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Eustachian tube balloon dilatation: a cross-sectional, survey-based study of 137 UK consultants

  • F S Koumpa (a1), I Moraitis (a2), P Bowles (a3) and N Saunders (a3)



To explore the opinions of the UK consultant body on endoscopic Eustachian tube balloon dilatation in the context of Eustachian tube dysfunction.


A 10-question online survey was distributed to ENT consultants currently practising in the UK (July–September 2018).


A total of 137 ENT consultants responded. Twenty-three per cent reported experience of Eustachian tube balloon dilatation, with a further 10 per cent planning to start performing the procedure. Of those performing the procedure, 16 per cent had more than two years’ experience. Thirty-two per cent were performing zero to five procedures a year. Eustachian tube balloon dilatation was primarily conducted to treat Eustachian tube dysfunction symptoms, as well as retraction pockets, baro-challenge-induced Eustachian tube dysfunction and otitis media with effusion. The most common reason for not undertaking Eustachian tube balloon dilatation was insufficient evidence of efficacy (65 per cent). Seventy-two per cent of consultants thought that creating a national database for audit and monitoring purposes would benefit the specialty.


The majority of UK ENT consultants do not practise Eustachian tube balloon dilatation, citing a lack of high-level evidence to support its use. A national database for auditing and research could facilitate the creation of guidelines.


Corresponding author

Author for correspondence: Mr Stefania Koumpa, Otolaryngology Department, Northwick Park Hospital, London, UK E-mail:


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Mr S Koumpa takes responsibility for the integrity of the content of the paper

Presented at the Association of Otolaryngologists in Training meeting, 9–10 May 2019, London, UK.



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Eustachian tube balloon dilatation: a cross-sectional, survey-based study of 137 UK consultants

  • F S Koumpa (a1), I Moraitis (a2), P Bowles (a3) and N Saunders (a3)


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