Clinical Consensus Statement: Balloon Dilation of the Eustachian Tube

被引：70

作者：

Tucci, Debara L. ^{[1
]}

McCoul, Edward D. ^{[2
]}

Rosenfeld, Richard M. ^{[3
]}

Tunkel, David E. ^{[4
]}

Batra, Pete S. ^{[5
]}

Chandrasekhar, Sujana S. ^{[6
]}

Cordes, Susan R. ^{[7
]}

Eshraghi, Adrien A. ^{[8
]}

Kaylie, David ^{[1
]}

Lal, Devyani ^{[9
]}

Lee, Jivianne ^{[10
]}

Setzen, Michael ^{[11
]}

Sindwani, Raj ^{[12
]}

Syms, Charles A., III ^{[13
]}

Bishop, Charles ^{[14
]}

Poe, Dennis S. ^{[15
]}

Corrigan, Maureen ^{[16
]}

Lambie, Erin ^{[16
]}

机构：

[1] Duke Univ, Med Ctr, POB 3805, Durham, NC 27710 USA

[2] Ochsner Clin & Alton Ochsner Med Fdn, New Orleans, LA USA

[3] Suny Downstate Med Ctr, Brooklyn, NY 11203 USA

[4] Johns Hopkins Med, Baltimore, MD USA

[5] Rush Univ, Med Ctr, Chicago, IL 60612 USA

[6] ENT & Allergy Associates LLP, New York, NY USA

[7] Adventist Hlth, Ukiah, CA USA

[8] Univ Miami, Miami, FL USA

[9] Mayo Clin, Phoenix, AZ USA

[10] Univ Calif Los Angeles, Dept Head & Neck Surg, Los Angeles, CA USA

[11] Weill Cornell Med Coll New York, New York, NY USA

[12] Cleveland Clin, Cleveland, OH 44106 USA

[13] Ear Med Grp, San Antonio, TX USA

[14] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA

[15] Childrens Hosp Boston, Boston, MA USA

[16] Amer Acad Otolaryngol Head & Neck Surg Fdn, Alexandria, VA USA

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2019年 / 161卷 / 01期

关键词：

eustachian tube dysfunction; balloon dilation; otitis media; tympanometry; otoscopy; nasal endoscopy; consensus; OTITIS-MEDIA; DYSFUNCTION; TUBOPLASTY; DILATATION;

D O I：

10.1177/0194599819848423

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective To develop a clinical consensus statement on the use of balloon dilation of the eustachian tube (BDET). Methods An expert panel of otolaryngologists was assembled with nominated representatives of general otolaryngology and relevant subspecialty societies. The target population was adults 18 years or older who are candidates for BDET because of obstructive eustachian tube dysfunction (OETD) in 1 or both ears for 3 months or longer that significantly affects quality of life or functional health status. A modified Delphi method was used to distill expert opinion into clinical statements that met a standardized definition of consensus. Results After 3 iterative Delphi method surveys, 28 statements met the predefined criteria for consensus, while 28 statements did not. The clinical statements were grouped into 3 categories for the purposes of presentation and discussion: (1) patient criteria, (2) perioperative considerations, and (3) outcomes. Conclusion This panel reached consensus on several statements that clarify diagnosis and perioperative management of OETD. Lack of consensus on other statements likely reflects knowledge gaps regarding the role of BDET in managing OETD. Expert panel consensus may provide helpful information for the otolaryngologist considering the use of BDET for the management of patients with OETD.

引用

页码：6 / 17

页数：12

共 43 条

[21] A Randomized Controlled Trial of Balloon Dilation as a Treatment for Persistent Eustachian Tube Dysfunction With 1-Year Follow-Up [J].