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Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review
Author(s) -
Huisman Jolien Marieke Lieselot,
Verdam Froukje Jantina,
Stegeman Inge,
Ru Jacob Alexander
Publication year - 2018
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26800
Subject(s) - medicine , eustachian tube , balloon dilation , valsalva maneuver , cochrane library , systematic review , meta analysis , surgery , placebo , randomized controlled trial , balloon , medline , middle ear , pathology , alternative medicine , political science , blood pressure , law
Objective Balloon dilation is a new entity in the therapeutic approach of Eustachian tube dysfunction. The aim of this systematic review is to evaluate the success of balloon dilation of the tuba auditiva in reducing symptoms in adult patients with Eustachian tube dysfunction. Data Sources Embase, PubMed, and Cochrane Library. Review Methods The systematic literature search was conducted independently by two authors based on title and abstracts, and resulted in 36 articles. These articles were screened as full text, 15 of them were eligible for critical appraisal. Data were extracted from selected studies and presented in this article. A meta‐analysis was conducted for four subgroups. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement was used as a writing guideline for this systematic review. Results All 15 included studies were case series. A total of 1,155 patients were treated with balloon dilation of the tuba auditiva. Outcome parameters were relief of symptoms, otoscopy, Valsalva maneuver or Toynbee test, audiometry, tympanometry, Eustachian tube dysfunction classification, and Eustachian tube score. All articles showed short‐term improvement of original symptoms; some showed further improvement over time. Follow‐up ranged from just after therapy to 50 months. Relatively mild and self‐limiting complications were described in 36 patients. Conclusion All current studies suggest that balloon dilation of the Eustachian tube can be a helpful treatment in patients with Eustachian tube dysfunction. However, placebo controlled trials are still warranted. Laryngoscope , 128:237–247, 2018