Long-term Outcomes of Balloon Dilation for Persistent Eustachian Tube Dysfunction

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Jeffrey L CutlerPatrick W Slater

Abstract

To gather long-term follow-up data on the efficacy of balloon dilation for treating patients with persistent Eustachian tube dysfunction (ETD). Extended follow-up study of the treatment arm of a prospective, multicenter, randomized controlled trial. Tertiary care academic center and private practice. Patients diagnosed with medically refractory persistent ETD. Balloon dilation of the Eustachian tube. The endpoints were the mean change from baseline in the 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score, revision dilation rate, changes in assessments of middle ear function, and patient satisfaction. A total of 47 participants enrolled in the extended follow-up study. Mean follow-up was 29.4 months (range, 18-42 mo). There was a statistically significant mean (SD) change from baseline in the overall ETDQ-7 score (-2.5 ± 1.2; p < 0.0001). A reduction of one or more in their overall ETDQ-7 score was observed by 93.6% (44/47) participants. The revision dilation rate was 2.1% (1/47). Among participants with abnormal baseline middle ear assessments, 76.0% had normalized tympanic membrane position (p < 0.0001), 62.5% had normalization of tympanogram type (p < 0.001), and 66.7% had positive Valsalva maneuvers (p < 0.0001...Continue Reading

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Citations

Apr 14, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Stefanie JansenMoritz Friedo Meyer
Nov 6, 2020·The Laryngoscope·Anthony HowardPrasad John Thottam
Aug 18, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David KeschnerLauren Joelle Luk

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