Tags

Type your tag names separated by a space and hit enter

Efficacy of balloon dilatation of the eustachian tube in patients with refractory otitis media with effusion after radiotherapy for nasopharyngeal carcinoma.
Am J Otolaryngol. 2020 Nov - Dec; 41(6):102724.AJ

Abstract

PURPOSE

To investigate the efficacy of balloon dilatation of the eustachian tube (BDET) in patients with refractory otitis media with effusion (OME) after radiotherapy for nasopharyngeal carcinoma.

MATERIALS AND METHODS

A total of 58 patients (74 ears) who had received BDET for treatment of refractory OME after radiotherapy for nasopharyngeal carcinoma were enrolled. The efficacy was evaluated by seven-item eustachian tube scores (ETS-7), tympanogram type and air-bone gap, and the total effective rate was also calculated. All patients were followed up for 2 years.

RESULTS

ETS-7 scores at every postoperative visit were significantly higher than preoperative scores (all P < 0.05). ETS-7 score 6 months after surgery was the highest, which declined sharply from the 6th to the 24th month after surgery. Air-bone gap from the 1st to the 18th month after surgery was significantly smaller than preoperative one (all P < 0.05). Air-bone gap 6 months after surgery was the smallest, followed by that 12 months after surgery. The improvement in tympanogram type 6 months after surgery was the highest. The improvement of tympanogram type declined sharply from 12 to 24 months after surgery. According to evaluation of efficacy, only one patient completely recovered, and five patients partially recovered during the 2-year follow-up.

CONCLUSION

BDET can only significantly improve efficacy of refractory OME after radiotherapy for nasopharyngeal carcinoma for a certain period of time during the 2-year follow-up.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo 315040, People's Republic of China.Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo 315040, People's Republic of China.Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo 315040, People's Republic of China.Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo 315040, People's Republic of China.Department of Otorhinolaryngology-Head and Neck Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo 315040, People's Republic of China. Electronic address: zjyent1967@163.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32950831

Citation

Sun, Hongcun, et al. "Efficacy of Balloon Dilatation of the Eustachian Tube in Patients With Refractory Otitis Media With Effusion After Radiotherapy for Nasopharyngeal Carcinoma." American Journal of Otolaryngology, vol. 41, no. 6, 2020, p. 102724.
Sun H, Cao C, Qiu X, et al. Efficacy of balloon dilatation of the eustachian tube in patients with refractory otitis media with effusion after radiotherapy for nasopharyngeal carcinoma. Am J Otolaryngol. 2020;41(6):102724.
Sun, H., Cao, C., Qiu, X., Hu, J., & Zhang, J. (2020). Efficacy of balloon dilatation of the eustachian tube in patients with refractory otitis media with effusion after radiotherapy for nasopharyngeal carcinoma. American Journal of Otolaryngology, 41(6), 102724. https://doi.org/10.1016/j.amjoto.2020.102724
Sun H, et al. Efficacy of Balloon Dilatation of the Eustachian Tube in Patients With Refractory Otitis Media With Effusion After Radiotherapy for Nasopharyngeal Carcinoma. Am J Otolaryngol. 2020 Nov - Dec;41(6):102724. PubMed PMID: 32950831.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of balloon dilatation of the eustachian tube in patients with refractory otitis media with effusion after radiotherapy for nasopharyngeal carcinoma. AU - Sun,Hongcun, AU - Cao,Cheng, AU - Qiu,Xiaowen, AU - Hu,Jiandao, AU - Zhang,Jianyao, Y1 - 2020/09/12/ PY - 2020/08/02/received PY - 2020/08/26/revised PY - 2020/09/08/accepted PY - 2020/9/21/pubmed PY - 2020/9/21/medline PY - 2020/9/20/entrez KW - Balloon dilatation of the eustachian tube KW - Efficacy KW - Nasopharyngeal carcinoma KW - Otitis media with effusion KW - Radiotherapy SP - 102724 EP - 102724 JF - American journal of otolaryngology JO - Am J Otolaryngol VL - 41 IS - 6 N2 - PURPOSE: To investigate the efficacy of balloon dilatation of the eustachian tube (BDET) in patients with refractory otitis media with effusion (OME) after radiotherapy for nasopharyngeal carcinoma. MATERIALS AND METHODS: A total of 58 patients (74 ears) who had received BDET for treatment of refractory OME after radiotherapy for nasopharyngeal carcinoma were enrolled. The efficacy was evaluated by seven-item eustachian tube scores (ETS-7), tympanogram type and air-bone gap, and the total effective rate was also calculated. All patients were followed up for 2 years. RESULTS: ETS-7 scores at every postoperative visit were significantly higher than preoperative scores (all P < 0.05). ETS-7 score 6 months after surgery was the highest, which declined sharply from the 6th to the 24th month after surgery. Air-bone gap from the 1st to the 18th month after surgery was significantly smaller than preoperative one (all P < 0.05). Air-bone gap 6 months after surgery was the smallest, followed by that 12 months after surgery. The improvement in tympanogram type 6 months after surgery was the highest. The improvement of tympanogram type declined sharply from 12 to 24 months after surgery. According to evaluation of efficacy, only one patient completely recovered, and five patients partially recovered during the 2-year follow-up. CONCLUSION: BDET can only significantly improve efficacy of refractory OME after radiotherapy for nasopharyngeal carcinoma for a certain period of time during the 2-year follow-up. SN - 1532-818X UR - https://www.unboundmedicine.com/medline/citation/32950831/Efficacy_of_balloon_dilatation_of_the_eustachian_tube_in_patients_with_refractory_otitis_media_with_effusion_after_radiotherapy_for_nasopharyngeal_carcinoma_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0709(20)30418-X DB - PRIME DP - Unbound Medicine ER -