中华耳科学杂志2016，Vol.14Issue(5)：596-600,5.DOI:10.3969/j.issn.1672-2922.2016.05.008
同期咽鼓管球囊扩张在慢性中耳炎治疗的短期疗效观察
Short-term effectiveness of balloon dilation in the treatment of chronic otitis media
摘要
Abstract
Objective To investigate the efficacy of Eustachian tube balloon dilation administered with middle ear surgery in patients with chronic suppurative otitis media and severe Eustachian tube dysfunction. Methods Data were col-lected from 18 patients (20 ears) with chronic otitis media severe and Eustachian tube dysfunction confirmed by positive and negative pressure balance test, Valsalva’s level of difficulty and thin temporal bone CT scan. Following failing conser-vative treatment, patients received middle ear surgery and Eustachian tube balloon dilation. Eustachian tube dysfunction questionnaire (ETDQ-7), Valsalva’s maneuver difficulty scores and pure tone audiometry were performed before and 1, 3 and 6 months after surgery. Results At 1, 3 and 6 months after treatment, sense of pressure, fullness, rhinitis or cold-related ear symptoms, earache were all improved. At 3 and 6 months after treatment, muffled feelings were relieved compared to be-fore treatment. Ear ringing and crackling/popping showed no significant change. In all cases, the tympanic membrane graft remained intact with no retraction or perforation;Additionally, different degrees of improvement on of Valsalva’s maneuver difficulty and air-bone gaps were observed following treatment. Conclusions Results in this small sample indicate that mid-dle ear surgery combined with Eustachian tube balloon dilation may yield good short-term treatment effects on patients with chronic suppurative otitis media and severe Eustachian tube dysfunction, although further observation in large groups is nec-essary to verify its long-term efficacy.关键词
咽鼓管球囊扩张/重度咽鼓管功能障碍/慢性化脓性中耳炎/疗效Key words
Eustachian tube balloon dialation/severe Eustachian tube dysfunction/chronic suppurative otitis media/efficacy分类
医药卫生引用本文复制引用
杨乐,龚平桂,郑明奋,赵向东,刘昀逸,张军军,范素晓,彭宏..同期咽鼓管球囊扩张在慢性中耳炎治疗的短期疗效观察[J].中华耳科学杂志,2016,14(5):596-600,5.基金项目
国家自然科学基金（81572666）Project supported by the National Nature Science Foundation of China(Grant No.81572666) （Grant No.81572666）
