Abstract
Studies on endonasal dilatation of the Eustachian tube (EET) utilizing a balloon catheter have shown encouraging results over the last years. This retrospective analysis presents our outcomes with EET in children with chronic obstructive dysfunction of the Eustachian tube, as well as the role of tubomanometry (TMM, Estève) as a diagnostic tool in the pre- and postoperative assessment of the Eustachian tube (ET) dysfunction. The data of 33 children, having undergone EET between September 2010 and March 2014, were retrospectively evaluated. They were assessed using tubomanometry before and after the EET. The R-data as the rate of Eustachian tube function in tubomanometry (TMM) were pre- and postoperatively matched with the clinical outcomes. Moreover, the patients’ complaints before and after the procedure were analyzed. We did not see any EET-related complications in children. Most patients noticed a relief of their complaints. In the same time, tubomanometry was not able to show improved tube function or favorable postoperative changes in the R-data. Ear-related symptoms (e.g. otorrhea, otalgia, hearing loss) have been improved. EET is a feasible method in adults as well as in children to treat chronic tube dysfunction. However, tubomanometry does not seem to be the adequate tool to evaluate the tube function and thus the success rate of EET in children with chronic dysfunction of the Eustachian tube.
Similar content being viewed by others
References
Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH (2010) Balloon dilatation eustachian tuboplasty: a clinical study. Laryngoscope 120(7):1411–1416. doi:10.1002/lary.20950
Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH (2010) Balloon dilation eustachian tuboplasty: a feasibility study. Otology and neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of. Otol Neurotol 31(7):1100–1103. doi:10.1097/MAO.0b013e3181e8cc6d
Schroder S, Reineke U, Lehmann M, Ebmeyer J, Sudhoff H (2013) Chronic obstructive eustachian tube dysfunction in adults: long-term results of balloon eustachian tuboplasty. HNO 61(2):142–151. doi:10.1007/s00106-012-2573-3
Tisch M, Maier S, Hecht P, Maier H (2013) Bilateral Eustachian tube dilation in infants: an alternative treatment for persistent middle ear functional dysfunction. HNO 61(6):492–493. doi:10.1007/s00106-013-2713-4
Ars B (2003) Fibrocartilaginous eustachian tube middle ear cleft. Kugler, The Hague, New York
Parkin JL, Johnson LP, Stringham JC (1983) Transtympanic eustachian tuboplasty and tolerance of stenting materials. Otolaryngology—head and neck surgery: official journal of American Academy of Otolaryngology—Head and Neck Surgery. Otolaryngol Head Neck Surg 91(4):407–411
Poe DS, Grimmer JF, Metson R (2007) Laser eustachian tuboplasty: two-year results. Laryngoscope 117(2):231–237. doi:10.1097/01.mlg.0000246227.65877.1f
Metson R, Pletcher SD, Poe DS (2007) Microdebrider eustachian tuboplasty: A preliminary report. Otolaryngology—head and neck surgery: official journal of American Academy of Otolaryngology—Head and Neck Surgery. Otolaryngol Head Neck Surg 136(3):422–427. doi:10.1016/j.otohns.2006.10.031
Tisch M, Maier S, Maier H (2013) Eustachian tube dilation using the Bielefeld balloon catheter: clinical experience with 320 interventions. HNO 61(6):483–487. doi:10.1007/s00106-013-2711-6
Di Martino EF (2013) Eustachian tube function tests: an update. HNO 61(6):467–476. doi:10.1007/s00106-013-2692-5
Esteve D, Martin C, Dubreuil C (1999) Aspects de la fonction équipressive de la trompe auditive—Cas cliniques. JFORL 48(6):377–386
Esteve D, Dubreuil C, Della Vedova C, Normand B, Martin C (2001) Evaluation par tubomanomètrie de la fonction d’ouverture tubaire et de la réponse tympanique chez le sujet normal et chez le sujet porteur d’une otite séro-muqueuse chronique. Comparaison des résultats-1ère partie. JFORL 50(5):223–232
Esteve D, Dubreuil C, Della Vedova C, Normand B, Lavieille JP, Martin C (2001) Physiologie et physiopathologie de la fonction d’ouverture de la trompe auditive. Apports de la tubomanomètrie-2ème partie. JFORL 50(5):233–241
Collin M, Coulange M, Devèze A, Montava M, Estève D, Lavieille JP (2012) Middle ear barotraumas due to rhinopharyngeal scar tissue: tubomanometry diagnostic and therapeutic contribution. Rev Laryngol Otol Rhinol 133(3):157–161
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jenckel, F., Kappo, N., Gliese, A. et al. Endonasal dilatation of the Eustachian tube (EET) in children: feasibility and the role of tubomanometry (Estève) in outcomes measurement. Eur Arch Otorhinolaryngol 272, 3677–3683 (2015). https://doi.org/10.1007/s00405-014-3443-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-014-3443-2