Liang Maojin, Zheng Yiqing, Zhang Zhigang, Xu Yaodong, Qu Yongkang, Chen Suijun, Yang Haidi, Haung Qiuhong, Qiu Zeheng, Chen Ling
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Nov;28(22):1759-61, 1764.
To investigate the effect of Eustachian tube balloon dilation (ETBD) in treatment of eustachian tube related diseases.
Fifteen cases (20 ears) of otitis media with effusion and 22 cases (30 ears) of symptomatic Eustachian tube dysfunction were recruited. Technique of tubomanometry (TMM) showed obstructive Eustachian tube dysfunction in all patients. All the patients were received ETBD and followed up with VAS evaluation of ear fullness, muffled hearing, poping sound in the ear and tinnitus. And also the TMM change and middle ear effusion.
Ear fullness, muffled hearing released with 1 week (ear fullness: 8.2 ± 1.4 vs. 2.0 ± 1.2, P < 0.05, muffled hearing: 6.2 ± 1.2 vs. 3.1 ± 0.8, P < 0.05). No recurrence was seemed within 6 months. The eustachian function test turned better. Symptomatic Eustachian tube dysfunction had an effective rate of 96.6% while otitis media with effusion was 95.0%.
ETBD have good short-term effect in obstructive eustachian tube dysfunction related middle ear dysfunction, which might provide a good way to solve the eustachian tube related diseases.
探讨咽鼓管球囊扩张术(ETBD)治疗咽鼓管相关疾病的效果。
纳入15例(20耳)分泌性中耳炎患者和22例(30耳)有症状的咽鼓管功能障碍患者。咽鼓管测压法(TMM)显示所有患者均存在咽鼓管阻塞性功能障碍。所有患者均接受ETBD治疗,并采用视觉模拟评分法(VAS)评估耳闷、听力减退、耳内闷响及耳鸣情况,同时观察TMM变化及中耳积液情况。
耳闷、听力减退在1周内缓解(耳闷:8.2±1.4 vs. 2.0±1.2,P<0.05;听力减退:6.2±1.2 vs. 3.1±0.8,P<0.05)。6个月内未见复发。咽鼓管功能测试好转。有症状的咽鼓管功能障碍有效率为96.6%,分泌性中耳炎为95.0%。
ETBD治疗咽鼓管阻塞性功能障碍相关的中耳功能障碍具有良好的短期效果,可能为解决咽鼓管相关疾病提供一种好方法。