Clinical evaluation of balloon dilation eustachian tuboplasty surgery in adult otitis media with effusion

Dai, Song; Guan, Guofang; Jia, Jianping; Li, Hongbo; Sang, Yuehong; Chang, Delong; Hou, Lei; Zhang, Wei; Wen, Lian-Ji; Zhang, Dejun

doi:10.3109/00016489.2016.1159328

Cited by 19 publications

(18 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Three subgroups used dichotomous data (relative risk [RR]) and one continuous data (mean score and standard deviation [SD]). Two studies in which these subgroups were mentioned had to be excluded due to the absence of data before the ETBD procedure …”

Section: Resultsmentioning

confidence: 99%

“…In order to assess potential dehiscence of the bony wall of the internal carotid artery or anomalies of the tuba auditiva, a preoperative (high‐resolution) CT scan of the temporal bone was performed in nine studies and a digital volume tomography in one . The remaining five studies refrained from imaging …”

Section: Resultsmentioning

confidence: 99%

“…Every patient underwent clinical examination, tympanometry, audiometry, and sometimes tubamanometry. All studies used either Spiggle & Theis (Overath, Germany), or Acclarent (Acclarent, Inc.; Irvine, CA) for balloon dilation. Spiggle & Theis uses a balloon of 20 mm in length and 3 mm in width, which is inflated to 10 bars for 2 minutes, whereas Acclarent (Acclarent, Inc.) is 16 mm in length and 5 to 7 mm in width and inflated to 12 bars for 1 to 2 minutes.…”

Section: Resultsmentioning

confidence: 99%

“…Patients received general anesthesia in 10 studies. In three studies, both general (n = 82) and local (n = 30) anesthesia was used . Two studies did not report their way of providing anesthesia …”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review

et al. 2017

View full text Add to dashboard Cite

Objective: Balloon dilation is a new entity in the therapeutic approach of Eustachian tube dysfunction. The aim of this systematic review is to evaluate the success of balloon dilation of the tuba auditiva in reducing symptoms in adult patients with Eustachian tube dysfunction.Data Sources: Embase, PubMed, and Cochrane Library. Review Methods: The systematic literature search was conducted independently by two authors based on title and abstracts, and resulted in 36 articles. These articles were screened as full text, 15 of them were eligible for critical appraisal. Data were extracted from selected studies and presented in this article. A meta-analysis was conducted for four subgroups. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used as a writing guideline for this systematic review.Results: All 15 included studies were case series. A total of 1,155 patients were treated with balloon dilation of the tuba auditiva. Outcome parameters were relief of symptoms, otoscopy, Valsalva maneuver or Toynbee test, audiometry, tympanometry, Eustachian tube dysfunction classification, and Eustachian tube score. All articles showed short-term improvement of original symptoms; some showed further improvement over time. Follow-up ranged from just after therapy to 50 months. Relatively mild and self-limiting complications were described in 36 patients.Conclusion: All current studies suggest that balloon dilation of the Eustachian tube can be a helpful treatment in patients with Eustachian tube dysfunction. However, placebo controlled trials are still warranted.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Some studies have shown that the etiology may be related to an immature immune system, viral infection, changes in the mechanism of neuroinflammation, poor vaporization of mastoid, or poor function of the eustachian tube, etc. [16]. Among the various causes of eustachian tube dysfunction, the LPRD has gradually attracted attention.…”

Section: Discussionmentioning

confidence: 99%

Can Reflux Symptom Index and Reflux Finding Score Be Used to Guide the Treatment of Secretory Otitis Media in Adults?

Pang

et al. 2020

ORL

View full text Add to dashboard Cite

Background: At present more attention is paid to the treatment of secretory otitis media in children, but there is also a high incidence of adult patients. The etiology of secretory otitis media in adults is complex and related to many factors. Objectives: The aim of this study was to evaluate the correlation between the Reflux Symptom Index (RSI)/Reflux Finding Score (RFS) and secretory otitis media in adults, and to explore further treatment methods. Material and Methods: Taking outpatients in the otology department from January 2017 to May 2019 as the object of study, acoustic immittance tests were performed and the results analyzed. Patients with secretory otitis media received tympanocentesis or tympanotomy and the related components were analyzed. The patients were followed up and the curative effects of different treatment schemes were compared. Results: There were 67 patients with secretory otitis media. The prevalence of secretory otitis media in patients with RSI > 13 was significantly higher than that in patients with RSI < 13. The prevalence of secretory otitis media in patients with RFS > 7 was significantly higher than that in patients with RFS < 7 (p < 0 05). The RSI/RFS score of B tympanogram was significantly higher than that of A and C maps (p < 0.05). Among the patients with type B, the serous type was higher in those with an RSI score < 13, and the mucus was higher in those with an RSI score > 13 (p < 0.05). There was no significant difference in the proportion of glue patients (p > 0.05). In type B patients, the detection rate of pepsin in the experimental group was significantly higher than that in the control group (p < 0.05), and the scores of RSI/RFS in the pepsin-positive group were significantly higher than those in the negative group (p < 0.05). Treatment with acid-suppressive drugs in patients with abnormal RSI/ RFS achieved better results (p < 0.05). Conclusions: RSI/RFS may be related to the development of secretory otitis media in adults, and could play a guiding role in its treatment.

show abstract

Tubomanometry value as an associated factor for medication outcomes in adult acute otitis media with effusion

Zhang

Zhong

Xiao

et al. 2017

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Tubomanometry (TMM) is a relatively novel method for testing the eustachian tube (ET) function, which is speculated to be closely related to otitis media with effusion (OME). The purpose of this study is to explore the predictive power of TMM value for medication outcomes in adult acute OME. A cohort of 41 adult acute OME patients with 53 affected ears was studied retrospectively. All these patients completed a 2-week treatment including oral Myrtol Standardized Enteric capsules, nasal steroid, and oral antihistamine. The results showed that the response rate was 41.5% (22/53). The ratio of tympanometry C and TMM value differed significantly between responders and non-responders (P < 0.05), and the TMM value is the only predictive variable for treatment outcomes (P < 0.001, odds ratio 1.873). A ROC analysis of the TMM value for the treatment outcome showed that the area under the curve could achieve 0.773 (P < 0.001), while the optimal cutoff value calculated by Youden index was 1.5, with 72.7% sensitivity and 74.2% specificity. The response rate of ears with 2-6 TMM values could reach 66.7% (16/24), which was significantly higher than that of ears with TMM values 0-1, 20.7% (6/29) (P < 0.001). These findings showed that acute OME patients with a high TMM value and tympanometry C of the affected ear could potentially benefit from medication. The TMM value was an independent predictive factor of the treatment outcomes that could guide treatment decisions.

show abstract

Clinical evaluation of balloon dilation eustachian tuboplasty surgery in adult otitis media with effusion

Cited by 19 publications

References 19 publications

Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review

Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review

Can Reflux Symptom Index and Reflux Finding Score Be Used to Guide the Treatment of Secretory Otitis Media in Adults?

Tubomanometry value as an associated factor for medication outcomes in adult acute otitis media with effusion

Contact Info

Product

Resources

About