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129166

Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction

Article

Last updated: 22 Jan 2023

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Tags

Otorhinolaryngology

Abstract

Background: Chronic rhinosinusitis [CRS] is a distressing disease that affects patients' mental and physical health. Eustachian tube dysfunction [ETD] affects approximately 1% of the adult population, especially patients with rhinosinus diseases. Transnasal Balloon Eustachian tuboplasty [BET] is a safe intervention for adult patients with chronic ETD.
Aim of the work: To evaluate the impact of combined Function endoscopic sinus surgery [FESS] for CRS and BET on ETD manifestations compared to FESS only.
Patients and Methods: 45 patients were randomly allocated into Group C underwent FESS, and Group-I underwent FESS and BET. ETD was evaluated using the 7-item Eustachian Tube Dysfunction Questionnaire [ETDQ-7] score, Otoscopy, Valsalva maneuver, and tympanometry. BET was performed using the XprESS ENT Dilation System with balloon inflation to 12 atmospheres for 2-min. Study outcomes were determined after 6-wk.
Results: At 6-wk, the frequency of normal TM position and positive Valsalva's maneuver was significantly higher, and ETDQ-7 scores were significantly improved in all patients, while the frequency of tympanogram type-A was significantly and non-significantly higher in groups I and C, respectively. ROC curve and Regression analyses defined the application of FESS with BET as the significant predictor for normalization of tympanogram to type-A.
Conclusion: Coupling Balloon Eustachian tuboplasty with Function endoscopic sinus surgery provided outcome more superior to Function endoscopic sinus surgery alone. Balloon Eustachian tuboplasty in experienced hands can be performed with a 100% technical success rate

DOI

10.21608/ijma.2020.42697.1167

Keywords

Chronic Rinosinusitis, Eustachian tube dysfunction, Balloon dilatation, Function endoscopic sinus surgery, Eustachian Tube Dysfunction Questionnaire

Authors

First Name

Mohamed

Last Name

Alahmer

MiddleName

Hamed

Affiliation

Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt; ENT consultant at Algafel International Hospital, KSA

Email

malahmer71@yahoo.com

City

RIYADH

Orcid

-

First Name

Ashraf

Last Name

Wahba

MiddleName

Abdalla

Affiliation

Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Egypt; ENT Consultant at Yanbu National Hospital, KSA

Email

drashrafwahba70@yahoo.com

City

-

Orcid

-

Volume

3

Article Issue

1

Related Issue

21557

Issue Date

2021-01-01

Receive Date

2020-09-12

Publish Date

2021-01-01

Page Start

1,125

Page End

1,135

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 1_Pages 1125-1135.pdf

PDF . 1.7MB

Link

https://ijma.journals.ekb.eg/article_129166.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=129166

Order

31

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

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Article

Created At

22 Jan 2023