Sažetak sa skupa
Balloon dilatation of the Eustachian tube: domain of an otologist or rhinologist?
Tihana Mendeš
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Andrijana Včeva
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Hrvoje Mihalj
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Željko Zubčić
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Josip Maleš
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Anamarija Šestak
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Vjeran Bogović
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Stjepan Grga Milanković
; Department of otorhinolaryxngology and maxillofacial surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of otorhinolaryngology, head and neck surgery, University hospital centre Osijek, J.Huttlera 4, Osiujek, Croatia
Sažetak
Background: Eustachian tube dysfunction is common in the general population, occurring in at least
1% of adults. Patients typically present with complaints of sensation of pressure or plugged ear, tinnitus, or
hearing loss which can lead to an impaired quality of life. Eustachian tube balloon dilation is a novel surgical
technique. The problem of treating Eustachian tube dysfunction with balloon dilatation is no clear consensus
regarding patient selection and outcome assessment. Our case report aims to objectively measure the success
of Eustachian tube balloon dilation by comparing pre and post-operative middle ear pressures using
tympanometric testing.
Case report: A 27-year-old patient reported a feeling of fullness in his right ear that lasted for a year.
He also complained of occasional tinnitus in the same ear. He had not had frequent ear infections until then.
Audiological processing determined a normal hearing threshold on both sides at the level of 10 dB, type C
curve in the right ear, and the test of tube function by swallowing on the right side showed dysfunction. After
the treatment, balloon dilatation of the tube was performed on the right transnasal approach under a pressure
of 6 daPa, six months postoperatively, the patient no longer complained, and there was a regular test of
Eustachian tube function on both sides.
Conclusion: According to data from literature, balloon dilatation of the Eustachian tube showed
success in 78% of patients. The transnasal approach to dilatation has proven to be a safe and effective method
of treating chronic obstructive Eustachian tube dysfunction. A further consensus of patient selection and
standardization of technique is required to optimize the effect of this therapy. The cooperation of otologists
and rhinologists is needed in the diagnosis and treatment.
Ključne riječi
Eustachian tube; Eustachian tube balloon dilatation; baloon dilatation; Eustachian tube dysfunction
Hrčak ID:
272896
URI
Datum izdavanja:
27.2.2022.
Posjeta: 340 *