Local anaesthetic Eustachian tube balloon dilatation: a prospective case-series analysis of 31 patients.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-04-07 DOI:10.1017/S0022215125000465

Edward Balai, Elizabeth Bullock, Talisa Ross, Mark Ferguson

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引用次数: 0

Abstract

Objectives: Eustachian tube balloon dilatation performed for obstructive Eustachian tube dysfunction can lead to improvements in symptoms and a reduction in Eustachian Tube Dysfunction Questionnaire-7 scores. While historically performed under general anaesthetic, studies have demonstrated that Eustachian tube balloon dilatation can be performed under local anaesthetic with equivalent efficacy. We describe our local anaesthetic protocol used to perform Eustachian tube balloon dilatation in the out-patient setting and report outcomes from our case series.

Methods: Prospective analysis of all patients undergoing Eustachian tube balloon dilatation between October 2019 and July 2024.

Results: Thirty-one patients underwent 40 dilatations under local anaesthetic. All were well tolerated, with no adverse events. There was a statistically significant decrease in the average total Eustachian Tube Dilatation Questionnaire-7 score of -6.75 points (p = 0.0029) at short-term follow-up and of -7.58 points (p = 0.034) at long-term follow-up.

Conclusion: Our study provides further evidence that Eustachian tube balloon dilatation for obstructive Eustachian tube dysfunction can improve Eustachian Tube Dilatation Questionnaire-7 scores, and can be performed successfully under local anaesthetic in the out-patient setting.

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局部麻醉咽鼓管球囊扩张：31例前瞻性病例系列分析。

目的：对梗阻性咽鼓管功能障碍进行咽鼓管球囊扩张可改善症状并降低咽鼓管功能障碍问卷-7评分。虽然以往都是在全身麻醉下进行的，但研究表明，在局部麻醉下进行咽鼓管球囊扩张也有同样的效果。我们描述了在门诊环境中用于执行咽鼓管球囊扩张的局部麻醉方案，并报告了我们病例系列的结果。方法：前瞻性分析2019年10月至2024年7月接受咽鼓管球囊扩张术的所有患者。结果：31例患者在局部麻醉下进行了40次扩张。所有患者均耐受良好，无不良事件发生。短期随访时咽鼓管扩张问卷-7总分平均下降-6.75分（p = 0.0029），长期随访时平均下降-7.58分（p = 0.034），差异有统计学意义。结论：本研究进一步证明咽鼓管球囊扩张治疗梗阻性咽鼓管功能障碍可提高咽鼓管扩张问卷-7评分，可在门诊局部麻醉下成功进行。

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

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.