Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube.

IF 2.9 3区医学 Q1 OTORHINOLARYNGOLOGY

Clinical and Experimental Otorhinolaryngology Pub Date : 2024-11-01 Epub Date: 2024-10-31 DOI:10.21053/ceo.2024.00121

Min Young Kwak, Ho Yun Lee, Soo-Keun Kong, In Seok Moon, Bong Jik Kim, Myung-Whan Suh, Jae Yun Jung, Hong Ju Park, Kyu-Yup Lee, Hyong-Ho Cho, Ryoukichi Ikeda, Jae-Jin Song, Chi-Kyou Lee

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引用次数: 0

Abstract

Objectives: Balloon dilation of the Eustachian tube (BDET) is widely recognized as a minimally invasive treatment for obstructive Eustachian tube dysfunction (ETD). We employed a Delphi consensus methodology to develop recommendations for the clinical management of BDET in cases of obstructive ETD.

Methods: A Delphi panel consisting of 26 expert physicians specializing in otology participated in two rounds of anonymous, iterative questionnaires. Consensus was defined as agreement from ≥70% of the panelists on a recommendation, while disagreement was defined as <70% agreement. The responses from the Delphi study were analyzed using both the content validity ratio and Kendall's coefficient of concordance.

Results: The panel finally evaluated 26 topics, reaching agreement on 9 and failing to reach consensus on 17 after two rounds. While consensus was not achieved regarding the postoperative follow-up period, a duration of 12 months was most commonly adopted. The Valsalva maneuver and questionnaire responses were identified as the most agreed-upon postoperative assessment tools following BDET.

Conclusion: Consensus was reached on several recommendations for managing BEDT in obstructive ETD. This agreement will guide future research aimed at defining standard postoperative management for BEDT.

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共识声明：咽鼓管球囊扩张术后管理。

目的：咽鼓管球囊扩张术（BDET）作为一种微创治疗方法，已被广泛应用于阻塞性咽鼓管功能障碍（ETD）的治疗。我们采用德尔菲共识法探讨了阻塞性咽鼓管功能障碍 BDET 的临床管理建议：由 26 位耳科专家组成的德尔菲小组参与了两轮匿名反复问卷调查。共识的定义是≥70%的专家小组成员同意建议，不同意的定义是<70%的专家小组成员同意建议。德尔菲研究采用内容效度比和肯德尔一致系数对回答进行了分析：经过两轮讨论，小组最终对 26 个主题进行了评估，同意 9 个主题，未就 17 个主题达成共识。虽然对术后随访期未达成共识，但大多数人都认为随访期为 12 个月。作为 BDET 术后评估工具，Valsalva 动作和问卷回答的一致性最高：结论：就阻塞性 ETD 的 BEDT 管理建议达成了共识。结论：就阻塞性 ETD 的 BEDT 管理的一些建议达成了共识，这些共识将为今后描述 BDET 术后标准管理的研究提供方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Otorhinolaryngology 医学-耳鼻喉科学

CiteScore

4.90

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Clinical and Experimental Otorhinolaryngology (Clin Exp Otorhinolaryngol, CEO) is an international peer-reviewed journal on recent developments in diagnosis and treatment of otorhinolaryngology-head and neck surgery and dedicated to the advancement of patient care in ear, nose, throat, head, and neck disorders. This journal publishes original articles relating to both clinical and basic researches, reviews, and clinical trials, encompassing the whole topics of otorhinolaryngology-head and neck surgery. CEO was first issued in 2008 and this journal is published in English four times (the last day of February, May, August, and November) per year by the Korean Society of Otorhinolaryngology-Head and Neck Surgery. The Journal aims at publishing evidence-based, scientifically written articles from different disciplines of otorhinolaryngology field. The readership contains clinical/basic research into current practice in otorhinolaryngology, audiology, speech pathology, head and neck oncology, plastic and reconstructive surgery. The readers are otolaryngologists, head and neck surgeons and oncologists, audiologists, and speech pathologists.