Hwang S Y, Kok S, Walton J
Department of Otolaryngology and Head and Neck Surgery,Sydney Children's Hospital,Randwick,New South Wales,Australia.
J Laryngol Otol. 2016 Jul;130 Suppl 4:S2-6. doi: 10.1017/S0022215116008252.
Eustachian tube dysfunction is a disorder for which there are limited medical and surgical treatments. Recently, eustachian tube balloon dilation has been proposed as a potential solution.
A systematic literature review was performed. Abstracts were selected for relevance, and pooled data analysis and qualitative analysis was conducted.
Nine prospective studies, describing 713 eustachian tube balloon dilations in 474 patients (aged 18-86 years), were identified. Follow-up duration ranged from 1.5 to 18 months. Ability to perform a Valsalva manoeuvre improved from 20 to 177 out of 245 ears following eustachian tube balloon dilation and, where data were reported in terms of patient numbers, from 15 to 189 out of 210 patients. Tympanograms were classified as type A in 7 out of 141 ears pre-operatively and in 86 out of 141 ears post-operatively.
Prospective case series can confirm the safety of eustachian tube balloon dilation. As a potential solution for chronic eustachian tube dysfunction, further investigations are warranted to establish a higher level of evidence of efficacy.
咽鼓管功能障碍是一种医学和外科治疗方法有限的疾病。最近，咽鼓管球囊扩张术被提议作为一种潜在的解决方案。
进行了一项系统的文献综述。筛选相关摘要，并进行汇总数据分析和定性分析。
确定了9项前瞻性研究，描述了474例患者（年龄18 - 86岁）的713次咽鼓管球囊扩张术。随访时间为1.5至18个月。咽鼓管球囊扩张术后，能进行瓦尔萨尔瓦动作的耳朵数量从245只中的20只增加到177只，按患者数量报告数据时，210例患者中能进行该动作的人数从15人增加到189人。术前141只耳朵中有7只鼓室图为A型，术后141只耳朵中有86只鼓室图为A型。
前瞻性病例系列可以证实咽鼓管球囊扩张术的安全性。作为慢性咽鼓管功能障碍的一种潜在解决方案，有必要进行进一步研究以确立更高水平的疗效证据。
