Assessment of Eustachian tube function in patients with tympanic membrane retraction and in normal subjects

Canali, Inesângela; Rosito, Letícia Petersen Schmidt; Siliprandi, Bruno; Giugno, Claudia S.; Costa, Sady Selaimen da

doi:10.1016/j.bjorl.2016.01.010

Cited by 14 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 Canali et al . 16 reported that type C tympanograms were more frequent in a moderate to severe retraction group than in normal and mild retraction groups. This suggests that patients with a retracted tympanic membrane would likely have poor Eustachian tube function, which can result in recurrent OME.…”

Section: Discussionmentioning

confidence: 97%

Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion

et al. 2019

View full text Add to dashboard Cite

ObjectiveTo determine the factors related to multiple ventilation tube insertions in children with otitis media with effusion.MethodsA retrospective review was performed of 126 ears of 81 children aged less than 12 years who had undergone insertion of a Paparella type 1 ventilation tube for the first time between August 2012 and March 2018.ResultsMean age at the first operation was 4.0 ± 2.2 years, and the mean duration of otitis media with effusion before the first ventilation tube insertion was 5.4 ± 4.5 months. Among 126 ears, 80 (63.5 per cent) had a single ventilation tube insertion and 46 (36.5 per cent) had multiple insertions. On multivariate logistic regression, tympanic membrane retraction, serous middle-ear discharge, and early recurrence of otitis media with effusion were independent predictive factors of multiple ventilation tube insertions.ConclusionTympanic membrane retraction, serous middle-ear discharge, and early recurrence of otitis media with effusion after the first tube extrusion are associated with multiple ventilation tube insertions.

show abstract

Section: Discussionmentioning

confidence: 97%

Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion

et al. 2019

View full text Add to dashboard Cite

show abstract

“…[9] The physiological status of the ET becomes stable at the time of complete anatomical maturation. Hence, ETD is blamed for the development of chronic otitis media, tympanic membrane retraction, and progression of the latter to chronic cholesteatomatous otitis media [10][11][12][13] and might affect the success rate of middle ear surgery. [14] Vila et al [15] reported that ETD is associated with 2 million visits per annum among those >20 years of age and 2.6 million visits among those <20 years.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Turkish version of the Eustachian Tube Dysfunction Questionnaire

Güneş¹

2017

Kulak Burun Bogaz Ihtis Derg

View full text Add to dashboard Cite

Objectives: This study aims to determine the value and discriminative power of the validated translation of the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) in a Turkish speaking population with and without Eustachian tube dysfunction (ETD). Materials and Methods:The ETDQ-7 was completed by 38 patients with ETD and 47 healthy individuals. The internal consistency was evaluated using the Cronbach's alpha coefficient. The receiver operating characteristic (ROC) curve was determined as an accuracy measure. Results:The Turkish version of the ETDQ-7's Cronbach's alpha value of 0.89. In the comparison of case and control groups, there was a significant change in the total scoring. There was a significant positive correlation between the test and retest using the Spearman's correlation test (p<0.05). In the discrimination of the ETD and control groups, curve area under 14, the highest cut-off value, was used. Sensitivity was 97.4%, positive predictive value was 88.1%, specificity was 89.4%, and negative predictive value was 97.7%. Conclusion:The Turkish version of the ETDQ-7 demonstrated acceptable levels of reliability and validity to be used for Turkish speaking individuals with ETD. Test-retest reliability for the Turkish version of the ETDQ-7 was also excellent.Keywords: Eustachian tube; eustachian tube dysfunction questionnaire-7; dysfunction; reliability. ÖZAmaç: Bu çalışmada östaki tüp disfonksiyonu (ÖTD) olan ve olmayan Türkçe konuşan bir popülasyonda Östaki Tüp Disfonksiyonu Anketi-7'nin (ETDQ-7) doğrulanmış çevirisinin değeri ve ayırıcı gücü belirlendi. Gereç ve Yöntemler:Östaki Tip Disfonksiyonu Anketi-7 38 ÖTD hastası ve 47 sağlıklı birey tarafından tamamlandı. İç tutarlılık Cronbach alfa katsayısı kullanılarak değerlendirildi. Alıcı işletim karakteristik (ROC) eğrisi, doğruluk ölçütü olarak belirlendi. Bulgular: Türkçe ETDQ-7 versiyonunun Cronbach alfa değeri 0.89 idi. Olgu ve kontrol gruplarının karşılaştırılmasında, total puanlamada anlamlı değişim saptandı. Spearman korelasyon testi ile test ve yeniden test arasında anlamlı pozitif bir ilişki vardı (p<0.05). ÖTD ve kontrol gruplarının ayrımında, en yüksek kesme değeri 14 altındaki eğri alanı kullanıldı. Duyarlılık %97.4, pozitif öngörü değeri %88.1, özgüllük %89.4 ve negatif öngörü değeri %97.7 idi.Sonuç: Türkçe ETDQ-7 versiyonu ÖTD'li Türkçe konuşan bireylerde kullanılmak üzere kabul edilebilir düzeyde güvenirlik ve geçerlilik göstermiştir. Türkçe ETDQ-7 versiyonunun test-yeniden test güvenirliği de mükemmel düzeyde idi.Anahtar Sözcükler: Östaki tüpü; östaki tüp disfonksiyon testi-7; disfonksiyon; güvenirlik.

