Hostname: page-component-cb9f654ff-5kfdg Total loading time: 0 Render date: 2025-08-05T07:02:32.323Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  08 January 2020

A E L McMurran ,
G E Hogg ,
S Gordon ,
P M Spielmann  and
S E Jones
A E L McMurran*
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
G E Hogg
Affiliation:
Department of Anatomy, University of Edinburgh, Scotland, UK
S Gordon
Affiliation:
School of Medicine, University of Dundee, Ninewells Hospital and Medical School, Scotland, UK
P M Spielmann
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
S E Jones
Affiliation:
Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, Scotland, UK
*
Author for correspondence: Ms A E L McMurran, Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee DD2 1SY, Scotland, UK E-mail: aelmcmurranacademic@gmail.com
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Eustachian TubeOtitis Media With EffusionOtologic Surgical ProceduresMiddle Ear Ventilation

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 1 , January 2020 , pp. 34 - 40
Copyright
Copyright © JLO (1984) Limited, 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

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.

References

Schilder, 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;40:407–1110.1111/coa.12475CrossRefGoogle ScholarPubMed
Smith, 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:e020694610.1371/journal.pone.0206946CrossRefGoogle ScholarPubMed
Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhoff, HH. Balloon dilation eustachian tuboplasty: a feasibility study. Otol Neurotol 2010;31:1100–310.1097/MAO.0b013e3181e8cc6dCrossRefGoogle ScholarPubMed
Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhoff, HH. Balloon dilatation eustachian tuboplasty: a clinical study. Laryngoscope 2010;120:1411–1610.1002/lary.20950CrossRefGoogle ScholarPubMed
Poe, D, Silvola, J, Pyykko, I. Balloon dilation of the cartilaginous eustachian tube. Otolaryngol Head Neck Surg 2011;144:563–910.1177/0194599811399866CrossRefGoogle ScholarPubMed
Poe, 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;128:1200–6Google ScholarPubMed
Jurkiewicz, D, Bien, D, Szczygielski, K, Kantor, I. Clinical evaluation of balloon dilation Eustachian tuboplasty in the Eustachian tube dysfunction. Eur Arch Otorhinolaryngol 2013;270:1157–6010.1007/s00405-012-2243-9CrossRefGoogle ScholarPubMed
McCoul, ED, Anand, VK. Eustachian tube balloon dilation surgery. Int Forum Allergy Rhinol 2012;2:191–810.1002/alr.21007CrossRefGoogle ScholarPubMed
Wanscher, JH, Svane-Knudsen, V. Promising results after balloon dilatation of the Eustachian tube for obstructive dysfunction. Dan Med J 2014;61:A4818Google ScholarPubMed
Randrup, TS, Ovesen, T. Balloon eustachian tuboplasty: a systematic review. Otolaryngol Head Neck Surg 2015;152:383–9210.1177/0194599814567105CrossRefGoogle ScholarPubMed
Luukkainen, 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;14:112–2610.5152/iao.2018.4769CrossRefGoogle ScholarPubMed
Bowles, PF, Agrawal, S, Salam, MA. Balloon tuboplasty in patients with Eustachian tube dysfunction: a prospective study in 39 patients (55 ears). Clin Otolaryngol 2017;42:1057–6010.1111/coa.12812CrossRefGoogle Scholar
Singh, T, Taneja, V, Kulendra, K, Farr, M, Robinson, J, Rejali, D. Balloon Eustachian tuboplasty treatment of longstanding Eustachian tube dysfunction. J Laryngol Otol 2017;131:614–1910.1017/S0022215117000974CrossRefGoogle ScholarPubMed
Spiggle & Theis. TubaVent Family. In: https://www.spiggle-theis.com/images/PDF/TubaVent_Family_E_2019.pdf [14 July 2019]Google Scholar
McCoul, ED, Anand, VK, Christos, PJ. Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope 2012;122:1137–4110.1002/lary.23223CrossRefGoogle Scholar
Skevas, 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;275:81–710.1007/s00405-017-4805-3CrossRefGoogle ScholarPubMed
Schroder, 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;63:629–33Google Scholar