theis. TubaVent Family. In: https://www.spiggle-theis.com/images/PDF/TubaVent_Family_E_2019.pdf [14 July 2019]
15McCoul, ED, Anand, VK, Christos, PJ. Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope 2012;122:1137–41
16Skevas, T, Dalchow, CV, Euteneuer, S, Sudhoff, H, Lehnerdt, G. Cervicofacial and mediastinal emphysema after balloon eustachian tuboplasty (BET): a retrospective multicenter analysis. Eur Arch Otorhinolaryngol 2018;275:81–7
17Schroder, S, Abdel-Aziz, T, Lehmann, M, Ebmeyer, J, Sudhoff, H. Bacteriologic investigation of the Eustachian tube and the implications of perioperative antibiotics before balloon dilation [in German]. HNO 2015;63:629–33

Keywords

Balloon Eustachian tuboplasty for Eustachian tube dysfunction: report of long-term outcomes in a UK population

  • A E L McMurran (a1), G E Hogg (a2), S Gordon (a3), P M Spielmann (a1) and S E Jones (a1)...

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