show abstract

“…Endoscopic tympanoplasty for TMRs is a promising surgical technique, but further studies are needed to confirm these results. One of the causes of TMRs is the eustachian tube dysfunction [ 33 , 34 ]. Therefore, another promising treatment option that may be combined with the wait-and-see policy might be eustachian tube dilatation.…”

Section: Discussionmentioning

confidence: 99%

Management of tympanic membrane retractions: a systematic review

Bayoumy

Veugen

Veen

et al. 2021

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Importance Tympanic membrane retraction (TMR) is a relatively common otological finding. However, no consensus on its management exists. We are looking especially for a treatment strategy in the military population who are unable to attend frequent follow-up visits, and who experience relatively more barotrauma at great heights and depths and easily suffer from otitis externa from less hygienic circumstances. Objective To assess and summarize the available evidence for the effectiveness of surgical interventions and watchful waiting policy in patients with a tympanic membrane retraction. Evidence review The protocol for this systematic review was published at Prospero (207859). PubMed, Embase, and the Cochrane Database of Systematic Reviews were systematically searched from inception up to September 2020 for published and unpublished studies. We included randomized trials and observational studies that investigated surgical interventions (tympanoplasty, ventilation tube insertion) and wait-and-see policy. The primary outcomes of this study were clinical remission of the tympanic membrane retraction, tympanic membrane perforations and cholesteatoma development. Findings In total, 27 studies were included, consisting of 1566 patients with TMRs. We included data from 2 randomized controlled trials (76 patients) and 25 observational studies (1490 patients). Seven studies (329 patients) investigated excision of the TMR with and without ventilation tube placement, 3 studies (207 patients) investigated the wait-and-see policy and 17 studies (1030 patients) investigated tympanoplasty for the treatment of TMRs. Conclusions and relevance This study provides all the studies that have been published on the surgical management and wait-and-policy for tympanic membrane retractions. No high level of evidence comparative studies has been performed. The evidence for the management of tympanic membrane retractions is heterogenous and depends on many factors such as the patient population, location and severity of the TMR and presence of other ear pathologies (e.g., perforation, risk of cholesteatoma and serous otitis media).

show abstract

Assessment of Eustachian tube function in patients with tympanic membrane retraction and in normal subjects

Cited by 14 publications

References 21 publications

Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion

Analysis of factors associated with multiple ventilation tube insertions in children with otitis media with effusion

Evaluation of the Turkish version of the Eustachian Tube Dysfunction Questionnaire

Management of tympanic membrane retractions: a systematic review

Contact Info

Product

Resources

About