Akademik Veri Yönetim Sistemi
Indian Journal of Otolaryngology and Head and Neck Surgery, cilt.77, sa.12, ss.5511-5516, 2025 (ESCI, Scopus)
Introduction: Eustachian tube dysfunction (ETD) is a clinical condition frequently seen in children and may cause recurrent or chronic middle ear pathologies. Diagnosis can be made easily with clinical findings, immitansmetric measurements, and Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7). Eustachian balloon tuboplasty, which regulates eustachian functions, has become a more preferred method in recent years and has been used more widely than the ventilation tube applied to replace the eustachian function. In this study, we aimed to evaluate the treatment efficacy of eustachian balloon tuboplasty with the ETDQ-7 questionnaire, tympanogram measurements, and eustachian function tests. Material and Method: Thirty eight patients with chronic bilateral eustachian dysfunction were included in this study. Tympanogram, eustachian function tests, and ETDQ-7 were applied to each patient before and after eustachian balloon tuboplasty. The results were compared, and p < 0.05 was considered significant. Results: Twenty patients were male, eighteen were female, and the mean age was 36.79 +/- 9.19 years. All patients had bilateral ETD. P2 pressure change in eustachian function tests was statistically significant (p = 002). P1-P2 and P2-P3 pressure values showed significant changes before and after the procedure (p < 0.001). The mean ETDQ-7 scores before and after the procedure were 26.95 +/- 3.56 and 16.50 +/- 7.47, respectively, and the change was statistically significant (p < 0.001). After the procedure, eight complications developed in six patients, six of which were pain. Acute otitis media developed in two patient with pain. Conclusion: Eustachian balloon tuboplasty is an important option in the treatment of resistant ETD. Early results are quite satisfactory, and the patients well tolerate the intervention. However, longer follow-ups and studies with a larger number of patients are needed for long-term effects. Repetitive interventions in eustachian balloon tuboplasty, which provide satisfactory results even in single-session applications, may be effective in increasing treatment success.