Safety Outcomes of Balloon Dilation Eustachian Tuboplasty in Pediatric Patients: A Follow-Up Study.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Jatin Ahluwalia, Seilesh Babu, Michael Haupert, Prasad Thottam
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引用次数: 0

Abstract

Objectives: Balloon dilation eustachian tuboplasty (BDET) has gained popularity as a treatment modality for chronic eustachian tube dysfunction (ETD) in both adults and children. Although its safety and efficacy in the adult population have been well described, very few large-sample studies assessing its safety profile have been performed in the pediatric population. This study serves as a follow-up to a previously published analysis assessing the safety of BDET in the pediatric population.

Methods: Retrospective chart review of 71 pediatric patients (139 ears) aged 11 ± 7 years who underwent BDET from 2019 to 2023. Medical records were reviewed from the extended postoperative period. A standardized grading scale that assesses severity of surgical complications was used.

Results: A total of five minor complications (7%) were noted. These included transient postoperative tinnitus, hyperacusis, otalgia, nausea, and epistaxis. There were no major complications requiring repeat intervention or need for imaging or hospital admission. In all cases, these symptoms had resolved in the postoperative time frame, with majority of them demonstrating complete resolution before the first postoperative visit.When combining these findings with the previously published paper by the same institution, the overall complication rate is 6.1% with 114 total patients. All complications between both papers are considered minor with no long-term effects.

Conclusions: In this retrospective analysis, BDET is shown to be a relatively safe procedure when performed in the pediatric population. Upon review of the literature, this is the largest safety analysis of exclusively pediatric patients who underwent BDET.

Level of evidence: 4.

小儿咽鼓管球囊扩张成形术的安全性结果:随访研究
目的:球囊扩张咽鼓管成形术(BDET)作为一种治疗慢性咽鼓管功能障碍(ETD)的方法,在成人和儿童中都很流行。虽然该疗法在成人中的安全性和疗效已得到很好的描述,但在儿童中评估其安全性的大样本研究却寥寥无几。本研究是对之前发表的评估 BDET 在儿科人群中安全性的分析的后续研究:回顾性病历审查 2019 年至 2023 年期间接受 BDET 的 71 名年龄为 11 ± 7 岁的儿科患者(139 耳)。回顾了术后延长期的医疗记录。采用了评估手术并发症严重程度的标准化分级表:结果:共发现五例轻微并发症(7%)。结果:共发现五例轻微并发症(7%),包括术后短暂耳鸣、听力减退、耳痛、恶心和鼻衄。没有重大并发症需要再次干预或进行造影或住院治疗。在所有病例中,这些症状在术后都得到了缓解,其中大多数症状在术后首次就诊前就已完全消失。将这些结果与同一机构之前发表的论文相结合,114 名患者的总并发症发生率为 6.1%。两篇论文中的所有并发症都被认为是轻微的,没有长期影响:在这项回顾性分析中,BDET 在儿科人群中是一种相对安全的手术。经查阅文献,这是针对接受 BDET 的儿童患者进行的最大规模的安全性分析:4.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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