Cartilage tympanoplasty in the treatment of adhesive otitis media with and without Eustachian tube balloon dilatation

作     者：Ahmed abdel rahman abdel aziz Ahmed Mahmoud Youssef Mostafa Mohamed Mostafa Mostafa talaat Khaled Mohamed Abdelzaher Ahmed Adel Sadeq Ahmed abdel rahman abdel aziz;Ahmed Mahmoud Youssef;Mostafa Mohamed Mostafa;Mostafa talaat;Khaled Mohamed Abdelzaher;Ahmed Adel Sadeq

作者机构：Department of OtorhinolaryngologyFaculty of MedicineEl MiniaEgypt Radiology DepartmentFaculty of MedicineEl MiniaEgypt 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2022年第17卷第4期

页      面：226-231页

核心收录：

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：balloon healing otitis 

摘      要：Purpose:To compare cartilage tympanoplasty(CT)combined with eustachian tube balloon dilatation(ETBD)and cartilage tympanoplasty alone as a surgical treatment modality for adhesive otitis media(AdOM)in terms of graft healing,audiological outcomes,and impact on life style,using Chronic Otitis Media Outcome Test 15(COMOT-15).Methods:50 patients with AdOM were randomly classified into 2 groups:25 patients for cartilage tympanoplasty only(CT group)and 25 patients for cartilage tympanoplasty combined with eustachian tube balloon dilatation(CT t ETBD group).Clinical outcomes in both groups were compared at 3 and 6 months of follow up.Results:There was no significant difference in graft healing between the two groups.Postoperative COMOT-15 scores significantly decreased in both groups with a significant difference between the groups with regard to the decrease in COMOT-15 scores at 3 and 6 months of follow-up(P0.05).Hearing improvement was achieved,as the mean preoperative ABG was 26.5±5.4 and 27.1±4.6 dB,and the mean postoperative ABG at 6 months was 19.4±4.4 and 14.6±3.9 dB in the CT and the CT t ETBD groups,respectively.The difference in the magnitude of ABG reduction in the two groups was significant at 3 and 6 months of postoperative follow-up(P0.05)in favour of the CT t ETBD group.Conclusion:ETBD can increase the success rate of cartilage tympanoplasty in patients with AdOM by enhancing the audiological outcome and quality of life.