DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20195716

Transnasal endoscopic eustachian tube balloon dilation: a review

Santosh Kumar Swain, Alok Das, Satyabrata Acharya, Jatindray Nath Mohanty

Abstract


Eustachian tube (ET) dysfunction is a common clinical entity which often provides challenges to Otorhinolaryngologists. Patients with ET dysfunction typically present with fullness in the ear, hearing loss or plugging in the ear, which impair quality of the life. It can lead to cholesteatoma formation and severe morbidity in the life. There are limited treatment options for ET dysfunction in clinical practice. Presently transnasal endoscopic balloon dilation of ET is a promising treatment for its dysfunction. This technique causes inflation of a balloon in the cartilaginous portion of the ET which leads to local dilation. This procedure helps in reduction of the clinical symptoms and reduces the severity of the ET dysfunction such as hearing loss and cholesteatoma formation. This review article will discuss the effectiveness of transnasal endoscopic balloon dilatation of eustachian tube for treatment of chronic eustachian tube dysfunction.

 


Keywords


Transnasal, Endoscopic, Eustachian tube, Balloon dilation

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References


Browning GG, Gatehouse S. The prevalence of middle ear disease in the adult British population. Clinical Otolaryngol Allied Sci. 1992;17(4):317-21.

Sudhoff H, Bücker R, Groll C, Shagdarsuren S, Dazert S, Schreiber S. Tracing of gastric reflux into the middle ear in a Mongolian gerbil model. Otol Neurotol. 2007;28(1):124-8.

Swain SK, Samal R, Pani SK. Effect of smoking on outcome of tympanoplasty. Ind J Otol. 2011;17(3):120.

Pahnke J. Morphology, function, and clinic of the Eustachian tube. Laryngo-Rhino-Otologie. 2000;79:1-21.

McCoul ED, Lucente FE, Anand VK. Evolution of Eustachian tube surgery. Laryngoscope. 2011;121(3):661-6.

Poe DS, Grimmer JF, Metson R. Laser eustachian tuboplasty: two‐year results. Laryngoscope. 2007;117(2):231-7.

Metson R, Pletcher SD, Poe DS. Microdebrider eustachian tuboplasty: a preliminary report. Otolaryngol Head Neck Surg. 2007;136(3):422-7.

Yamashita K. Pneumatic endoscopy of the Eustachian tube. Endo. 1983;15(04):257-9.

Hopf J, Linnarz M, Gundlach P, Schäfer E, Leege N, Scherer H, et al. Microendoscopy of the Eustachian tube and the middle ear. Indications and clinical application. Laryngo-rhino-otologie. 1991;70(8):391-4.

Yamashita K. Endoscopy of the eustachian tube. Adv Otorhinolaryngol. 1987;37:53-9.

Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH. Balloon dilatation eustachian tuboplasty: a clinical study. Laryngo. 2010;120:1411-6.

Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH. Balloon dilation eustachian tuboplasty: a feasibility study. Otol Neurotol. 2010;31(7):1100-3.

Pau HW. Eustachian tube and middle ear mechanics. HNO. 2011;59(10):953-63.

Adil E, Poe D. What is the full range of medical and surgical treatments available for patients with Eustachian tube dysfunction? Curr Opinion Otolaryngol Head Neck Surg. 2014;22(1):8-15.

Llewellyn A, Norman G, Harden M, Coatesworth A, Kimberling D, Schilder A, McDaid C. Interventions for adult Eustachian tube dysfunction: a systematic review. Health Technol Assess (Rockv). 2014;18:1-180.

Metson R, Pletcher SD, Poe DS. Microdebrider eustachian tuboplasty: a preliminary report. Otolaryngol Head Neck Surg. 2007;136(3):422-7.

Smith ME, Tysome JR. Tests of Eustachian tube function: a review. Clini Otolaryngol. 2015;40(4):300-11.

Silvola J, kiveaks I, Poe D . Balloon dilation of the cartilaginous Eustachian tube. Otolaryngol Head Neck Surg. 2011;144(4):563-69.

Cummings CW, Haughey BH, Thomas JR. Cummings Otolaryngology: Head and Neck Surgery. 4th ed. Philadelphia: Elsevier Mosby, 2005: 321.

Schröder S, Lehmann M, Ebmeyer J, Upile T, Sudhoff H. Balloon Eustachian tuboplasty: a retrospective cohort study. Clini Otolaryngol. 2015;40(6):629-38.

