Tubomanometry-Score as Predictor of Outcome for Balloon Eustachian Tuboplasty in Patients With Eustachian Tube Dysfunction.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI:10.1002/ohn.1145

Niels H Holm, Alexander Mirz, Therese Ovesen, Christoph J Pfeiffer

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引用次数: 0

Abstract

Objective: To investigate the predictive value of tubomanometry (TMM) in predicting subjective outcome of Balloon Eustachian Tuboplasty (BET) in patients with long-lasting Eustachian tube dysfunction (ETD).

Study design: Retrospective case series.

Setting: Single tertiary referral center.

Methods: A total of 111 ETD patients undergoing 194 BET procedures were included. Demographics, TMM measurements, and tympanograms were registered before and 3 to 6 months after BET. The time ratio between the pressure increase in the nasopharynx and the outer ear canal was labelled R value.

Results: At follow-up, 58.8% of the patients were satisfied with BET outcomes. The prevalence of normal R values increased significantly at 30 mbar (12%, P = .024), 40 mbar (14%, P = .0082), and 50 mbar (13%, P = .011). The prevalence of R = 0 decreased at all three pressure levels (-20%, P = .0001; -15%, P = .0013, and -16%, P = .0005, respectively). Type A tympanograms increased from 37% to 56% (P = .0002), while type B tympanograms decreased from 44% to 25% (P = .0006). Stratifying TMM measurements (R ≤ 1, R > 1, and R = 0) showed that preoperative R values were not prognostic of subjective outcome. Preoperative type B tympanogram indicated a risk of poor subjective outcome.

Conclusion: BET appeared to improve Eustachian tube function with reduced prevalence of pathologic R values and tympanograms. Although preoperative R values were not prognostic, TMM remains promising for assessing Eustachian tube function. Further studies are needed to refine TMM's role in predicting BET efficacy.

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预测咽鼓管功能障碍患者球囊咽鼓管成形术疗效的测管评分。

目的：探讨气管密度测定法（TMM）对长期咽鼓管功能障碍（ETD）患者行咽鼓管球囊成形术（BET）主观预后的预测价值。研究设计:回顾性病例系列。环境：单一三级转诊中心。方法：共纳入111例ETD患者，接受194次BET手术。在BET前和BET后3至6个月登记人口统计学、TMM测量和鼓室图。将鼻咽部压力升高与外耳道压力升高的时间比标记为R值。结果：在随访中，58.8%的患者对BET结果满意。正常R值的患病率在30 mbar （12%, P = 0.024）、40 mbar （14%, P = 0.0082）和50 mbar （13%, P = 0.011）时显著增加。在所有三个压力水平下，R = 0的患病率均下降(-20%,P = 0.0001；-15%, p =。0013和-16%，P =。0005年,分别)。A型鼓室图从37%上升到56% (P = 0.0002)，而B型鼓室图从44%下降到25% （P = 0.0006）。分层TMM测量（R≤1,R bbb1, R = 0）显示术前R值不能预测主观预后。术前B型鼓膜造影提示主观预后不良的风险。结论：BET可改善咽鼓管功能，降低病理R值和鼓室图的患病率。虽然术前R值不能预测预后，但TMM仍然有希望评估咽鼓管功能。需要进一步的研究来完善TMM在预测BET疗效方面的作用。

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

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.