Balloon Eustachian Tuboplasty (BET) in Children: A Retrospective Multicenter Analysis.
Otol Neurotol
; 41(7): e921-e933, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-32658110
ABSTRACT
OBJECTIVE:
Generation of pilot data for planning of prospective BET-studies for treatment of dilatory Eustachian tube (ET) dysfunction in children. STUDYDESIGN:
Retrospective multicenter analysis.SETTING:
Nine ENT departments at tertiary care teaching hospitals. PATIENTS 4-12-year-old children with chronic otitis media with effusion (COME) for more than 3 months or more than 3 episodes of acute otitis media during the last year, having failed standard surgical therapy at least once. INTERVENTION BET with or without paracentesis, ventilation tube insertion, or tympanoplasty. MAIN OUTCOMEMEASURES:
Tympanic membrane appearance, tympanometry, and hearing threshold.RESULTS:
Two hundred ninety-nine ETs of 167 children were treated. Mean age was 9.1 years (95% confidence interval [95% CI] 8.7-9.4 yr). In 249 ears (83.3%), COME and/or retraction of the tympanic membrane were the indication for BET. Median hearing threshold was 20âdB HL (95% CI 0-46âdB). One hundred fifty-five ears (51.8%, 95% CI 46.1-57.4%) showed a tympanogram type B. Treatment consisted of BET without other interventions ("BET-only") in 70 children, 128 ears. Median length of follow-up for 158 (94.6%) children was 2.6 months (95% CI 0.3-16.1 mo). After treatment, the tympanic membrane appeared normal in 196 ears (65.6%, 95% CI 60.0-70.8%, pâ<â0.001). Median hearing threshold improved to 10âdB HL (95% CI 0-45âdB, pâ<â0.001). Tympanograms shifted toward type A and C (type A 39.1%, 95% CI 33.7-44.7, pâ<â0.001). These improvements were also observed in subgroup analyses of "BET-only" treatment and the indication of "COME" respectively.CONCLUSION:
BET is improving a variety of dilatory ET dysfunction-related ear diseases in children. This study provides detailed data for design and planning of prospective studies on BET in children.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Otite Média com Derrame
/
Tuba Auditiva
Tipo de estudo:
Observational_studies
Limite:
Child
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Child, preschool
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Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article