Department of Otorhinolaryngology-Head and Neck Surgery, Pendik Training and Research Hospital, Marmara University Medical Faculty, Istanbul, Turkey.
Acta Otolaryngol. 2020 Apr;140(4):297-301. doi: 10.1080/00016489.2020.1714077. Epub 2020 Jan 21.
Balloon Eustachian Tuboplasty (BET) is used as a second-line treatment in cases in which adenoidectomy, paracentesis, and VT have failed. However, studies have not investigated the efficacy of this procedure as a first-line treatment. To evaluate the quality of life in children with chronic Eustachian tube dysfunction (ETD) after BET using the Otitis Media-6 (OM-6) questionnaire. We retrospectively evaluated the data of 62 children with chronic dysfunction ETD and divided patients into the following groups: 30 cases underwent BET (group 1), and 32 cases underwent ventilation tube (VT) insertion from July 2016 to April 2018. The children's parents were instructed to complete the OM-6 questionnaire preoperatively and at 6 weeks and 1 year postoperatively.. The average preoperative scores were higher than the postoperative scores, and the average 6-week postoperative scores were higher than the average 1-year postoperative scores for both groups 1 and 2. Further, the average 6-week postoperative scores from patients in group 2 were significantly higher than those in group 1. Our results demonstrate that BET may be a safe, first-line intervention that positively effects the quality of life in children with chronic ETD.
球囊咽鼓管成形术（BET）在腺样体切除术、鼓膜切开术和鼓室置管术失败的情况下被用作二线治疗。然而，目前还没有研究调查该手术作为一线治疗的疗效。我们使用中耳炎-6（OM-6）问卷来评估慢性咽鼓管功能障碍（ETD）患儿接受 BET 治疗后的生活质量。我们回顾性地评估了 62 例慢性 ETD 功能障碍患儿的数据，并将患者分为以下两组：30 例接受 BET（组 1），32 例接受通气管（VT）插入（2016 年 7 月至 2018 年 4 月）。两组患儿的父母均被指导在术前、术后 6 周和 1 年完成 OM-6 问卷。两组的平均术前评分均高于术后评分，且两组的平均术后 6 周评分均高于平均术后 1 年评分。此外，组 2 的患儿平均术后 6 周评分明显高于组 1。我们的研究结果表明，BET 可能是一种安全的一线干预措施，对慢性 ETD 患儿的生活质量有积极影响。
