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RESEARCH PRODUCT

Consensus on Treatment of Obstructive Eustachian Tube Dysfunction With Balloon Eustachian Tuboplasty

Jaime MarcoGuillermo PlazaJuan José NavarroJorge AlfaroMarta Sandoval

subject

medicine.medical_specialtyEustachian tubemedicine.medical_treatmentchemical and pharmacologic phenomenaBalloon03 medical and health sciences0302 clinical medicineotorhinolaryngologic diseasesmedicineHumansEar Diseases030223 otorhinolaryngologymedicine.diagnostic_testMedical treatmentbusiness.industryEustachian Tubehemic and immune systemsGeneral MedicineTympanometryTympanoplastyEustachian tube dysfunctionEustachian tuboplastySurgerymedicine.anatomical_structure030220 oncology & carcinogenesisPractice Guidelines as TopicMiddle earOtologic Surgical Proceduresbusiness

description

Abstract Objective There is a great variability in diagnosis of obstructive Eustachian tube dysfunction and its treatment by balloon Eustachian tuboplasty (BET). The aim of this paper was to present a consensus on indications, contraindications, methodology, complications and results after BET. Material & Methods We obtained a consensus on BET, after a systematic review of the literature on BET from 1966 to November 2018, using MESH terms “Eustachian tube and (dilation or dysfunction)”, including a total of 1.943 papers in Spanish, English, German and French. We selected 139 papers with a relevant abstract, including two international consensuses, seven systematic revisions, and two randomised control trials on BET. Results The indications for BT are barotrauma, serous otitis media, adhesive otitis, atelectatic middle ear and failure after tympanoplasty, once obstructive Eustachian tube dysfunction is confirmed. BET is more effective in barotrauma and serous otitis media. There are high-evidence reports on BET showing good results that persist long-term, as compared to conservative medical treatment. Conclusions BET is a surgical, minimally invasive treatment that has shown its effectiveness and safety in obstructive Eustachian tube dysfunction in adults and children. It is most effective in barotrauma and serous otitis media.

yearjournalcountryeditionlanguage
2020-05-01Acta Otorrinolaringologica (English Edition)
https://doi.org/10.1016/j.otoeng.2019.01.005