Fluoroscopy-guided balloon dilation in patients with Eustachian tube dysfunction

Kun Yung Kim, Jiaywei Tsauo, Ho Young Song, Hong Ju Park, Woo Seok Kang, Jung Hoon Park, Zhe Wang

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objectives: To prospectively evaluate the technical feasibility and safety of fluoroscopy-guided balloon dilation in patients with Eustachian tube (ET) dysfunction. Methods: Patients who could not do a Valsalva manoeuvre for more than 6 months and diagnosed with chronic otitis media or ET dysfunction were prospectively enrolled. A 0.035-in. guide wire and 6-mm long balloon catheter with a diameter of 2 mm were used to dilate the cartilaginous portion of the ET under fluoroscopic guidance. The balloon was inflated by manual injection twice for 1 min each time. Clinical outcomes were assessed by the patient’s ability to perform a Valsalva manoeuvre, and symptoms were assessed using the 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score. Results: Balloon dilation was attempted in a total of ten adult patients from October 2016 to March 2017. Technical success was achieved in all procedures (10/10). Ninety percent (9/10) of the balloons were fully dilated without waist deformity. There were no major complications. All patients were able to perform a Valsalva manoeuvre at the time of their last visit and/or improvement of at least one ETDQ-7 score. Conclusion: Fluoroscopy-guided balloon dilation seems to be technically feasible and safe in the treatment of ET dysfunction. Key points: • Fluoroscopy-guided balloon dilation without general anaesthesia was well-tolerated in all patients. • Location of the balloon catheter can be monitored during the procedure. • Inflation state of the balloon catheter can be monitored during the procedure. • Using guide-wire during the procedure would prevent false passage creation. • All patients had clinical improvement within 3 months after balloon dilation.

Original languageEnglish (US)
Pages (from-to)910-919
Number of pages10
JournalEuropean Radiology
Volume28
Issue number3
DOIs
StatePublished - Mar 1 2018
Externally publishedYes

Keywords

  • Eustachian tube
  • Interventional
  • Minimally invasive surgical procedures
  • Otitis media with effusion
  • Radiography
  • Valsalva manoeuvre

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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