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Patulous Eustachian tube obliteration using endovascular coils: a novel technique

Published online by Cambridge University Press:  11 June 2018

K Jolly ,
A Darr ,
S V Chavda  and
S K Ahmed
K Jolly*
Affiliation:
Department of Otolaryngology, Princess Royal Hospital, Telford, UK
A Darr
Affiliation:
Department of Otolaryngology, Princess Royal Hospital, Telford, UK
S V Chavda
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital Birmingham, UK
S K Ahmed
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital Birmingham, UK
*
Address for correspondence: Ms Karan Jolly, Department of Otolaryngology, Princess Royal Hospital, Telford TF1 6TF, UK E-mail: Kjolly@nhs.net
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Abstract

Background

Patulous Eustachian tube is a distressing condition characterised by chronic patency of the Eustachian tube and its failure to close. Patients typically present with symptoms of autophony and aural fullness. In patients requiring surgical intervention, a variety of different procedures have been demonstrated (both transtympanic and endonasal), with limited success. Evidence of the effectiveness of a number of surgical interventions is limited to small case series only.

Objective

This paper describes a novel treatment for patulous Eustachian tube using a 3 mm VortX Diamond endovascular coil.

Case report

A transnasal endoscopic approach was adopted, with cannulation of the Eustachian tube orifice using a Relieva sinus guide suction tube from a balloon sinuplasty set. The coil was deployed 1.5 cm deep into the Eustachian tube. Post-operative imaging was used to confirm correct positioning. Regular follow up was arranged. The patient reported complete resolution of her symptoms.

Conclusion

The technique has so far proved highly effective and minimally invasive. It will be employed in more patients to fully establish its effectiveness in treating patulous Eustachian tube.

Keywords

Patulous Eustachian TubeEndovascular CoilEndoscopic Surgical Procedure
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 6 , June 2018 , pp. 564 - 566
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Mr K Jolly takes responsibility for the integrity of the content of the paper

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