The case for balloon eustachian tuboplasty in children.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-10-01 Epub Date: 2024-07-12 DOI:10.1097/MOO.0000000000000991

Joonas Toivonen, Dennis Poe

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Abstract

Purpose of review: Balloon dilation of the cartilaginous portion of the Eustachian tube has increasingly gained acceptance among otolaryngologists in the treatment of obstructive Eustachian tube dysfunction. There is however little data on the procedure performed in children. The purpose of this study is to review the recent developments regarding balloon dilation in pediatric patients.

Recent findings: Balloon dilation of the Eustachian tube is safe in pediatric patients. The effects of the procedure are durable during long term follow-up. Diagnosing obstructive dysfunction remains challenging. There is no single test or questionnaire for diagnosing the condition; instead a series of appropriate tests should be used. The pediatric Eustachian tube is very responsive to the effects of balloon dilation. While the treatment is effective, overtreatment can have unwanted results such as patulous symptoms. Reducing the time of dilation should therefore be considered.

Summary: Otolaryngologists performing the procedure should be familiar with the effects of balloon dilation on the pediatric Eustachian tube and consider altering the duration of dilation accordingly. Further studies are needed especially regarding patient selection, optimal age for dilation and balloon parameters for pediatrics (e.g. dimensions, inflation duration, inflation pressure).

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儿童球囊咽鼓管成形术的案例。

综述目的：在治疗阻塞性咽鼓管功能障碍方面，咽鼓管软骨部分的球囊扩张术已被越来越多的耳鼻喉科医生所接受。然而，有关儿童手术的数据却很少。本研究旨在回顾有关儿童患者球囊扩张术的最新进展：最新研究结果：咽鼓管球囊扩张术对儿童患者是安全的。最新研究结果：咽鼓管球囊扩张术对儿童患者是安全的，手术效果在长期随访中是持久的。阻塞性功能障碍的诊断仍具有挑战性。没有一种单一的测试或问卷可用于诊断，而应采用一系列适当的测试。小儿咽鼓管对球囊扩张术的效果非常敏感。虽然治疗有效，但过度治疗可能会导致不必要的结果，如咽鼓管症状。小结：实施该手术的耳鼻喉科医生应熟悉球囊扩张术对小儿咽鼓管的影响，并考虑相应地改变扩张时间。还需要进一步研究，特别是关于患者选择、扩张的最佳年龄和儿科球囊参数（如尺寸、充气时间、充气压力）的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.

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