Balloon Dilation of the Cartilaginous Eustachian Tube

@article{Poe2016BalloonDO,
  title={Balloon Dilation of the Cartilaginous Eustachian Tube},
  author={Dennis Poe and Juha T Silvola and Ilmari Pyykk{\"o}},
  journal={Otolaryngology–Head and Neck Surgery},
  year={2016},
  volume={144},
  pages={563 - 569}
}
Objectives. (1) To translate techniques developed in a previous cadaver study of balloon dilation of the cartilaginous eustachian tube (ET) into clinical treatment for refractory dilatory dysfunction and (2) to study the safety/efficacy of the technique in a pilot clinical trial. Study Design. Prospective with subjects as their own historical controls since June 2009. Setting. Regional academic center. Subjects and Methods. Eleven consecutive adult patients with longstanding otitis media with… 

Figures and Tables from this paper

Balloon Dilation of the Cartilaginous Portion of the Eustachian Tube

  • J. SilvolaIlkka KivekäsD. Poe
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2014
The results show that BET can effectively improve ET function in ears with OME or atelectasis and the procedure is well tolerated and without significant complications.

Balloon Dilation for Obstructive Eustachian Tube Dysfunction in Children.

  • Joonas ToivonenK. KawaiJoshua GurbergD. Poe
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2020
BDET is a safe and possibly effective procedure in selected pediatric patients with chronic Eustachian tube dysfunction with previous tympanostomy tube insertion versus matched controls.

Eustachian tuboplasty and shrinkage of ostial mucosa with new devices

The combined surgical procedure of balloon tubodilation with simultaneous QMR-mediated shrinkage of the tubal ostial mucosa and reduction of the posterior portion of the inferior turbinate was found to be an effective, safe, and complete treatment for tubal dysfunction in the majority of patients.

Balloon Eustachian Tuboplasty in children

In the majority of patients, the majority could see an improvement in the ear pressure, hearing loss, limitation in daily life, and satisfaction with recurrent inflammations, underlined by better outcomes in the tubomanometry and the tympanogram.

CT imaging of the cartilaginous Eustachian tube

It is hypothesized that the injection of contrast medium into the tympanic cavity can evolve the CT scan, visualizing the Eustachian tube lumen and, potentially, the level of obstruction.

Transnasal endoscopic eustachian tube balloon dilation: a review

Details of this current novel treatment such as transnasal endoscopic balloon dilation of eustachian tube in chronic eustACHian tube dysfunctions including its history, anatomical and physiological considerations, indications, pre-operative evaluation, surgical technique, drawbacks and complications of this technique are reviewed.

Eustachian Tube Balloon Dilation: Emerging Practice Patterns for a Novel Procedure

Eustachian tube balloon dilation is a novel technique for the treatment of chronic ETD, and its role continues to evolve and develop.

Promising results after balloon dilatation of the Eustachian tube for obstructive dysfunction.

A significant effect of the treatment was documented when measuring both audiometry, tympanometry, Toynbee's test, classification of Eustachian tube dysfunction and VAS questionnaires.

Serial histological changes in the cartilaginous eustachian tube in the rat following balloon dilation

This study is the first to describe the serial histological changes to the cartilaginous ET after ETBD and helps the understanding of thehistological changes that occur after an ETBD intervention for intractable ET dysfunction.
...

References

SHOWING 1-10 OF 15 REFERENCES

Balloon Dilation of the Cartilaginous Portion of the Eustachian Tube

  • J. SilvolaIlkka KivekäsD. Poe
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2014
The results show that BET can effectively improve ET function in ears with OME or atelectasis and the procedure is well tolerated and without significant complications.

Diagnosis and Management of the Patulous Eustachian Tube

  • D. Poe
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2007
Patulous ET seems to be caused by a concave defect in the tubal valve's anterolateral wall, and submucosal graft implantation to restore the normal convexity to the valve wall seems to provide lasting relief of symptoms.

Analysis of eustachian tube function by video endoscopy.

Slow-motion endoscopic video analysis may be a useful new technique for the study of eustachian tube physiology, and consistent muscle movement patterns were demonstrated in normal subjects but were absent in abnormal subjects.

Microdebrider eustachian tuboplasty: A preliminary report

  • R. MetsonS. PletcherD. Poe
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2007

Analysis of the Dysfunctional Eustachian Tube by Video Endoscopy

  • D. PoeA. Abou-HalawaO. Abdel-Razek
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2001
Slow-motion endoscopic video analysis is a potentially useful technique in classifying types of pathologic changes in the eustachian tube.

Prognostic value of eustachian tube function in pediatric tympanoplasty

Good eustachian tube function was shown to predict good outcome, but poor tubal function was not helpful in predicting poor outcome.

[Microfibroendoscopy of the eustachian tube].

Endoscopic exploration of the Eustachian tube has demonstrated that tube obstruction is very rare, encountered in only 2% of cases, and the future challenge for this technique is to achieve the goal of non-invasive surgery of the middle ear.

Autophony and the patulous eustachian tube

Autophony and the patulous Eustachian tube is a real but rare clinical entity often misdiagnosed because the symptoms so mimic those of middle ear effusion. The diagnosis is made by the history of

Narrowest (ISTHMUS) Portion of Eustachian Tube: A Computer-Aided Three-Dimensional Reconstruction and Measurement Study

The results suggest that contraction of the TVPM opens the narrowest portion of the ET lumen to ventilate the middle ear and that this portion also plays a role in protecting the middleEar.

Laser Eustachian Tuboplasty: A Preliminary Report

The study investigated the feasibility, safety, and efficacy of a new endoluminal eustachian tube operation for the treatment of eustACHian tube dysfunction.