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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, DundeeDD2 1SY, Scotland, UK E-mail: aelmcmurranacademic@gmail.com
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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
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 1 , January 2020 , pp. 34 - 40
Copyright
Copyright © JLO (1984) Limited, 2020

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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.

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