Balloon eustachian tuboplasty for refractory secretory otitis media
LIU Yuehong
ZHUANG Huiwen
WU Xuan
XIONG Guanxia
Abstract：Objective To study the efficacy of balloon eustachian tuboplasty (BET) in treating refractory secretory oti-tis media as well as treatment strategies. Method Twenty cases (25 ears) of refractory secretory otitis media were included. All cases underwent myringotomy and grommet insertion combined with BET (early auripuncture were performed in 2 cas-es). All cases were followed for 3 months or more. The eustachian tube dysfunction questionnaire (ETDQ-7), endoscopy, pure-tone audiometry (PTA), tympanograms and temporal CT data were collected before and after treatment. Results The 2 ears that received auripuncture and BET showed recurrence of secretory otitis media again within 4 weeks. The remaining 23 ears showed significantly decreased EDTQ-7 scores and pure-tone thresholds (P<0.05), with soft tissue shadows in tem-poral CT being gone or less than 5%of that seen preoperatively. The tube was extracted in 12 ears 3 months after insertion, with 6 of them showing signs of secretory otitis media again within 8 weeks and receiving repeated myringotomy and grom-met insertion. Conclusions Simultaneous myringotomy and grommet insertion with BET can produce satisfying short-term results in refractory secretory otitis media. Meanwhile, Valsalva maneuvers and sometimes prolonged tube insertion are vital to the long-term outcomes.
Keywords：Balloon Eustachian Tuboplasty(BET)Refractory secretory otitis mediaEustachian tube dysfunctionMyringotomy and grommet insertion
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( 591-595 )