Long-term efficacy of balloon dilation of the pediatric Eustachian tube: A six-year matched cohort study.
Am J Otolaryngol
; 45(3): 104208, 2024.
Article
en En
| MEDLINE
| ID: mdl-38154198
ABSTRACT
PURPOSE:
Balloon dilation of the Eustachian tube (BDET) has not been evaluated extensively in children outside of retrospective case series. The purpose of this study is to report the long-term safety and efficacy of this procedure in children with matched controls. MATERIALS ANDMETHODS:
This is a two-center retrospective matched cohort study. Children having undergone tympanostomy tube (TT) placement and adenoidectomy with recurrence of symptoms underwent BDET at an academic affiliated multi-specialty practice. Comparison was made with children receiving TT at a tertiary medical center, matching for number of prior TT, prior adenoidectomy, age, and sex. Outcome measures were risk of failure and the need for additional surgery. Kaplan-Meier survival plots were used to compare risk of failure.RESULTS:
Thirty-three Eustachian tubes were dilated in 20 patients, aged 14 months-14 years. All patients had previously undergone TT insertion and adenoidectomy. Patients undergoing BDET had normal post-operative tympanograms in 80 % of cases. Mean follow up was 6.7 years with 2 patients failing in the BDET group and 8 in the TT insertion group. Dilated patients had a significantly lower risk of failure than those who underwent TT insertion (adjusted HR 0.18; 95 % CI 0.04, 0.81; p = 0.03). The probability of being failure free at six years was 88 % (95 % CI 71, 95 %) in the BDET cohort and 53 % (95 % CI 33, 70 %) in the TT insertion cohort. There were no complications.CONCLUSIONS:
BDET appears to be safe and possibly superior to TT placement in children with refractory Eustachian tube dysfunction. LEVEL OF EVIDENCE 2b.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Ventilación del Oído Medio
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Adenoidectomía
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Dilatación
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Trompa Auditiva
Límite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2024
Tipo del documento:
Article