Balloon dilation with stent implantation for the treatment of Eustachian tube obstruction
-
摘要: 咽鼓管出现功能障碍时外界空气不能进入中耳，导致中耳呈现负压状态进而可使中耳发生一系列病理变化。本文对13例行咽鼓管球囊扩张术治疗后复发的中耳炎患者，在咽鼓管内植入支架治疗咽鼓管功能障碍获得满意疗效，该方法可为咽鼓管功能障碍的临床治疗提供参考。Abstract: When the Eustachian tube is dysfunctional, the external air cannot enter the middle ear, resulting in a negative pressure state in the middle ear, which can cause a series of pathological changes in the middle ear. In this paper, 13 patients with recurrence of otitis media after balloon dilatation of the Eustachian tube were treated with stenting in the Eustachian tube for Eustachian tube dysfunction with satisfactory results, and this method can provide a reference for the clinical treatment of Eustachian tube dysfunction.
-
Key words:
- Eustachian tube dysfunction /
- balloon dilation /
- stent implantation
-
-
表 1 13例患者术前与术后12个月的基本情况
例序 性别 年龄/岁 时间 ETDQ-7评分 捏鼻鼓气 鼓室导纳测量图 TMM/mmbar 30 40 50 1 女 38 术前 42 不通畅 B型 No R No R No R 术后12个月 15 通畅 A型 R≤1 R≤1 R≤1 2 男 35 术前 40 不通畅 C型 No R No R No R 术后12个月 12 通畅 A型 R≤1 R≤1 R≤1 3 女 62 术前 38 不通畅 B型 No R No R No R 术后12个月 11 通畅 A型 R≤1 R≤1 R≤1 4 女 60 术前 37 不通畅 B型 No R No R R≤1 术后12个月 12 通畅 A型 R≤1 R≤1 R≤1 5 男 55 术前 36 不通畅 C型 No R No R No R 术后12个月 11 通畅 A型 R≤1 R≤1 R≤1 6 女 37 术前 33 不通畅 B型 No R No R No R 术后12个月 16 通畅 A型 R > 1 R≤1 R≤1 7 女 34 术前 31 不通畅 B型 No R No R No R 术后12个月 10 通畅 A型 R≤1 R≤1 R≤1 8 女 56 术前 28 不通畅 C型 No R No R R > 1 术后12个月 14 通畅 A型 R > 1 R > 1 R≤1 9 男 51 术前 28 不通畅 C型 No R No R No R 术后12个月 10 通畅 A型 R≤1 R≤1 R≤1 10 男 62 术前 27 不通畅 B型 No R No R No R 术后12个月 9 通畅 A型 R≤1 R≤1 R≤1 11 男 70 术前 26 不通畅 C型 No R No R No R 术后12个月 10 通畅 A型 R≤1 R≤1 R≤1 12 女 65 术前 25 不通畅 C型 No R No R No R 术后12个月 11 通畅 A型 R≤1 R≤1 R≤1 13 女 58 术前 25 不通畅 C型 No R No R R≤1 术后12个月 9 通畅 A型 R≤1 R≤1 R≤1 
下载: 导出CSV
-
[1] McCoul ED, Anand VK, Christos PJ. Validating the clinical assessment of eustachian tube dysfunction: The Eustachian Tube Dysfunction Questionnaire(ETDQ-7)[J]. Laryngoscope, 2012, 122(5): 1137-1141. doi: 10.1002/lary.23223
[2] Schröder S, Lehmann M, Sauzet O, et al. A novel diagnostic tool for chronic obstructive eustachian tube dysfunction—the eustachian tube score[J]. Laryngoscope, 2015, 125(3): 703-708. doi: 10.1002/lary.24922
[3] Schilder AG, Bhutta MF, Butler CC, et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis[J]. Clin Otolaryngol, 2015, 40(5): 407-411. doi: 10.1111/coa.12475
[4] Shan A, Ward BK, Goman AM, et al. Prevalence of Eustachian Tube Dysfunction in Adults in the United States[J]. JAMA Otolaryngol Head Neck Surg, 2019, 145(10): 974-975. doi: 10.1001/jamaoto.2019.1917
[5] 陈雯婧, 叶京英. 咽鼓管功能障碍病因学及相关因素探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(12): 1137-1140. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202112018.htm
[6] 张颖, 李威, 马新, 等. 咽鼓管球囊扩张术治疗咽鼓管功能障碍的系统评估及Meta分析[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(9): 828-835. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202009014.htm
[7] Froehlich MH, Le PT, Nguyen SA, et al. Eustachian Tube Balloon Dilation: A Systematic Review and Meta-analysis of Treatment Outcomes[J]. Otolaryngol Head Neck Surg, 2020, 163(5): 870-882. doi: 10.1177/0194599820924322
[8] Huisman J, Verdam FJ, Stegeman I, et al. Treatment of Eustachian tube dysfunction with balloon dilation: A systematic review[J]. Laryngoscope, 2018, 128(1): 237-247. doi: 10.1002/lary.26800
[9] Kivekäs I, Chao WC, Faquin W, et al. Histopathology of balloon-dilation Eustachian tuboplasty[J]. Laryngoscope, 2015, 125(2): 436-441. doi: 10.1002/lary.24894
[10] Cutler JL, Meyer TA, Nguyen SA, et al. Long-term Outcomes of Balloon Dilation for Persistent Eustachian Tube Dysfunction[J]. Otol Neurotol, 2019, 40(10): 1322-1325. doi: 10.1097/MAO.0000000000002396
[11] Paltura C, Can TS, Yilmaz BK, et al. Eustachian tube diameter: Is it associated with chronic otitis media development?[J]. Am J Otolaryngol, 2017, 38(4): 414-416. doi: 10.1016/j.amjoto.2017.03.012
[12] Kourtidis S, Bier G, Preyer S, et al. Morphologic measurements of 3D Eustachian tube model and their diagnostic value regarding Eustachian tube dysfunction-A cross-sectional observational study[J]. Eur J Radiol, 2021, 136: 109563. doi: 10.1016/j.ejrad.2021.109563
[13] Ikeda R, Kikuchi T, Kobayashi T. Endoscope-assisted silicone plug insertion for patulous Eustachian tube patients[J]. Laryngoscope, 2017, 127(9): 2149-2151. doi: 10.1002/lary.26498
[14] 高华公, 童军, 陈文文. 鼻咽癌放疗后咽鼓管闭锁激光复通并放置锥形头塑料管治疗的效果[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(7): 531-533. doi: 10.3760/cma.j.issn.1673-0860.2017.07.010
[15] 杨仕明, 侯昭晖, 张杰. 咽鼓管功能障碍专家共识[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(6): 406-409.
[16] 张晨, 徐聪, 郑凡君, 等. 同期咽鼓管球囊扩张术在慢性化脓性中耳炎患者听力重建中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(10): 892-895. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH202010007.htm
-
图(8)
表(1)
计量
- 文章访问数: 1163
- PDF下载数: 688
- 施引文献: 0