Swain Santosh-Kumar, Janardan Sunil, Mohanty Jatindra-Nath
Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha "O" Anusandhan University (Deemed to be), K8, Kalinga Nagar, Bhubaneswar-751003, Odisha, India.
Kerala ENT Research Foundation, Kollam, Kerala, India.
Iran J Otorhinolaryngol. 2020 Sep;32(112):287-294. doi: 10.22038/ijorl.2019.41623.2359.
Eustachian tube (ET) dysfunction is a common clinical entity but its treatment is still challenging to Otorhinolaryngologists. This study is done to know the effectiveness of transnasal endoscopic balloon dilatation of eustachian tube for treatment of chronic eustachian tube dysfunction.
It is a retrospective observational study conducted between May 2018 to June 2019 at IMS and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India. Twenty one patients were identified with diagnosis of ET dysfunction and assigned to this study. The transnasal endoscopic procedure was done to dilate the cartilaginous part of the eustachian tube with a balloon catheter. Preoperative computed tomography was done in all cases. All patients were post-operatively assessed in 1, 2 and 8 weeks after the procedure.
Balloon dilatation of the eustachian tube was easily performed in all cases of this study. No abnormality including carotid canal was seen before this procedure. All except 2 cases revealed significant improvement in the ET functions. There was no damage to any vital structures like internal carotid artery in this study.
The majority of the patients participated in this study showed positive outcome after balloon dilation of eustachian tube. It is a feasible and safe procedure for dilating the eustachian tube. This treatment is a very promising and requires more research on this aspect.
咽鼓管功能障碍是一种常见的临床病症，但对耳鼻喉科医生来说，其治疗仍然具有挑战性。本研究旨在了解经鼻内镜下咽鼓管球囊扩张术治疗慢性咽鼓管功能障碍的有效性。
这是一项回顾性观察研究，于2018年5月至2019年6月在印度奥里萨邦布巴内斯瓦尔的西克沙奥阿努山丹大学IMS和SUM医院进行。确定了21例诊断为咽鼓管功能障碍的患者并纳入本研究。采用经鼻内镜手术，用球囊导管扩张咽鼓管的软骨部分。所有病例均进行了术前计算机断层扫描。所有患者在术后1周、2周和8周进行评估。
本研究所有病例均顺利完成咽鼓管球囊扩张术。在此手术前未发现包括颈动脉管在内的任何异常。除2例患者外，所有患者的咽鼓管功能均有显著改善。本研究中未对任何重要结构如颈内动脉造成损伤。
参与本研究的大多数患者在咽鼓管球囊扩张术后显示出积极的结果。这是一种扩张咽鼓管的可行且安全的手术。这种治疗方法非常有前景，需要在这方面进行更多的研究。
