Balloon Eustachian Tuboplasty : Systematic Review of Long-term Outcomes and Proposed Indications

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http://hdl.handle.net/10138/239266

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Luukkainen , V , Kivekäs , I , Silvola , J , Jero , J & Sinkkonen , S T 2018 , ' Balloon Eustachian Tuboplasty : Systematic Review of Long-term Outcomes and Proposed Indications ' , The journal of international advanced otology , vol. 14 , no. 1 , pp. 112-126 . https://doi.org/10.5152/iao.2018.4769

Title: Balloon Eustachian Tuboplasty : Systematic Review of Long-term Outcomes and Proposed Indications
Author: Luukkainen, Veera; Kivekäs, Ilkka; Silvola, Juha; Jero, Jussi; Sinkkonen, Saku T.
Contributor: University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
University of Helsinki, Korva-, nenä- ja kurkkutautien klinikka
Date: 2018-04
Language: eng
Number of pages: 15
Belongs to series: The journal of international advanced otology
ISSN: 1308-7649
URI: http://hdl.handle.net/10138/239266
Abstract: Balloon Eustachian tuboplasty (BET) aims to improve the function of the Eustachian tube (ET). The objective of this study was to review the long-term outcome of BET and present the process and results of outlining indications for BET by the Finnish Otosurgical Society. The literature review is based on a database search performed in May 2017. The search resulted in 100 individual articles, which were screened for relevance. Five articles fulfilled the inclusion criteria (follow-up >= 12 months). Five additional articles (follow-up, 6-11 months) were analyzed to obtain supportive information. The proposed BET indications were constituted in the 2016 annual meeting of the Finnish Otosurgical Society. The workshop included a review of the Eustachian tube physiology, middle ear aeration mechanisms, and BET outcome studies. Thereafter, the members of the Society first voted and then discussed 14 cases in order to conclude whether BET was indicated in each case, and subsequently, a consensus statement on the indications for BET was outlined. The long-term follow-up studies were heterogeneous regarding the Eustachian tube dysfunction (ETD) definition, patient selection, follow-up duration, additional treatments, and outcome measures. The current, but limited, evidence suggests that BET is effective in the long-term. However, more long-term studies with uniform criteria and outcome measures as well as placebo-controlled studies are needed. The proposed indications for BET by the Finnish Otosurgical Society include chronic bothersome symptoms referring to ETD, ETD-related symptoms when pressure changes rapidly, or recurring serous otitis media. With the current evidence, we suggest treating only adults with BET.
Subject: Eustachian tube dysfunction
balloon dilation
balloon Eustachian tuboplasty
outcome
indication
TUBE DYSFUNCTION
CLINICAL-EVALUATION
DIAGNOSTIC-TOOL
OTITIS-MEDIA
DILATION
DILATATION
EFFUSION
SURGERY
3125 Otorhinolaryngology, ophthalmology
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