Poe DS, Abou-Halawa A, Abdel-Razek O. Analysis of the dysfunctional eustachian tube by video endoscopy. Otol Neurotol. 2001;22(5):590-5.

Kivekäs I, Chao WC, Faquin W, Hollowell M, Silvola J, Rasooly T, et al. Histopathology of balloon‐dilation Eustachian tuboplasty. Laryngo. 2015;125(2):436-41.

Sudhoff H, Ockermann T, Mikolajczyk R, Ebmeyer J, Korbmacher D, Garten D, et al. Clinical and experimental considerations for evaluation of Eustachian tube physiology. HNO. 2009;57:428-35.

Adil E, Poe D. What is the full range of medical and surgical treatments available for patients with Eustachian tube dysfunction?. Curr Opinion Otolaryngol Head Neck Surg. 2014;22(1):8-15.

Norman G, Llewellyn A, Harden M, Coatesworth A, Kimberling D, Schilder A, et al. Systematic review of the limited evidence base for treatments of E ustachian tube dysfunction: a health technology assessment. Clini Otolaryngol. 2014;39(1):6-21.

Tisch M, Maier S, Maier H. Eustachian tube dilation using the Bielefeld balloon catheter: clinical experience with 320 interventions. HNO. 2013;61(6):483-7.

Schröder S, Reineke U, Lehmann M, Ebmeyer J, Sudhoff H. Chronic obstructive eustachian tube dysfunction in adults: long-term results of balloon eustachian tuboplasty. HNO. 2013;61(2):142-51.

Rietz A. How effective is balloon dilation for treatment of Eustachian tube dysfunction in adults?. Evidence-Based Prac. 2019;22(5):18-9.

Huisman JM, Verdam FJ, Stegeman I, de Ru JA. Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review. Laryngo. 2018;128(1):237-47.

McCoul ED, Singh A, Anand VK, Tabaee A. Balloon dilation of the eustachian tube in a cadaver model: technical considerations, learning curve, and potential barriers. Laryngoscope. 2012;122(4):718-23.

Anand V, Poe D, Dean M, Roberts W, Stolovitzky P, Hoffmann K, et al. Balloon dilation of the eustachian tube: 12-month follow-up of the randomized controlled trial treatment group. Otolaryngol Head Neck Surg. 2019;160(4):687-94.

Catalano PJ, Jonnalagadda S, Vivian MY. Balloon catheter dilatation of Eustachian tube: a preliminary study. Otol Neurotol. 2012;33(9):1549-52.

Jenckel F, Kappo N, Gliese A, Loewenthal M, Lorincz BB, Knecht R et al. Endonasal dilatation of the eustachian tube (EET) in children: feasibility and the role of tubomanometry (Esteve) in outcomes measurement. Eur Arch Otorhinolaryngol. 2015;272:3677-83.

Dalchow CV, Loewenthal M, Kappo N, Jenckel F, Loerincz BB, Knecht R. First results of Endonasal dilatation of the Eustachian tube (EET) in patients with chronic obstructive tube dysfunction. European Archives of Oto-Rhino-Laryngology. 2016;273(3):607-13.

Maier S, Tisch M, Maier H. Balloon dilation of the Eustachian tube in pediatric chronic obstructive Eustachian tube dysfunction patients. HNO. 2015;63(10):686-8.

Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH. Balloon dilatation eustachian tuboplasty: a clinical study. Laryngo. 2010;120(7):1411-6.

Schröder S, Reineke U, Lehmann M, Ebmeyer J, Sudhoff H. Chronic obstructive eustachian tube dysfunction in adults: long-term results of balloon eustachian tuboplasty. HNO. 2013;61(2):142-51.

Wanscher JH, Svane-Knudsen V. Promising results after balloon dilatation of the Eustachian tube for obstructive dysfunction. Dan Med J. 2014;61(4):A4818.

Busby DR, Slemmons DH, Miller TF. Fatal epistaxis via carotid aneurysm and eustachian tube. Archi Otolaryngol. 1968;87(3):295-8.

Abdel-Aziz T, Schroder S, Lehmann M, Gehl HB, Ebmeyer J, Sudhoff H. Computed tomography before balloon eustachian tuboplasty–a true necessity? Otol Neurotol. 2014;35:635-8.