Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction
Background: Eustachian tube dysfunction (ETD) is a common disorder causing ear pressure, pain, and hearing loss. Balloon Eustachian tuboplasty (BET) is an emerging technique for dilating the Eustachian tube and treating ETD. Whether adding myringotomy improves BET efficacy is controversial. Methods:...
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MDPI AG
2023-10-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/11/1527 |
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| author | Wei-Chieh Lin Yao-Wen Chang Ting-Ya Kang Ciou-Nan Ye Hung-Pin Wu Chung-Ching Lin |
| author_facet | Wei-Chieh Lin Yao-Wen Chang Ting-Ya Kang Ciou-Nan Ye Hung-Pin Wu Chung-Ching Lin |
| author_sort | Wei-Chieh Lin |
| collection | DOAJ |
| description | Background: Eustachian tube dysfunction (ETD) is a common disorder causing ear pressure, pain, and hearing loss. Balloon Eustachian tuboplasty (BET) is an emerging technique for dilating the Eustachian tube and treating ETD. Whether adding myringotomy improves BET efficacy is controversial. Methods: This retrospective study included 95 ETD patients undergoing BET alone (<i>n</i> = 44) or BET with myringotomy (BET + M; <i>n</i> = 51) between June 2020 and August 2021 at a single medical center. The primary outcome was the change in ETDQ-7 symptom scores from baseline to 6 months after treatment. Secondary outcomes included audiometry, endoscopy, Valsalva maneuver, and complications. Results: The ETDQ-7 scores improved significantly after treatment in both groups (<i>p</i> < 0.001), without significant between-group differences (<i>p</i> = 0.417). No significant differences occurred in the audiometry, endoscopy, and Valsalva results or in most complications between groups. One BET + M patient had a persistent tympanic membrane perforation. Conclusions: Both BET alone and BET + M effectively and safely improved the subjective and objective ETD outcomes. However, adding myringotomy did not further improve the outcomes over BET alone, while it incurred risks such as persistent perforation. BET alone may sufficiently treat ETD without requiring myringotomy in this cohort. Further randomized controlled trials should identify optimal candidates for BET alone versus combined approaches. |
| first_indexed | 2024-03-09T16:41:32Z |
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| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T16:41:32Z |
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| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-dbe37e82ebcb4cef8fa643d19175bd172023-11-24T14:51:16ZengMDPI AGJournal of Personalized Medicine2075-44262023-10-011311152710.3390/jpm13111527Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube DysfunctionWei-Chieh Lin0Yao-Wen Chang1Ting-Ya Kang2Ciou-Nan Ye3Hung-Pin Wu4Chung-Ching Lin5Department of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, TaiwanDepartment of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung 427, TaiwanBackground: Eustachian tube dysfunction (ETD) is a common disorder causing ear pressure, pain, and hearing loss. Balloon Eustachian tuboplasty (BET) is an emerging technique for dilating the Eustachian tube and treating ETD. Whether adding myringotomy improves BET efficacy is controversial. Methods: This retrospective study included 95 ETD patients undergoing BET alone (<i>n</i> = 44) or BET with myringotomy (BET + M; <i>n</i> = 51) between June 2020 and August 2021 at a single medical center. The primary outcome was the change in ETDQ-7 symptom scores from baseline to 6 months after treatment. Secondary outcomes included audiometry, endoscopy, Valsalva maneuver, and complications. Results: The ETDQ-7 scores improved significantly after treatment in both groups (<i>p</i> < 0.001), without significant between-group differences (<i>p</i> = 0.417). No significant differences occurred in the audiometry, endoscopy, and Valsalva results or in most complications between groups. One BET + M patient had a persistent tympanic membrane perforation. Conclusions: Both BET alone and BET + M effectively and safely improved the subjective and objective ETD outcomes. However, adding myringotomy did not further improve the outcomes over BET alone, while it incurred risks such as persistent perforation. BET alone may sufficiently treat ETD without requiring myringotomy in this cohort. Further randomized controlled trials should identify optimal candidates for BET alone versus combined approaches.https://www.mdpi.com/2075-4426/13/11/1527Eustachian tube dysfunctionballoon dilationmyringotomyETDQ-7 scores |
| spellingShingle | Wei-Chieh Lin Yao-Wen Chang Ting-Ya Kang Ciou-Nan Ye Hung-Pin Wu Chung-Ching Lin Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction Journal of Personalized Medicine Eustachian tube dysfunction balloon dilation myringotomy ETDQ-7 scores |
| title | Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction |
| title_full | Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction |
| title_fullStr | Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction |
| title_full_unstemmed | Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction |
| title_short | Balloon Eustachian Tuboplasty Combined or Not with Myringotomy in Eustachian Tube Dysfunction |
| title_sort | balloon eustachian tuboplasty combined or not with myringotomy in eustachian tube dysfunction |
| topic | Eustachian tube dysfunction balloon dilation myringotomy ETDQ-7 scores |
| url | https://www.mdpi.com/2075-4426/13/11/1527 |
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