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咽鼓管球囊扩张术长期效果的患者满意度令人鼓舞。

Patient satisfaction in the long-term effects of Eustachian tube balloon dilation is encouraging.

作者信息

Luukkainen Veera, Vnencak Matej, Aarnisalo Antti A, Jero Jussi, Sinkkonen Saku T

机构信息

a Department of Otorhinolaryngology, Head and Neck Center , Helsinki University Hospital, University of Helsinki , Helsinki , Finland.

b Department of Otorhinolaryngology - Head and Neck Surgery , Turku University Hospital, University of Turku , Turku , Finland.

出版信息

Acta Otolaryngol. 2018 Feb;138(2):122-127. doi: 10.1080/00016489.2017.1384568. Epub 2017 Oct 10.

Abstract

OBJECT

To investigate the long-term effects of balloon Eustachian tuboplasty (BET) from patient's perspective and to discover which symptoms of Eustachian tube dysfunction (ETD) benefit the most from BET.

METHOD

We designed a retrospective postal questionnaire based on the seven-item ETD questionnaire (ETDQ-7). Our questionnaire covered the severity of present ETD symptoms in comparison with the preoperative situation, the severity of current overall ear symptoms, and possible surgical interventions after BET. Forty-six patients treated in our institution between 2011 and 2013 fulfilled the inclusion criteria and 74% (34 patients; total 52 ears treated with BET) returned the questionnaire with a mean follow-up time of 3.1 years (range 1.8-4.6 years).

RESULTS

Pain in the ears, feeling of pressure in the ears, and feeling that ears are clogged had reduced in 75% of the ears that suffered from these symptoms preoperatively. Seventy-seven percent of all the responders felt that their overall ear symptoms were reduced. Altogether, 82% of all the patients stated that they would undergo BET again if their ear symptoms returned to the preoperative level.

CONCLUSION

Patient satisfaction in the long-term effects of BET is encouraging. These results may help clinicians in preoperative patient selection and counselling.

摘要

目的

从患者角度调查球囊咽鼓管成形术(BET)的长期效果,并发现咽鼓管功能障碍(ETD)的哪些症状从BET中获益最大。

方法

我们基于七项ETD问卷(ETDQ-7)设计了一份回顾性邮寄问卷。我们的问卷涵盖了当前ETD症状与术前情况相比的严重程度、当前耳部总体症状的严重程度以及BET术后可能的手术干预措施。2011年至2013年在我们机构接受治疗的46名患者符合纳入标准,74%(34名患者;共52耳接受了BET治疗)返回了问卷,平均随访时间为3.1年(范围1.8 - 4.6年)。

结果

术前有耳部疼痛、耳部压迫感和耳部堵塞感的耳朵中,75%的这些症状有所减轻。所有回复者中有77%感觉他们的耳部总体症状有所减轻。总共,82%的患者表示如果耳部症状恢复到术前水平,他们会再次接受BET。

结论

患者对BET长期效果的满意度令人鼓舞。这些结果可能有助于临床医生进行术前患者选择和咨询。

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