• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

球囊咽鼓管成形术联合鼓膜置管术治疗放疗后分泌性中耳炎的疗效。

Efficacy of balloon Eustachian tuboplasty plus tympanostomy tube insertion in postirradiation otitis media with effusion.

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Guangzhou Red Cross Hospital, China.

Department of Otorhinolaryngology and Head and Neck Surgery, Guangzhou Red Cross Hospital, China.

出版信息

Am J Otolaryngol. 2024 Jul-Aug;45(4):104301. doi: 10.1016/j.amjoto.2024.104301. Epub 2024 Apr 16.

DOI:10.1016/j.amjoto.2024.104301
PMID:38688091
Abstract

OBJECTIVE

This study aimed to compare the efficacy of balloon Eustachian tuboplasty (BET) plus tympanostomy tube insertion (TTI) and simple TTI for postirradiation otitis media with effusion (OME) in patients with nasopharyngeal carcinoma.

METHOD

This study included 36 patients (51 ears) with OME after the first radiotherapy course for nasopharyngeal carcinoma and categorized them into the BET + TTI and simple TTI groups. Effective rates, pure tone hearing threshold, Eustachian tube function score, and complication incidences were compared.

RESULTS

The effective rates of the BET+TTI and TTI groups were 93.75 % and 75 %, respectively, with no statistically significant difference (P = 0.29). The pure tone hearing threshold examination at 9 months postoperatively revealed significantly lower mean air-pure tone and air-bone gap in both the BET + TTI and TTI groups than preoperatively. Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) scores at every postoperative visit were significantly higher than preoperative scores in the two groups (all P < 0.05); ETDQ-7 score reduction in the BET + TTI group at 3, 9, and 12 months postoperatively was significantly higher than that in the TTI group. Otorrhea and recurrence both occurred in the BET+TTI and TTI groups, but the BET+TTI group demonstrated a lower incidence.

CONCLUSION

BET + TTI is an effective treatment method for postirradiation OME.

摘要

目的

本研究旨在比较球囊咽鼓管成形术（BET）联合鼓膜置管术（TTI）与单纯 TTI 治疗鼻咽癌放疗后分泌性中耳炎（OME）的疗效。

方法

本研究纳入了 36 例（51 耳）接受首次鼻咽癌放疗后出现 OME 的患者，将其分为 BET+TTI 组和单纯 TTI 组。比较两组的有效率、纯音听阈、咽鼓管功能评分和并发症发生率。

结果

BET+TTI 组和 TTI 组的有效率分别为 93.75%和 75%，差异无统计学意义（P=0.29）。术后 9 个月的纯音听阈检查显示，BET+TTI 组和 TTI 组的平均气导纯音和气骨导差均明显低于术前。两组患者在术后每次随访时的咽鼓管功能障碍问卷-7（ETDQ-7）评分均明显高于术前（均 P<0.05）；BET+TTI 组在术后 3、9 和 12 个月时 ETDQ-7 评分的降低幅度明显高于 TTI 组。BET+TTI 组和 TTI 组均出现耳漏和复发，但 BET+TTI 组的发生率较低。

结论

BET+TTI 是治疗放疗后 OME 的有效方法。

相似文献

1
Efficacy of balloon Eustachian tuboplasty plus tympanostomy tube insertion in postirradiation otitis media with effusion.球囊咽鼓管成形术联合鼓膜置管术治疗放疗后分泌性中耳炎的疗效。
Am J Otolaryngol. 2024 Jul-Aug;45(4):104301. doi: 10.1016/j.amjoto.2024.104301. Epub 2024 Apr 16.
2
The long-term efficacy and safety of balloon dilation eustachian tuboplasty combined with tympanostomy tube insertion for patients with otitis media with effusion: study protocol for a prospective randomized controlled trial.球囊扩张咽鼓管成形术联合鼓膜置管术治疗分泌性中耳炎的长期疗效及安全性：前瞻性随机对照研究方案。
Trials. 2024 Aug 29;25(1):572. doi: 10.1186/s13063-024-08405-1.
3
Effect of balloon dilation eustachian tuboplasty combined with tympanic tube insertion in the treatment of chronic recurrent secretory otitis media.球囊扩张咽鼓管成形术联合鼓膜置管治疗慢性复发性分泌性中耳炎的效果。
Eur Arch Otorhinolaryngol. 2019 Oct;276(10):2715-2720. doi: 10.1007/s00405-019-05512-7. Epub 2019 Jun 13.
4
The effect of balloon dilatation eustachian tuboplasty combined with grommet insertion on the structure and function of the eustachian tube in patients with refractory otitis media with effusion.球囊扩张咽鼓管成形术联合鼓膜置管术对难治性分泌性中耳炎患者咽鼓管结构和功能的影响
Ann Palliat Med. 2021 Jul;10(7):7662-7670. doi: 10.21037/apm-21-1280.
5
Myringotomy and tube insertion combined with balloon eustachian tuboplasty for the treatment of otitis media with effusion in children.鼓膜切开术和置管联合球囊咽鼓管成形术治疗儿童分泌性中耳炎。
Eur Arch Otorhinolaryngol. 2020 May;277(5):1281-1287. doi: 10.1007/s00405-020-05828-9. Epub 2020 Jan 30.
6
[The short-term and long-term efficacy of balloon dilatation Eustachian tuboplasty and tympanostomy tubes in children patients with recurrent otitis media with effusion].[球囊扩张咽鼓管成形术和鼓膜置管术对复发性分泌性中耳炎患儿的短期和长期疗效]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Mar;34(3):210-214. doi: 10.13201/j.issn.2096-7993.2020.03.006.
7
Balloon Eustachian Tuboplasty Combined With Tympanocentesis Is not Superior to Balloon Eustachian Tuboplasty in Chronic Otitis Media With Effusion-A Randomized Clinical Trial.球囊咽鼓管成形术联合鼓膜穿刺术并不优于球囊咽鼓管成形术治疗分泌性中耳炎：一项随机临床试验。
Otol Neurotol. 2020 Mar;41(3):339-344. doi: 10.1097/MAO.0000000000002518.
8
[Clinical observation of chronic recurrent secretory otitis media in adults treated by balloon dilatation of Eustachian tube combined with myringotomy and catheterization].咽鼓管球囊扩张联合鼓膜切开置管术治疗成人慢性复发性分泌性中耳炎的临床观察
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Dec;35(12):1073-1077;1084. doi: 10.13201/j.issn.2096-7993.2021.12.004.
9
Efficacy of balloon dilatation of the eustachian tube in patients with refractory otitis media with effusion after radiotherapy for nasopharyngeal carcinoma.球囊扩张咽鼓管在鼻咽癌放疗后难治性分泌性中耳炎患者中的疗效。
Am J Otolaryngol. 2020 Nov-Dec;41(6):102724. doi: 10.1016/j.amjoto.2020.102724. Epub 2020 Sep 12.
10
[Efficacy of balloon Eustachian tuboplasty combined with grommet insertion in the treatment of chronic dilation Eustachian tube dysfunction].球囊咽鼓管成形术联合鼓膜置管治疗慢性咽鼓管扩张功能障碍的疗效
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Mar;32(6):465-469. doi: 10.13201/j.issn.1001-1781.2018.06.016.