Cruz Melanie Grace Y, Manarang Kathleen T, Onofre-Telan Rubiliza D, Almazan Ma Natividad A
Otolaryngology - Head and Neck Surgery, Far Eastern University - Dr. Nicanor Reyes Medical Foundation (FEU-NRMF) Medical Center, Quezon City, PHL.
Otolaryngology - Head and Neck Surgery, East Avenue Medical Center, Quezon City, PHL.
Cureus. 2024 Nov 10;16(11):e73363. doi: 10.7759/cureus.73363. eCollection 2024 Nov.
Introduction The Eustachian tube (ET) serves various functions, such as pressure regulation, mucociliary clearance, and middle ear protection. Eustachian Tube Dysfunction (ETD) pertains to a problem with the ventilatory function of the Eustachian tube and is a common condition seen in the ENT clinic. There is currently no gold standard in diagnosing ETDs, but numerous measures are being employed and studied. The Eustachian Tube Dysfunction Questionnaire 7 (ETDQ-7) is the only patient-reported outcome tool to have undergone initial validation tests. It has been translated into different languages, and studies have shown that the ETDQ-7 is a fast, reliable, and easy-to-use tool in the local setting. This tool can also be applied in the Philippine setting and may be used in conjunction with history and clinical findings to diagnose and evaluate the treatment of ETD. Objectives The objective of this study is to translate the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) into the Filipino version and validate the Filipino version of the ETDQ-7. The study also determines the prevalence of Eustachian tube dysfunction among adult Filipinos using the translated version of ETDQ-7. Methods A cross-sectional analytical study was conducted in the Department of Otolaryngology-Head and Neck Surgery (ORL-HNS) of a tertiary hospital. Filipinos aged 18 years and above, with and without signs and symptoms of Eustachian tube dysfunction, with intact tympanic membranes were included in the study. Results The Filipino version of the ETDQ-7 has good internal validity and consistency. For the test-retest reliability of the questionnaire across time, all seven questions and the total score have good reliability. It will give reliable results when repeatedly used over time. Conclusion The Filipino version of the ETDQ-7 is a valid and reliable tool that may serve as an adjunct in diagnosing ET dysfunction among adult Filipinos. Further studies may be needed to evaluate its use in children and patients with comorbid conditions such as ear and sinonasal pathologies.
引言
咽鼓管具有多种功能，如压力调节、黏液纤毛清除和中耳保护。咽鼓管功能障碍（ETD）是指咽鼓管通气功能出现问题，是耳鼻喉科门诊常见的病症。目前尚无诊断ETD的金标准，但正在采用和研究多种措施。咽鼓管功能障碍问卷7（ETDQ - 7）是唯一经过初步验证测试的患者报告结局工具。它已被翻译成不同语言，研究表明ETDQ - 7在当地环境中是一种快速、可靠且易于使用的工具。该工具也可应用于菲律宾的情况，并可结合病史和临床检查结果用于诊断和评估ETD的治疗。
目的
本研究的目的是将咽鼓管功能障碍问卷 - 7（ETDQ - 7）翻译成菲律宾语版本并验证其菲律宾语版本。该研究还使用ETDQ - 7的翻译版本确定成年菲律宾人中咽鼓管功能障碍的患病率。
方法
在一家三级医院的耳鼻喉 - 头颈外科（ORL - HNS）进行了一项横断面分析研究。年龄在18岁及以上、有或无咽鼓管功能障碍体征和症状、鼓膜完整的菲律宾人被纳入研究。
结果
ETDQ - 7的菲律宾语版本具有良好的内部效度和一致性。对于问卷随时间的重测信度，所有七个问题和总分都具有良好的信度。随着时间的重复使用，它将给出可靠的结果。
结论
ETDQ - 7的菲律宾语版本是一种有效且可靠的工具，可作为诊断成年菲律宾人咽鼓管功能障碍的辅助手段。可能需要进一步研究以评估其在儿童和患有耳部和鼻窦疾病等合并症患者中的应用。
