Medicine:Balloon Eustachian tuboplasty

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Short description: Procedure to treat Eustachian tube dysfunction
Tip of a dilatation catheter with balloon.
Tip of a dilatation catheter with deflated balloon.

The balloon Eustachian tuboplasty (BET)[1] is a minimally invasive procedure for the causal treatment of Eustachian tube dysfunction (ETD), an often-chronic disorder in which the regulation of middle ear pressure and the removal of secretions are impaired. The dysfunction often causes significant discomfort in affected patients and can trigger additional pathologies.[2]

During dilatation of the Eustachian tube, a purpose built dilatation catheter is inserted into the cartilaginous part of the Eustachian tube under anesthesia[3][4] as well as endoscopic control. Access is either contralateral or ipsilateral through the nose. If necessary, the endoscope can also be inserted through the oral cavity. An appropriate introducer is used to guide the flexible catheter safely to the tube opening. Once in position, the balloon is dilated by applying a pressure of 10 bar for 2 minutes.[citation needed]

The method was first used in 2009 in both Finland[5] and Germany[6] and has since become an established procedure worldwide. Prospective studies and numerous scientific publications now confirm the high treatment success of the procedure, both in adults[1][7][8][9] and in children.[10][11][12]

References

  1. ↑ 1.0 1.1 Oehlandt, Heidi; Laakso, Juha; Lindfors, Oskari; Toivonen, Joonas; Poe, Dennis; Sinkkonen, Saku T. (July 2022). "Efficacy of Balloon Tuboplasty for Baro-Challenge-Induced Eustachian Tube Dysfunction: A Systematic Review and a Retrospective Cohort Study of 39 Patients" (in en). Otology & Neurotology 43 (6): 611–618. doi:10.1097/MAO.0000000000003558. ISSN 1531-7129. https://journals.lww.com/10.1097/MAO.0000000000003558. 
  2. ↑ Poe, Dennis; Anand, Vijay; Dean, Marc; Roberts, William H.; Stolovitzky, Jose Pablo; Hoffmann, Karen; Nachlas, Nathan E.; Light, Joshua P. et al. (May 2018). "Balloon dilation of the eustachian tube for dilatory dysfunction: A randomized controlled trial" (in en). The Laryngoscope 128 (5): 1200–1206. doi:10.1002/lary.26827. ISSN 0023-852X. https://onlinelibrary.wiley.com/doi/10.1002/lary.26827. 
  3. ↑ Huisman, Jolien Marieke Lieselot; Verdam, Froukje Jantina; Stegeman, Inge; de Ru, Jacob Alexander (January 2018). "Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review" (in en). The Laryngoscope 128 (1): 237–247. doi:10.1002/lary.26800. ISSN 0023-852X. https://onlinelibrary.wiley.com/doi/10.1002/lary.26800. 
  4. ↑ Luukkainen, Veera; Kivekäs, Ilkka; Hammarén‐Malmi, Sari; Rautiainen, Markus; Pöyhönen, Leena; Aarnisalo, Antti A.; Jero, Jussi; Sinkkonen, Saku T. (May 2017). "Balloon Eustachian tuboplasty under local anesthesia: Is it feasible?" (in en). The Laryngoscope 127 (5): 1021–1025. doi:10.1002/lary.26488. ISSN 0023-852X. https://onlinelibrary.wiley.com/doi/10.1002/lary.26488. 
  5. ↑ Poe, Dennis S.; Silvola, Juha; Pyykkö, Ilmari (April 2011). "Balloon Dilation of the Cartilaginous Eustachian Tube" (in en). Otolaryngology–Head and Neck Surgery 144 (4): 563–569. doi:10.1177/0194599811399866. ISSN 0194-5998. https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1177/0194599811399866. 
  6. ↑ Ockermann, Thorsten; Reineke, Ulf; Upile, Tahwinder; Ebmeyer, Jörg; Sudhoff, Holger H. (July 2010). "Balloon dilatation eustachian tuboplasty: A clinical study" (in en). The Laryngoscope 120 (7): 1411–1416. doi:10.1002/lary.20950. ISSN 0023-852X. https://onlinelibrary.wiley.com/doi/10.1002/lary.20950. 
  7. ↑ Bowles, P.F.; Agrawal, S.; Salam, M.A. (October 2017). "Balloon tuboplasty in patients with Eustachian tube dysfunction: a prospective study in 39 patients (55 ears)" (in en). Clinical Otolaryngology 42 (5): 1057–1060. doi:10.1111/coa.12812. ISSN 1749-4478. https://onlinelibrary.wiley.com/doi/10.1111/coa.12812. 
  8. ↑ Hwang, S Y; Kok, S; Walton, J (July 2016). "Balloon dilation for eustachian tube dysfunction: systematic review" (in en). The Journal of Laryngology & Otology 130 (S4): S2–S6. doi:10.1017/S0022215116008252. ISSN 0022-2151. https://www.cambridge.org/core/product/identifier/S0022215116008252/type/journal_article. 
  9. ↑ Toivonen, Joonas; Dean, Marc; Kawai, Kosuke; Poe, Dennis (August 2022). "Comparison of outcomes for balloon dilation of the Eustachian tube under local vs general anesthesia" (in en). Laryngoscope Investigative Otolaryngology 7 (4): 1120–1128. doi:10.1002/lio2.842. ISSN 2378-8038. PMID 36000054. PMC 9392412. https://onlinelibrary.wiley.com/doi/10.1002/lio2.842. 
  10. ↑ Tisch, Matthias; Maier, Susanne; Preyer, Serena; Kourtidis, Savvas; Lehnerdt, Goetz; Winterhoff, Sebastian; Dalchow, Carsten V.; Mueller-Jenckel, Friederike et al. (August 2020). "Balloon Eustachian Tuboplasty (BET) in Children: A Retrospective Multicenter Analysis" (in en). Otology & Neurotology 41 (7): e921–e933. doi:10.1097/MAO.0000000000002789. ISSN 1531-7129. https://journals.lww.com/10.1097/MAO.0000000000002789. 
  11. ↑ Leichtle, A.; Hollfelder, D.; Wollenberg, B.; Bruchhage, K.-L. (June 2017). "Balloon Eustachian Tuboplasty in children" (in en). European Archives of Oto-Rhino-Laryngology 274 (6): 2411–2419. doi:10.1007/s00405-017-4517-8. ISSN 0937-4477. http://link.springer.com/10.1007/s00405-017-4517-8. 
  12. ↑ Tisch, M.; Maier, H.; Sudhoff, H. (December 2017). "Balloon dilation of the Eustachian tube: clinical experience in the management of 126 children". Acta Otorhinolaryngologica Italica 37 (6): 509–512. doi:10.14639/0392-100X-1690. ISSN 0392-100X. PMID 29327736. PMC 5782429. http://www.actaitalica.it/issues/2017/6-2017/10_SUDHOFF.pdf. 



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