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

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dc.contributor.author Luukkainen, Veera
dc.contributor.author Kivekäs, Ilkka
dc.contributor.author Silvola, Juha
dc.contributor.author Jero, Jussi
dc.contributor.author Sinkkonen, Saku T.
dc.date.accessioned 2018-08-24T12:26:01Z
dc.date.available 2018-08-24T12:26:01Z
dc.date.issued 2018-04
dc.identifier.citation 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
dc.identifier.other PURE: 115268045
dc.identifier.other PURE UUID: 73860527-7a8f-4b15-bc38-ebf0549d4323
dc.identifier.other WOS: 000440344100024
dc.identifier.other Scopus: 85045943655
dc.identifier.uri http://hdl.handle.net/10138/239266
dc.description.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. en
dc.format.extent 15
dc.language.iso eng
dc.relation.ispartof The journal of international advanced otology
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Eustachian tube dysfunction
dc.subject balloon dilation
dc.subject balloon Eustachian tuboplasty
dc.subject outcome
dc.subject indication
dc.subject TUBE DYSFUNCTION
dc.subject CLINICAL-EVALUATION
dc.subject DIAGNOSTIC-TOOL
dc.subject OTITIS-MEDIA
dc.subject DILATION
dc.subject DILATATION
dc.subject EFFUSION
dc.subject SURGERY
dc.subject 3125 Otorhinolaryngology, ophthalmology
dc.title Balloon Eustachian Tuboplasty : Systematic Review of Long-term Outcomes and Proposed Indications en
dc.type Review Article
dc.contributor.organization Korva-, nenä- ja kurkkutautien klinikka
dc.contributor.organization University of Helsinki
dc.contributor.organization Clinicum
dc.contributor.organization HUS Head and Neck Center
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.5152/iao.2018.4769
dc.relation.issn 1308-7649
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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