Maayan Dor, Braverman Itzhak, Avior Galit
Otorhinolaryngology and Head.
Neck Surgery - Hillel Yaffe Medical Center, Hadera, Israel.
Harefuah. 2020 Feb;159(1):98-102.
The Eustachian tube ventilates the middle ear while keeping pathogens out. Obstructive dysfunction of the Eustachian tube is a common complaint, manifested by the inability to equilibrate middle ear pressure. Middle ear sequelae include inflammation, tympanic membrane retraction and rarely cholesteatoma. Balloon dilation is a new procedure for treating obstructive dysfunction of the Eustachian tube.
This research evaluates the outcome of balloon dilation of the Eustachian tube (BDET) performed at Hillel Yaffe Medical Center and compares results with those reported in global publications.
Patients indicating that ear pressure had significantly impacted their quality of life were recruited. Most received a conductive hearing loss audiogram and either a B or C tympanogram. BDET was performed. A 12-month follow-up survey was conducted, including an ETDQ7 questionnaire and repeat audiograms and tympanograms.
A total of 16 patients were recruited and 24 BDETs were conducted. Aside from one patient, who received ambulatory treatment for subcutaneous emphysema, no patients had BDET complications; average ETDQ7 scores improved from 25.9 (n=20) to 15.3 (n=9) 12 months post-op. (P=0.001).
BDET is a safe procedure and benefits those who suffer from an obstructed Eustachian tube. A comprehensive literature review also concludes that BDET is safe, that it relieves the obstructive Eustachian tube and is superior to conservative treatments. BDET is increasingly being used on a global scale and the Hillel Yaffe Medical Center is applying it in Israel.
咽鼓管使中耳通气，同时防止病原体进入。咽鼓管阻塞性功能障碍是一种常见病症，表现为无法平衡中耳压力。中耳后遗症包括炎症、鼓膜内陷，很少见胆脂瘤。球囊扩张术是治疗咽鼓管阻塞性功能障碍的一种新方法。
本研究评估在希勒尔·亚菲医疗中心进行的咽鼓管球囊扩张术（BDET）的疗效，并将结果与全球出版物中报道的结果进行比较。
招募了表示耳部压力严重影响其生活质量的患者。大多数患者接受了传导性听力损失听力图检查以及B型或C型鼓室图检查。进行了咽鼓管球囊扩张术。进行了为期12个月的随访调查，包括ETDQ7问卷以及重复的听力图和鼓室图检查。
共招募了16名患者，进行了24次咽鼓管球囊扩张术。除一名因皮下气肿接受门诊治疗的患者外，没有患者出现咽鼓管球囊扩张术并发症；术后12个月，ETDQ7平均得分从25.9（n = 20）降至15.3（n = 9）。（P = 0.001）。
咽鼓管球囊扩张术是一种安全的手术，对患有咽鼓管阻塞的患者有益。一项全面的文献综述还得出结论，咽鼓管球囊扩张术是安全的，它可缓解咽鼓管阻塞，且优于保守治疗。咽鼓管球囊扩张术在全球范围内的使用越来越多，希勒尔·亚菲医疗中心正在以色列应用该技术。
