Evaluation of Eustachian tube function with dynamic and static tests in children undergoing adenotonsillectomy: A prospective clinical study

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-07-14 DOI:10.1016/j.ijporl.2025.112488

Sumeyra Doluoglu , Aybuke Zuhal Gazeloglu , Nilgun Ulger , Burcu Vural Camalan , Muharrem Dagli

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引用次数: 0

Abstract

Objective

To evaluate Eustachian function in the immediate and early late period after adenotonsillectomy.

Methods

The study sample comprised children aged 4–14 years, who were diagnosed with adenotonsillar hypertrophy, then underwent adenotonsillectomy. All patients included in the study had normal preoperative Eustachian tube function. Tympanometry using 226 Hz and 1000 Hz probe tone, Eustachian function test (EFT), and audiometric examination were performed one day before and was then repeated on the first and 15th days after adenotonsillectomy.

Results

A total of 256 ears of 128 patients were evaluated. According to the tympanometry results, on postoperative day one, Eustachian dysfunction in the right ear was determined in 80 (62.5 %) patients with 226 Hz probe tone and in 76 (59.3 %) with 1000 Hz probe tone, and these rates for the left ear were 79 (61.7 %) and 73 (57 %) patients, respectively. On the 15th day postoperatively, Eustachian function was determined to have recovered in the right ear of 75 of 80 (90.3 %) patients with 226 Hz probe tone and in 72 of 76 patients (94.7 %) with 1000 Hz probe tone (p = 0.0001). In the left ear, Eustachian function was determined to have recovered in the right ear of 73 of 79 (92 %) patients with 226 Hz probe tone and in 68 of 73 patients (93 %) with 1000 Hz probe tone (p = 0.0001).

Conclusion

The study results showed that Eustachian dysfunction is common in the early period after adenotonsillectomy but almost all of these cases completely recovered by the 15th day postoperatively.

Clinical trials number

NCT06577051.

查看原文本刊更多论文

动态和静态试验评价儿童接受腺扁桃体切除术后的咽鼓管功能：一项前瞻性临床研究

目的评价腺扁桃体切除术后即刻及早期的咽鼓功能。方法研究对象为4 ~ 14岁的儿童，诊断为腺扁桃体肥大，行腺扁桃体切除术。所有纳入研究的患者术前咽鼓管功能正常。取226 Hz和1000 Hz探头音测鼓室、耳咽部功能试验（EFT）、听力学检查于腺扁桃体切除术后1天和15天进行。结果128例患者共256耳。根据鼓室测量结果，术后第一天，探测音为226 Hz的患者中有80例（62.5%）出现右耳耳咽部功能障碍，探测音为1000 Hz的患者中有76例（59.3%）出现耳咽部功能障碍，左耳的这一比例分别为79例（61.7%）和73例（57%）。术后15天，探测音为226 Hz的80例患者中有75例（90.3%）右耳耳咽部功能恢复，探测音为1000 Hz的76例患者中有72例（94.7%）右耳耳咽部功能恢复（p = 0.0001）。在左耳，探测音为226 Hz的79例患者中有73例（92%）右耳耳咽部功能恢复，探测音为1000 Hz的73例患者中有68例（93%）耳咽部功能恢复（p = 0.0001）。结论腺扁桃体切除术后早期常出现咽鼓功能障碍，术后15天基本完全恢复。临床试验编号：bernct06577051。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.