Moon Seojin, Lee Yujin, Jung Jinsei, Moon In Seok, Bae Seong Hoon
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
J Audiol Otol. 2022 Jul;26(3):142-146. doi: 10.7874/jao.2021.00654. Epub 2022 May 12.
We investigated the clinical validity of and correlation between the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) scores and the eustachian tube function test (ETFT) results in patients with a normal drum.
The study included 49 patients (93 ears) with unilateral or bilateral ear fullness over >3 months. All patients were administered the ETDQ-7 survey and underwent the ETFT on the same day. The receiver operating characteristic (ROC) curve and the association between the results were statistically analyzed.
ETDQ-7 scores were not significantly correlated with the ETFT results or with middle ear pressure. ETDQ-7 scores in patients with eustachian tube dysfunction (ETD) were significantly higher than those in patients with normal ETFT results (p=0.039) when ETD was defined as a pressure change <10 daPa on the ETFT. The area under the ROC curve was 0.631, with a sensitivity of 37.0% and specificity of 89.4%.
The ETDQ-7 has limited clinical significance in patients with ETD but a normal drum. Therefore, concomitant objective tests should be performed to diagnose patients with ETD.
我们研究了咽鼓管功能障碍问卷-7（ETDQ-7）评分与鼓膜正常患者的咽鼓管功能测试（ETFT）结果之间的临床有效性及相关性。
该研究纳入了49例（93耳）单侧或双侧耳部闷胀感超过3个月的患者。所有患者均在同一天接受ETDQ-7调查并进行ETFT。对结果之间的关联及受试者操作特征（ROC）曲线进行了统计学分析。
ETDQ-7评分与ETFT结果或中耳压力均无显著相关性。当将ETFT中压力变化<10 daPa定义为咽鼓管功能障碍（ETD）时，ETD患者的ETDQ-7评分显著高于ETFT结果正常的患者（p = 0.039）。ROC曲线下面积为0.631，灵敏度为37.0%，特异度为89.4%。
ETDQ-7在鼓膜正常的ETD患者中临床意义有限。因此，诊断ETD患者时应同时进行客观测试。
