扩张性耳咽管疾病的最佳耳咽管堵塞方法。

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-10-04 DOI:10.1111/coa.70043

Seong Hoon Bae, Taeuk Cheon, Soo-Keun Kong, In Seok Moon

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引用次数: 0

摘要

导读：扩张性咽鼓管疾病（PET）是由于咽鼓管通畅异常而引起致残症状。耳咽管堵塞是一种手术选择，但最佳手术位置和堵塞材料仍未确定。根据手术体位（坐位vs.仰卧位）和封堵材料（硅胶vs.导管）评估咽鼓管封堵的成功率和并发症。方法：本回顾性研究包括2019年5月至2025年5月期间接受咽鼓管堵塞的42例患者的50耳。术后3个月评估手术结果和并发症。结果：总完全缓解率（CR）为70.0%，88.0%患者临床改善。14.6%的耳部出现梗阻性咽鼓管功能障碍，仅在CR病例中出现。未见鼓膜穿孔。在短期结果中，坐姿的CR率（80.0%）高于仰卧位（60.0%）。结论：坐位手术可改善CR预后，因其症状反馈实时。血管导管是有效的，但容易挤压。对PET进行封堵是一种很有前途的方法，具有良好的安全性。

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Optimal Eustachian Tube Plugging Method for Patulous Eustachian Tube Disorder.

Introduction: Patulous Eustachian tube disorder (PET) causes disabling symptoms due to abnormal tubal patency. Eustachian tube plugging is a surgical option, but the optimal surgical position and plug material remain undetermined. To evaluate the success rate and complications of Eustachian tube plugging according to surgical position (sitting vs. supine) and plug material (silicone vs. angiocatheter).

Methods: This retrospective study included 50 ears from 42 patients who underwent Eustachian tube plugging between May 2019 and May 2025. Surgical outcomes and complications were assessed up to 3 months postoperatively.

Results: The overall complete remission (CR) rate was 70.0%, and 88.0% of patients experienced clinical improvement. Obstructive Eustachian tube dysfunction occurred in 14.6% of ears, exclusively in CR cases. No tympanic membrane perforation was observed. The sitting position showed a higher CR rate (80.0%) compared to supine (60.0%) in short-term outcome.

Conclusion: Sitting-position surgery may improve CR outcomes due to real-time symptom feedback. Angiocatheters are effective but prone to extrusion. Plugging is a promising procedure for PET with a favourable safety profile.

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.