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KMID : 0361020230660120824
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 12 p.824 ~ p.828
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Clinical Analysis of Repeat Balloon Eustachian Tube Dilatation
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Lee Gab-Kyun
Kim Hyeon-Su
Kim Hwa-Bin
Lee Jung-Woo
Oh Se-Joon
Kong Soo-Keun
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Abstract
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Background and Objectives Obstructive Eustachian tube dysfunction (OETD) is a com-plex condition in which middle ear ventilation control is impaired. OETD is often not im-proved by medication nor by nasal washing or nasal spray. On the other hand, balloon Eusta-chian tube dilatation (BETD) is an effective surgery in OETD although repeating BETD iscontroversial as it involves additional procedure such as ventilation tube, middle ear steroidirrigation, and trans-tympanic Eustachian tube probing in some cases. This study aims to ana-lyze the clinical differences between patients who received single BETD and repeat BETD,and to evaluate the efficacy of repeat BETD.
Subjects and Method For the study, 110 single groups, and 16 repeat groups were selectedfrom patients who underwent BETD from Nov 2019 to Aug 2022. Age, gender, underlyingdiseases, history of rhinitis and smoking, and Eustachian Tube Dysfunction Questionnaire-7(ETDQ-7) were analyzed for the selected groups.
Results There were no significant differences in gender, underlying disease, or history of rhi-nitis between the two groups. However, age was significantly younger in the repeat group (45.91vs. 33.38, p=0.006), while smoking (5.64 vs. 1.66, p=0.01) was significantly higher in the singlegroup. The rate of improvement in the ETDQ-7 was 81.3% in the single group and 69.2% inboth initial and repeated surgeries in the repeat group. The complete remission rate was 60% inthe single group, and 38.5% in both initial and repeated surgeries of the repeat group.
Conclusion For patients who are unsatisfied with the first surgery, it is meaningful enoughto recommend repeat BETD, for which additional procedures are performed simultaneously.
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KEYWORD
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Eustachain tube, Dilatation, Middle ear ventilation, Otitis media with effusion, Treatment outcome
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