اضطراب قناة استاكيوس غير المستجيب للعلاج الطبي

References

DOI: 10.1177/0194599819848423

• A working definition of BDET was determined to be "inserting a catheter with a balloon temporarily into the cartilaginous portion of the ET and then inflating the balloon to alleviate obstructive ETD."
• BDET is appropriate in patients with obstructive ETD who have failed medical therapy for identified treatable causes.
• There is no direct medical treatment for isolated OETD, and BDET is appropriate when OETD is present in isolation or remains following appropriate medical management of potential confounding/coexisting conditions as listed above.
• BDET is an alternative to tympanostomy tube placement for obstructive ETD.
• After 6 weeks, a significantly greater number of BDET patients demonstrated normalization of tympanograms and ETDQ-7 scores (2.1) vs controls (51.8% vs 13.9%, P < .001; 56.2% vs 8.5%, P < .001).
• The panel reached consensus that the ability to perform a modified Valsalva maneuver is appropriate for assessing outcome after BDET.
• Change in patient-reported symptom scores is appropriate for assessing outcome following BDET.