Postoperative course of Eustachian tube plug surgery with Kobayashi plug

IF 1.5 4区医学 Q2 OTORHINOLARYNGOLOGY Auris Nasus Larynx Pub Date : 2025-01-30 DOI:10.1016/j.anl.2024.12.006

Tomoo Shibasaki , Naoto Koike , Hidefumi Shindo , Ryoji Hirai , Takeshi Oshima

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Abstract

Objective

To investigate its effectiveness and safety and clarify the postoperative course of Kobayashi plug surgery for refractory patulous Eustachian tubes.

Methods

This retrospective study included 83 patients diagnosed with a patulous Eustachian tube who received Kobayashi plug surgery at our hospital.

Results

At 1 month postoperatively, the success rate was 74.0 %; at 3 months, it was 67.1 %; at 6 months, it was 65.0 %; and at 12 months it was 65.2 %. At 6 months, otitis media with effusion (OME) was observed in 12.5 % of cases, and residual tympanic membrane perforation was observed in 5.0 %. Ventilation tube placement was performed in 10 cases, and eight cases required revision surgery. During the course, plugs were removed in four cases.

Median values of patulous Eustachian Tube Handicap Inventory-10 (PHI-10) at 1, 3, 6, and 12 months postoperatively were 14, 16, 16, and 20, respectively. PHI-10 significantly improved at all the time points after surgery than before surgery (median 33).

Conclusion

The Kobayashi plug surgery is safe and effective for refractory patulous Eustachian tubes over the long term. At 6 months postoperatively, there were few cases of OME, and the symptoms also stabilized.

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小林塞咽鼓管封堵术的术后过程。

目的：探讨小林塞手术治疗难治性咽鼓管扩张性的有效性和安全性，明确其术后过程。方法：回顾性研究83例在我院行小林塞手术诊断为咽鼓管扩张的患者。结果：术后1个月，手术成功率为74.0%；3个月时为67.1%；6个月时为65.0%；12个月时，这一比例为65.2%。6个月时，12.5%的病例出现中耳炎伴积液（OME）， 5.0%的病例出现残余鼓膜穿孔。10例行通气管置入，8例行翻修手术。在此过程中，有4例患者的耳塞被移除。术后1、3、6、12个月扩张性咽鼓管障碍指数-10 （PHI-10）的中位值分别为14、16、16、20。术后各时间点pi -10均较术前明显改善（中位33）。结论：小林塞手术治疗难治性咽鼓管扩张长期安全有效。术后6个月，OME病例较少，症状也趋于稳定。

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.