Skip to main content

Effect of balloon dilation eustachian tuboplasty combined with tympanic tube insertion in the treatment of chronic recurrent secretory otitis media



To investigate the long-term clinical effect of balloon dilation eustachian tuboplasty (BET) combined with tympanic tube insertion (TTI) in the treatment of chronic recurrent secretory otitis media (CRSOM).

Materials and methods

A retrospective study of 30 cases of CRSOM treated with BET combined with TTI under general anesthesia between August 2014 and September 2016. Thirty cases of CRSOM treated with TTI in the same period were taken as the control group. All cases were followed over 24 months. The scores of eustachian tube (ET) function preoperation, 1 month, 6 months, 12 months, and 24 months postoperation were collected and analyzed, respectively. A satisfaction questionnaire was used to evaluate the therapy at 24-months postoperation.


The symptoms were significantly improved and the ET score was obviously increased postsurgery in most cases treated with BET plus TTI compared with those treated with TTI alone. The highest ET score was obtained at 6 months post BET. Five (14%) cases (6 ears) of CRSOM recurred. The 24-month postoperation follow-up questionnaire showed that 84.6% of the patients were satisfied with the treatment, while ten cases (25%) in the TTI group recurred.


BET combined with TTI surgery is an effective therapy for patients with CRSOM.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2



Eustachian tube

ET score:

Eustachian tube function score


Balloon dilation eustachian tuboplasty combined with tympanic tube insertion


Tympanic tube insertion


Chronic recurrent secretory otitis media


Balloon dilation eustachian tuboplasty


  1. Kutluhan A, Tarlak B, Cetin H, Callioglu EE, Bozdemir K, Demir MK (2015) Mastoid antral ventilation tube; new treatment modality for recurrent otitis media with effusion and its long term results. Int J Clin Exp Med 8(4):5774–5780

    PubMed  PubMed Central  Google Scholar 

  2. Valtonen H, Tuomilehto H, Qvarnberg Y, Nuutinen J (2005) A 14-year prospective follow-up study of children treated early in life with tympanostomy tubes: part 1: clinical outcomes. Arch Otolaryngol Head Neck Surg 131(4):93–98

    Article  Google Scholar 

  3. Yaman H, Yilmaz S, Guclu R et al (2010) Otitis media with effusion: recurrence after tympanostomy tube extrusion. Int J Pediatr Otorhinolaryngol 74:271–274.

    Article  Google Scholar 

  4. Van HN, De SG, Mulder JJ (2002) Long-term ventilation tubes: results of 726 insertions. Clin Otolaryngol Allied Sci 27(5):378–383

    Article  Google Scholar 

  5. Schröder 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

    Article  Google Scholar 

  6. Iwano T, Kinoshita T, Hamada E, Doi T, Ushiro K, Kumazawa T (1993) Otitis media with effusion and Eustachian tube dysfunction in adults and children. Acta Otolaryngol Suppl 500:66–69

    Article  CAS  Google Scholar 

  7. Yang L, Gong PG, Zheng MF, Zhao XD, Liu YY, Peng H (2016) Eustachian tube and its dysfunction related diseases' occurrence and treatments. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 30(12):1001–1005

    PubMed  CAS  Google Scholar 

  8. Dai S, Guan GF, Jia J, Li H, Sang Y, Chang D, Hou L, Zhang W, Wen LJ, Zhang DJ (2016) Clinical evaluation of balloon dilation eustachian tuboplasty surgery in adult otitis media with effusion. Acta Otolaryngol 136(8):764–767

    Article  Google Scholar 

  9. Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH (2010) Balloon dilatation eustachian tuboplasty: a clinical study. Laryngoscope 120(7):1411–1416

    Article  Google Scholar 

  10. Christov F, Gluth MB (2018) Histopathology of the mucosa of eustachian tube orifice at the middle ear in chronic otitis media with effusion: possible insight into tuboplasty failure. Ann Otol Rhinol Laryngol.

    Article  Google Scholar 

  11. Tisch M, Maier S, Hecht P, Maier H (2013) Bilateral Eustachian tube dilatation in infants: an alternative treatment for persistent middle ear functional dysfunction. HNO 61(6):492–493

    Article  CAS  Google Scholar 

  12. McCoul ED, Anand VK, Christos PJ (2012) Validating the clinical assessment of eustachian tube dysfunction. The Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope 2(5):1137–1141

    Article  Google Scholar 

  13. Schröder S, Lehmann M, Ebmeyer J, Upile T, Sudhoff H (2015) Balloon Eustachian tuboplasty: a retrospective cohort study. Clin Otolaryngol 40(6):629–638

    Article  Google Scholar 

  14. Singh T, Taneja V, Kulendra K, Farr M, Robinson J, Rejali D (2017) Balloon eustachian tuboplasty treatment of longstanding eustachian tube dysfunction. J Laryngol Otol 131(7):614–619

    Article  CAS  Google Scholar 

  15. Si Y, Chen YB, Chu YG, Chen SJ, Xiong H, Chen XM, He WH, Zheng YQ, Zhang ZG (2018) Effects of combination of balloon Eustachian tuboplasty with methylprednisolone irrigation on treatment of chronic otitis media with effusion in adults. Am J Otolaryngol.

    Article  Google Scholar 

  16. Luukkainen V, Vnencak M, Aarnisalo AA, Jero J, Sinkkonen ST (2018) Patient satisfaction in the long-term effects of eustachian tube balloon dilation is encouraging. Acta Otolaryngol 138(2):122–127.

    Article  PubMed  Google Scholar 

  17. Poe DS, Silvola J, Pyykko I (2011) Balloon dilation of the cartilaginous eustachian tube. Otolaryngol Head Neck Surg 144(4):563–569

    Article  Google Scholar 

  18. Catalano P, Jonnalagadda S, Yu VM (2012) Balloon catheter dilatation of eustachian tube:a preliminary study. Otol Neurotol 33(9):1549–1552

    Article  Google Scholar 

  19. Kivekäs I, Chao WC, Faquin W, Hollowell M, Silvola J, Rasooly T, Poe D (2015) Histopathology of ballon-dilation eustachian tuboplasty. Laryngoscope 125(2):346–441

    Article  Google Scholar 

  20. Silvola J, Kivekäs I, Poe DS (2014) Balloon dilation of the cartilaginous portion of the eustachian tube. Otolaryngol Head Neck Surg 151(1):125–130

    Article  Google Scholar 

Download references


This research was supported by a grant from the Guangdong Natural Science Foundation (No. 2015A030313180).

Author information

Authors and Affiliations


Corresponding author

Correspondence to Yong-qi Li.

Ethics declarations

Conflict of interest

All the authors declare that they have no competing conflict of interest.

Ethical approval

All procedures performed in research involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, Yq., Chen, Yb., Yin, Gd. et al. Effect of balloon dilation eustachian tuboplasty combined with tympanic tube insertion in the treatment of chronic recurrent secretory otitis media. Eur Arch Otorhinolaryngol 276, 2715–2720 (2019).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: