Department of Otolaryngology Head and Neck Surgery Detroit, Ascension St. John Hospital and Medical Center, Detroit, Michigan, U.S.A.
Department of Otolaryngology Head and Neck Surgery, Ascension Providence Hospital - Novi Campus, Novi, Michigan, U.S.A.
Laryngoscope. 2021 Jul;131(7):1657-1662. doi: 10.1002/lary.29241. Epub 2020 Nov 5.
OBJECTIVES/HYPOTHESIS: The objective of this study is to demonstrate that balloon eustachian tuboplasty (BET) is safe and had limited complications in the pediatric patient population.
Retrospective chart review.
This study analyzed the medical records of 43 consecutive encounters of patients under the age of 18 years old who underwent attempted BET. Charts of patients' postoperative appointments and appointments 30 days following the procedure were reviewed. Any complications that were reported by the surgeons' operative report or documented postoperatively were stratified by the Classification of Surgical Complications as outlined by the American College of Surgeons. Additional data points that were analyzed included concomitant surgical procedures, estimated blood loss, and demographic information.
A cohort of 43 pediatric patient encounters were investigated. There was a total of two complications from BET (4.7%) and one aborted case. The complications included epistaxis controlled with oxymetazoline and pressure, and vertigo that was later attributed to vestibular migraines. One case was aborted due to inadequate exposure. The average age of patients evaluated was 12.4 ± 3.2 years old with a range of 6.6 to 17.7 years old.
In this retrospective cohort, BET was demonstrated to be a relatively safe intervention with an overall complication rate of 4.7% in patients as young as 6.6 years old with recurrent or chronic eustachian tube dysfunction and/or related issues.
4 Laryngoscope, 131:1657-1662, 2021.
目的/假设：本研究旨在证明球囊咽鼓管成形术（BET）在儿科患者人群中是安全的，且并发症有限。
回顾性图表审查。
本研究分析了 43 例年龄在 18 岁以下接受 BET 尝试的患者的连续就诊记录。回顾了患者术后和术后 30 天预约的病历。根据美国外科医师学院（American College of Surgeons）概述的手术并发症分类，将外科医生手术报告中或术后记录的任何并发症进行分层。分析的其他数据点包括同时进行的手术、估计失血量和人口统计学信息。
调查了 43 例儿科患者就诊情况。共有 2 例 BET 并发症（4.7%）和 1 例中止病例。并发症包括使用羟甲唑啉和压力控制的鼻出血，以及后来归因于前庭性偏头痛的眩晕。1 例中止是由于暴露不足。评估的患者平均年龄为 12.4±3.2 岁，范围为 6.6 至 17.7 岁。
在这项回顾性队列研究中，BET 被证明是一种相对安全的干预措施，在年龄最小为 6.6 岁、复发性或慢性咽鼓管功能障碍和/或相关问题的患者中，总体并发症发生率为 4.7%。
4 级喉镜，131：1657-1662，2021。
