Laser vs microdebrider eustachian tuboplasty for the treatment of chronic adult eustachian tube dysfunction: A systematic review

作     者：Jamil Waqas Izzat Steve 

作者机构：ENT Department Birmingham Heartland HospitalUK Wrightington Wigan and LeighNHS Foundation TrustUK 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2021年第7卷第1期

页      面：54-62页

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Eustachian tuboplasty Eustachian tube Treatment of Eustachian tube dysfunction 

摘      要：Objectives:Multiple treatments are described in the literature for the treatment of chronic Eustachian tube dysfunction but high-level quality evidence seems missing to support these *** systematic review aimed to determine and compare the safety and efficacy of Laser Eustachian tuboplasty and Microdebrider Eustachian tuboplasty as a treatment for long-term Eustachian tube *** sources:A total of 12 electronic databases were searched up to April 2018 for published and unpublished literature in the English *** of included studies were ***:A systematic review was *** assessed were:primary outcomes-subjective improvement in symptoms(ETDQ-7),audiometric improvement of hearing,improvement of negative middle ear pressure noticed in tympanometry,objective improvement of tympanic membrane *** outcomes were-the ability to auto-insufflate Eustachian tube *** manoeuvre,improved quality of life,passive tubal opening,tubomanometry,swallowing test,reduction in mucosal inflammation of Eustachian tube orifice in the nose,complications from the procedure,the need for further *** are reported in a narrative synthesis as a meta-analysis was not possible due to heterogeneous ***:Three studies were *** included studies were small-scale case series(13-38 par-ticipants).Studies were conducted outside the *** and objective improvement of Eustachian tube function was reported in all *** all included studies were at high risk of bias and subject to multiple *** major complications were reported in either ***:Based on current evidence,it is not possible to recommend the clinical use of either of these two interventions *** or Microdebrider Eustachian *** of controlled studies was identified as a gap in the *** research should be directed toward designing randomised controlled *** trials