Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, hospices civils de Lyon, hôpital Lyon-Sud, 69310 Pierre-Bénite, France; Université de Lyon, université Lyon 1, 69003 Lyon, France; Université Paris-Est-Creteil, Inserm, IMRB, 94010 Créteil, France; CNRS EMR 7000, 94010 Créteil, France.
Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, hospices civils de Lyon, hôpital Lyon-Sud, 69310 Pierre-Bénite, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2024 Mar;141(2):103-106. doi: 10.1016/j.anorl.2023.08.003. Epub 2023 Aug 22.
Eustachian tube dysfunction is a frequent pathology of middle-ear ventilation, leading to many more or less disabling otologic symptoms. Severity varies from simple otitis media with effusion to aggressive chronic otitis or cholesteatoma. First-line treatment is medical, but surgery can also be proposed. It consists in balloon dilation of the Eustachian tube, in order to increase ventilation and improve symptoms. It is performed in second-line in patients with Eustachian tube dysfunction confirmed by tubomanometry, after failure of local drug treatment. It can be performed under general or local anesthesia but it is mandatory to use a medical device with market authorization for this indication. The main aim of this surgical note is to describe the technique of balloon dilation in the treatment of Eustachian tube dysfunction and the three balloon models with CE label and market authorization currently available in France and in Europe. Balloon dilation of the Eustachian tube appears to be a promising option to restore natural middle-ear ventilation in patients with chronic obstructive Eustachian tube dysfunction.
咽鼓管功能障碍是中耳通气的常见病理，导致许多或多或少使人丧失能力的耳科症状。严重程度从单纯的分泌性中耳炎到侵袭性慢性中耳炎或胆脂瘤不等。一线治疗是药物治疗，但也可以提出手术治疗。它包括通过球囊扩张咽鼓管，以增加通气并改善症状。在咽鼓管功能障碍患者中，经过局部药物治疗失败后，通过咽鼓管测压法确认，将其作为二线治疗。它可以在全身麻醉或局部麻醉下进行，但必须使用具有该适应证的市场授权的医疗器械。本手术记录的主要目的是描述球囊扩张治疗咽鼓管功能障碍的技术，以及目前在法国和欧洲市场上获得 CE 标记和市场授权的三种球囊模型。球囊扩张咽鼓管似乎是恢复慢性阻塞性咽鼓管功能障碍患者自然中耳通气的一种很有前途的选择。
