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2023-09-01

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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/220010

Balloon Eustachian tuboplasty for obstructive Eustachian tube dysfunction: retrospective multicentre cohort study of 248 patients

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https://doi.org/10.1007/s00405-023-07906-0

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Objective: To present the results after balloon eustachian tuboplasty (BET) in patients with obstructive Eustachian tube dysfunction (OETD) grouped up into: baro-challenge, chronic serous otitis media and adhaesive otitis media. Methods: A retrospective study was carried out on patients who underwent BET surgery. As outcome measures, otoscopy, tympanometry, Eustachian tube dysfunction questionnaire-7 (ETDQ-7) and ability to perform the Valsalva manoeuvre were recorded at baseline and at 3, 12 and 24 months after BET. A p value of 0.05 was used to indicate a statistically significant difference for all statistical tests. Results: Three hundred and nineteen ears (248 patients) were included with a 3-month follow-up, 272 ears had a 12-month follow-up, and 171 ears had 24-month follow-up. Globally, a statistical significance improvement in all groups in all outcome measures was found. According to BET indication, in the baro-challenge group, there was no improvement in otoscopy, but ETDQ-7, Valsalva manoeuvre and tympanogram improved significantly. In the chronic serous otitis media group, otoscopy, ETDQ-7 and Valsalva manoeuvre were significantly improved in all the three timelines, including the avoidance of a new transtympanic tube after the BET in over 80% of cases. In the adhaesive otitis media group, Valsalva manoeuvre improved significantly, ETDQ-7 decreased and tympanogram improved but not significantly. Few mild complications were reported. Conclusions: BET is an effective method for the treatment of OETD in all etiologic groups. The greatest benefit was observed in patients with baro-challenge. A long-term follow-up is recommended since the benefit seems to increase over time.

Matèries

Malalties otorrinolaringològiques, Trompa d'Eustaqui, Otitis mitjana, Cirurgia

Matèries (anglès)

Otorhinolaryngologic diseases, Eustachian tube, Otitis media, Surgery

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Articles publicats en revistes (Medicina)

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SANDOVAL PUIG, Marta, NAVARRO, Juan j., MARTÍNEZ BENEYTO, Paz, HERRERA, Mayte, ALFARO, Jorge, LÓPEZ, Felipe, MARCO, Jaime, PLAZA, Guillermo. Balloon Eustachian tuboplasty for obstructive Eustachian tube dysfunction: retrospective multicentre cohort study of 248 patients. _European Archives of Oto-Rhino-Laryngology_. 2023. Vol. 280, núm. 9, pàgs. 4045-4055. [consulta: 24 de gener de 2026]. ISSN: 0937-4477. [Disponible a: https://hdl.handle.net/2445/220010]

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