Balloon dilation eustachian tuboplasty combined with tympanotomy tube insertion in the treatment of refractory secretory
HU Yue
DONG Yaodong
LIU Dongliang
MA Xiulan
Abstract：Objective To report outcomes of balloon dilation eustachian tuboplasty combined with tympanotomy tube insertion in the treatment of refractory secretory otitis media. Methods Data from 27 cases (41 ears) of refractory se-cretory otitis media were retrospectively analyzed and divided into a experimental and a control group. Cases in the ex-perimental group received eustachian tube balloon dilation combined with tympanotomy tube insertion (n=13, 20 ears), while those in the control group received tympanotomy tube insertion only (n=14, 21 ears). The inclusion criteria were:18 years or older, failing drug and tympanotomy tube insertion treatment, recurrent secretory otitis media over a course≥2 years, three or more tympanotomy tube insertion procedures, and type B or C tympanogram. Follow ups were conduct-ed at 1, 3 and 6 months following the surgery. The 7-item eustachian tube dysfunction questionnaire (ETDQ-7), hearing test and otoscopy were completed at the initial visit and again at each follow up visit. Results Eustachian tube function improved in both groups at 1, 3 and 6 months following the surgery. Compared with before treatment, ETDQ-7 scores in both groups were lower at 1 month following the surgery (t=17.581,P=0.000;t=16.110,P=0.000). At 3 and 6 months fol-lowing the surgery, ETDQ-7 scores of the experimental group were lower than those of the control group (t=-3.202, P=0.003;t=-5.612, P=0.000). Compared with 3 months following the surgery, ETDQ-7 scores of the control group showed an increase at 6 months following the surgery (t=2.201, P=0.037). Air-bone gap decreased in both groups at 1 month fol-lowing the surgery (t=12.896, P=0.000;t=14.403,P=0.000). Overall treatment effectiveness in the experimental group was higher than that in the control group at 3 and 6 months following the surgery (2=4.221, P=0.040;2=4.020, P=0.045). Conclusions For refractory secretory otitis media caused by eustachian tube dysfunction, eustachian tube balloon dilation combined with tympanotomy tube insertion can significantly improve clinical symptoms and improve hearing. It is an ef-fective surgical intervention and worthy of wide application.
Keywords：balloon dilation eustachian tuboplastytympanotomy tube insertionrefractory secretory otitis mediaeustachian tube dysfunction
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 586-590 )