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Balloon Eustachian tuboplasty treatment of longstanding Eustachian tube dysfunction

  • T Singh (a1), V Taneja (a1), K Kulendra (a1), M Farr (a1), J Robinson (a1) and D Rejali (a1)...
Abstract Background:

Eustachian tube dysfunction is a poorly defined condition associated with various symptoms and it can predispose to middle-ear disease. Balloon dilation Eustachian tuboplasty has been proposed as a treatment for Eustachian tube dysfunction.


To evaluate the subjective and objective outcomes of balloon dilation Eustachian tuboplasty in patients with recurrent, previously treated chronic Eustachian tube dysfunction.


The study was conducted on 11 patients (13 ears) who had undergone previous unsuccessful medical and surgical treatment. Tympanometry was the primary outcome measure. Secondary outcome measures included pure tone audiogram assessment and seven-item Eustachian Tube Dysfunction Questionnaire score.


Balloon dilation Eustachian tuboplasty resulted in significant improvements in 11 patients’ subjective but not objective outcome measures.


The objective abnormality and subjective symptoms in Eustachian tube dysfunction may represent two distinct pathological processes, which may nevertheless influence and exacerbate each other.

Corresponding author
Address for correspondence: Ms Virangna Taneja, House No 16, Wind Rush Grove, Edgbaston, Birmingham B15 2DL, UK E-mail:
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1 Bluestone, CD. Definitions, terminology, and classification In: Rosenfeld, RM, Bluestone, CD, eds. Evidence-based Otitis Media. Hamilton, ON: BC Decker, 1999;85104
2 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;40:407–11
3 Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhoff, HH. Balloon dilatation Eustachian tuboplasty: a clinical study. Laryngoscope 2010;120:1411–16
4 Choi, SH, Han, JH, Chung, JW. Pre-operative evaluation of Eustachian tube function using a modified pressure equilibration test is predictive of good postoperative hearing and middle ear aeration in type 1 tympanoplasty patients. Clin Exp Otorhinolaryngol 2009;2:61–5
5 Politzer, A. On the arbitrary movements of the tympanic membrane [in German]. Weiner Med Hall 1862;18:103
6 Zollner, R. Anatomy, Physiology and Clinic of the Eustachian Tube [in German]. Berlin: Springer Publishing, 1942
7 Suehs, OW. Secretory otitis media. Laryngoscope 1952;62:9981027
8 Senturia, BH, Gessert, CF, Carr, CD. Studies concerned with tubotympanitis. Ann Otol Rhinol Laryngol 1958;67:440–67
9 Sadé, J. Pathology and pathogenesis of serous otitis media. Arch Otolaryngol 1966;84:297305
10 Podoshin, L, Fradis, M, Malatskey, S, Ben-David, J. Tympanoplasty in adults: a five-year survey. Ear Nose Throat J 1996;75:149–52, 155–6
11 Dorrie, A, Dommerich, S, Pau, HW. Early postoperative middle-ear ventilation – risk for the transplant or guarantee for aeration of the tympanic cavity [in German]? Laryngorhinootologie 2003;82:102–4
12 McCoul, ED, Anand, VK, Christos, PJ. Validating the clinical assessment of eustachian tube dysfunction: the eustachian tube dysfunction questionnaire (ETDQ-7). Laryngoscope 2012;122:1137–41
13 Randrup, TS, Ovesen, T. Balloon Eustachian tuboplasty: a systematic review. Otolaryngol Head Neck Surg 2015;152:383–92
14 Jurkiewicz, D, Bien, D, Szczygielski, K, Kantor, I. Clinical evaluation of balloon dilation Eustachian tuboplasty in the Eustachian tube dysfunction. Eur Arch Otorhinolaryngol 2013;270:1157–60
15 Seibert, JW, Danner, CJ. Eustachian tube function and the middle ear. Otolaryngol Clin North Am 2006;39:1221–35
16 Todd, NW. There are no accurate tests for Eustachian tube function. Arch Otolaryngol Head Neck Surg 2000;126:1041–2
17 Wullstein, H. Eustachian tube in tympanoplasty. AMA Arch Otolaryngol 1960;71:408–11
18 Bluestone, CD. Assessment of Eustachian tube function. In: Jerger, J, ed. Handbook of Clinical Impedance Audiometry. New York: American Electromedics, 1975;127–48
19 Cantekin, EI, Saez, CA, Bluestone, CD, Bern, SA. Airflow through the Eustachian tube. Ann Otol Rhinol Laryngol 1979;88:603–12
20 Gluth, MB, McDonald, DR, Weaver, AL. Management of Eustachian tube dysfunction with nasal steroid spray: a prospective, randomized, placebo-controlled trial. Arch Otolaryngol Head Neck Surg 2011;137:449–55
21 Gates, GA. Adenoidectomy for otitis media with effusion. Ann Otol Rhinol Laryngol Suppl 1994;163:54–8
22 Nguyen, LH, Manoukian, JJ, Yoskovitch, A, Al-Sebeih, KH. Adenoidectomy: selection criteria for surgical cases of otitis media. Laryngoscope 2004;114:863–6
23 Zollner, F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol 1955;69:637–52
24 Metson, R, Pletcher, SD, Poe, DS. Microdebrider Eustachian tuboplasty: a preliminary report. Otolaryngol Head Neck Surg 2007;136:422–7
25 Kujawski, OB, Poe, DS. Laser Eustachian tuboplasty. Otol Neurotol 2004;25:18
26 Politzer, A. History of Otology, Vol 1. Phoenix: Columella Press, 1981
27 Miller, GF. Influence of an oral decongestant on Eustachian tube function in children. J Allergy 1970;45:187–93
28 Ockermann, T. Balloon Dilatation of the Eustachian Tube for the Treatment of Obstructive Tubal Dysfunction [in German]. Bochum: Universität Bochum, 2009
29 McCoul, ED, Anand, VK. Eustachian tube balloon dilation surgery. Int Forum Allergy Rhinol 2012;2:191–8
30 Elner, A, Ingelstedt, S, Ivarsson, A. The normal function of the Eustachian tube. A study of 102 cases. Acta Otolaryngol 1971;72:320–8
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  • EISSN: 1748-5460
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