Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T09:03:16.880Z Has data issue: false hasContentIssue false
  • English
  • Français

Efficacy of balloon Eustachian tuboplasty as a first line treatment for otitis media with effusion in children

Published online by Cambridge University Press:  18 November 2020

B Demir  and
C Batman
B Demir*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University Medical Faculty, Istanbul, Turkey
C Batman
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University Medical Faculty, Istanbul, Turkey
*
Author for correspondence: Berat Demir, Department of Otolaryngology, Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University Medical Faculty, Mimar Sinan Caddesi No. 41, Fevzi Cakmak Mahallesi, Ust Kaynarca-Pendik, 34899Istanbul, Turkey E-mail: drberatdemir80@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study aimed to compare the outcomes of ventilation tube insertion and balloon Eustachian tuboplasty as a first line treatment for otitis media with effusion in children.

Method

This was a retrospective evaluation of 62 children, 30 cases that underwent balloon Eustachian tuboplasty (group 1) and 32 cases that underwent ventilation tube insertion (group 2), from July 2016 to April 2018.

Results

The pre-operative air–bone gap of patients who underwent balloon Eustachian tuboplasty was 15–35 dB (mean: 27.6 ± 8.2 dB). The mean pre-operative air–bone gap decreased to 9.6 dB after a mean of 14.4 months (p < 0.05). The air–bone gap decreased from 25.6 dB to 17.6 dB in the ventilation tube group. There was a significant improvement in the air–bone gap values in both groups; however, this decrease was significantly higher in the balloon Eustachian tuboplasty group (p = 0.043).

Conclusion

Balloon Eustachian tuboplasty may be an effective and safe method for use as a first-line treatment of otitis media with effusion in children.

Keywords

Eustachian Tube DysfunctionOtitis Media With EffusionBalloon Dilatation Eustachian TuboplastyEar, Middle
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 11 , November 2020 , pp. 1018 - 1021
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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.)

Footnotes

Dr B Demir takes responsibility for the integrity of the content of the paper

References

Aage Moller. Hearing: Anatomy, Physiology, and Disorders of the Auditory System. 3rd Edn. San Diego: Plural Publishing, 2012Google Scholar
Luukkainen, V, Kivekäs, 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
Tisch, M, Maier, H, Sudhoff, H. Balloon dilation of the Eustachian tube: clinical experience in the management of 126 children. Acta Otorhinolaryngol Ital 2017;37:509–12Google ScholarPubMed
Schroder, S, Lehmann, M, Ebmeyer, J, Upile, T, Sudhof, H. Balloon Eustachian tuboplasty: a retrospective cohort study. Clin Otolaryngol 2015;40:629–3810.1111/coa.12429CrossRefGoogle ScholarPubMed
Ockermann, T, Reineke, U, Upile, T, Ebmeyer, J, Sudhof, HH. Balloon dilatation Eustachian tuboplasty: a clinical study. Laryngoscope 2010;120:1411–610.1002/lary.20950CrossRefGoogle ScholarPubMed
Tisch, M, Maier, S, Hecht, P, Maier, H. Bilateral Eustachian tube dilation in infants: an alternative treatment for persistent middle ear functional dysfunction [in German]. HNO 2013;6:492–310.1007/s00106-013-2713-4CrossRefGoogle Scholar
Jenckel, F, Kappo, N, Gliese, A, Loewenthal, M, Lörinncz, BB, Knecht, R et al. Endonasal dilatation of the Eustachian Tube (EET) in children: feasibility and the role of tubomanometry (Esteve) in outcomes measurement. Eur Arch Otorhinolaryngol 2015;272:3677–8310.1007/s00405-014-3443-2CrossRefGoogle Scholar
Maier, S, Tisch, M, Maier, H. Balloon dilation of the Eustachian tube in pediatric chronic obstructive Eustachian tube dysfunction patients [in German]. HNO 2015;63:686–8, 690–4, 696–710.1007/s00106-015-0050-5CrossRefGoogle Scholar
Juszczak, H, Aubin-Pouliot, A, Sharon, JD, Loftus, PA. Sinonasal risk factors for eustachian tube dysfunction: cross-sectional findings from NHANES 2011–2012. Int Forum Allergy Rhinol 2019;9:466–7210.1002/alr.22275CrossRefGoogle ScholarPubMed
Mandel, EM, Swarts, JD, Casselbrant, ML, Tekely, KK, Richert, BC, Seroky, JT et al. Eustachian tube function as a predictor of the recurrence of middle-ear effusion in children. Laryngoscope 2013;123:2285–9010.1002/lary.24021CrossRefGoogle ScholarPubMed
Poe, D. In reference to balloon dilatation Eustachian tuboplasty: a clinical study. Laryngoscope 2011;12:90810.1002/lary.21138CrossRefGoogle Scholar
Tisch, M, Maier, S, Maier, H. Eustachian tube dilation using the Bielefeld balloon catheter: clinical experience with 320 interventions [in German]. HNO 2013;61:483–710.1007/s00106-013-2711-6CrossRefGoogle Scholar
Ishijima, K, Sando, I, Balaban, C, Suzuki, C, Takasaki, K. Length of the eustachian tube and its postnatal development: computer-aided three-dimensional reconstruction and measurement study. Ann Otol Rhinol Laryngol 2000;109:542–810.1177/000348940010900603CrossRefGoogle ScholarPubMed
Leichtle, A, Hollfelder, D, Wollenberg, B, Bruchhage, KL. Balloon Eustachian Tuboplasty in children. Eur Arch Otorhinolaryngol 2017;274:2411–910.1007/s00405-017-4517-8CrossRefGoogle ScholarPubMed
Choi, H, Lee, D, Hong, Y, Kim, D-K. Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion. J Laryngol Otol 2019;133:281–410.1017/S0022215119000495CrossRefGoogle 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
Kivekäs, I, Chao, W-C, Faquin, W, Hollowell, M, Silvola, J, Rasooly, T et al. Histopathology of balloon-dilation eustachian tuboplasty. Laryngoscope 2015;125:436–4110.1002/lary.24894CrossRefGoogle ScholarPubMed
Si, Y, Chen, YB, Chu, YG, Chen, SJ, Xiong, H, Chen, XM et al. Effects of combination of balloon Eustachian tuboplasty with methylprednisolone irrigation on treatment of chronic otitis media with effusion in adults. Am J Otolaryngol 2018;39:670–510.1016/j.amjoto.2018.06.016CrossRefGoogle ScholarPubMed
Li, YQ, Chen, YB, Yin, GD, Zeng, XL. Effect of balloon dilation eustachian tuboplasty combined with tympanic tube insertion in the treatment of chronic recurrent secretory otitis media. Eur Arch Otorhinolaryngol 2019;276:2715–2010.1007/s00405-019-05512-7CrossRefGoogle ScholarPubMed