DILATE 研究：一项针对无中耳疾病患者的咽鼓管功能障碍球囊扩张术的前瞻性队列研究。

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2024-10-21 DOI:10.1017/S0022215124001312

Aryan Kalra, Katie McLeod, Thomas Hendriks, Shane Ling, Jafri Kuthubutheen

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引用次数: 0

摘要

目的：评价咽鼓管球囊扩张术治疗无中耳疾病成人咽鼓管功能障碍症状的安全性和实用性。方法：采用前瞻性队列研究。成人扩张性咽鼓管功能障碍症状和无中耳疾病行咽鼓管球囊扩张。术前进行临床评估，包括鼓室测量、纯音听力学、耳镜检查、Valsalva能力和咽鼓管功能障碍问卷-7，并在12个月的随访期间重复进行。结果：15名受试者入组。术前咽鼓管功能障碍问卷-7评分由4.6分降至2.5分（P < 0.01）， 6个月降至3.0分（P = 0.02）， 12个月降至2.6分（P < 0.01）。所有无中耳负压证据的患者均有咽鼓管功能障碍问卷-7评分改善。无术后并发症。结论：对无中耳疾病、无中耳负压证据的患者行咽鼓管球囊扩张术治疗咽鼓管功能障碍安全有效。

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The DILATE study: a prospective cohort study of balloon dilatation for Eustachian tube dysfunction in patients with no middle-ear disease.

Objective: This study evaluates the safety and utility of Eustachian tube balloon dilatation in treating Eustachian tube dysfunction symptoms in adults without middle-ear disease.

Methods: A prospective cohort study was performed. Adults with dilatory Eustachian tube dysfunction symptoms and no middle-ear disease underwent Eustachian tube balloon dilatation. A clinical assessment including tympanometry, pure tone audiometry, otoscopy, ability to Valsalva, and Eustachian Tube Dysfunction Questionnaire-7 was performed pre-operatively and repeated during a 12-month follow-up period.

Results: Fifteen participants were enrolled. The mean pre-operative Eustachian Tube Dysfunction Questionnaire-7 score of 4.6 reduced to 2.5 at six weeks (P < 0.01), 3.0 at six months (P = 0.02) and 2.6 at 12 months (P < 0.01) post-operatively. All patients without evidence of negative middle-ear pressure had Eustachian Tube Dysfunction Questionnaire-7 score improvements. There were no post-operative complications.

Conclusion: Eustachian tube balloon dilatation is safe and effective at treating Eustachian tube dysfunction in patients with no middle-ear disease or evidence of negative middle-ear pressure.

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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.