Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea; Department of Otorhinolaryngology, College of Medicine, Pusan National University, Busan, Republic of Korea.
Am J Otolaryngol. 2022 Nov-Dec;43(6):103524. doi: 10.1016/j.amjoto.2022.103524. Epub 2022 Jun 2.
Balloon eustachian tuboplasty (BET) is a minimally invasive surgical treatment that is effective and safe for obstructive eustachian tube dysfunction. However, BET complications include excessive widening of the eustachian tube, causing a patulous eustachian tube (PET). Herein, we report a case of PET following BET in a patient who underwent radiation therapy and reviewed the literature on considerations for reducing complications after BET.
A 63-year-old woman complained of bilateral ear fullness after concurrent chemoradiation therapy for nasopharyngeal lymphoma. BET was performed on the left side because the left-sided serous otitis media persisted. A left-sided PET was performed two weeks after the BET, along with eustachian tube silicone plug insertion on the left side. The patient became asymptomatic immediately after the surgery, with no recurrence reported after a 12-month follow-up period.
To our knowledge, there has been no report of PET following BET in a post-radiation patient, and it was successfully treated via ET silicone plug insertion.
球囊咽鼓管成形术（BET）是一种微创的手术治疗方法，对阻塞性咽鼓管功能障碍有效且安全。然而，BET 并发症包括咽鼓管过度扩张，导致咽鼓管弛缓（PET）。在此，我们报告了一例在接受放射治疗的患者中 BET 后发生 PET 的病例，并回顾了降低 BET 后并发症的考虑因素的文献。
一名 63 岁女性因鼻咽淋巴瘤的同期放化疗后出现双侧耳闷。因为左侧浆液性中耳炎持续存在，所以在左侧进行 BET。BET 后两周，左侧发生了 PET，并在左侧插入了咽鼓管硅酮塞。术后患者立即无症状，12 个月随访期内无复发。
据我们所知，在放射治疗后的患者中，尚无 BET 后发生 PET 的报道，且通过 ET 硅酮塞插入成功治疗。
