Huang W J, Liang M J, Liu J H, Wang J B, Wang Y J, Zheng Y Q
Department of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China; Hearing and Speech-Language Science, Xinhua College, Sun Yat-sen University, Guang Zhou 510520, China.
Department of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Feb 7;55(2):150-153. doi: 10.3760/cma.j.issn.1673-0860.2020.02.012.
To discuss the characteristics of symptoms improvement based on the follow-up evaluation of Eustachian tube balloon dilation medium to long-term efficacy in patients with symptomatic Eustachian tube dysfunction (SETD). Patients from 2015 to 2017 were followed up after Eustachian tube balloon dilation (with the sense of aural fullness, or tinnitus and hearing ambiguity). All participants had been done ETDQ-7 before surgery and were re-evaluated with ETDQ-7 in follow-up. The improvement of overall and individual symptoms scores in ETDQ-7, the effects of gender and the difference of scores at different stages (12-18 months, 18-24 months and 24-30 months) after the operation were analyzed. There were 29 patients, including 16 males and 13 females, whose age ranged from 20 to 62 years old. The medium to long-term score of ETDQ-7 significantly declined after surgery (27.0±7.9 . 14.1±7.5, 0.05). Among all symptoms, symptoms like "blockage feeling in ear or being like under the water, constriction feeling" , "sound of blisters or explosions in the ear" decreased obviously (0.05). Comparing different stages after surgery, the scores of ETDQ-7 existed no difference (0.05). And the difference of gender showed no significant influence on surgery effects. The subjective symptoms of patients with Eustachian tube dysfunction diagnosed with SETD can be significantly improved in the medium to long-term follow-up after Eustachian tube balloon dilation, and the degree of improvement is not linearly related to the postoperative time.
基于咽鼓管球囊扩张术对症状性咽鼓管功能障碍（SETD）患者中长期疗效的随访评估，探讨症状改善特征。对2015年至2017年接受咽鼓管球囊扩张术（伴有耳闷感、耳鸣或听力模糊）的患者进行随访。所有参与者术前均进行了ETDQ - 7评估，并在随访中再次用ETDQ - 7进行评估。分析ETDQ - 7中总体和个体症状评分的改善情况、性别影响以及术后不同阶段（12 - 18个月、18 - 24个月和24 - 30个月）评分的差异。共有29例患者，其中男性16例，女性13例，年龄在20至62岁之间。术后ETDQ - 7中长期评分显著下降（27.0±7.9 对比14.1±7.5，P < 0.05）。在所有症状中，“耳内堵塞感或如在水下、紧缩感”、“耳内水泡声或爆炸声”等症状明显减轻（P < 0.05）。比较术后不同阶段，ETDQ - 7评分无差异（P > 0.05）。性别差异对手术效果无显著影响。经SETD诊断的咽鼓管功能障碍患者的主观症状在咽鼓管球囊扩张术后中长期随访中可得到显著改善，且改善程度与术后时间无线性关系。
