Fabio Fanfoni
Croydon University Hospital, UK
Title: Evaluation of endoscopic balloon dilatation as a treatment of eustachian tube dysfunctio
Biography
Biography: Fabio Fanfoni
Abstract
Aim is to evaluate endoscopic eustachian tube balloon dilatation (ENTellus®) outcomes as treatment of Eustachian Tube Dysfunction (ETD) in selected patients who did not respond to medical treatment and/or not improve after Grommet insertion or not keen on Grommet. It is a prospective study of 6 months follow up, conducted in secondary care academic center. Patient’s selected those who diagnosed with persistent Eustachian tube dysfunction refractory to medical treatment. No concomitance of chronic otitis media, tympanic membrane perforations, labyrinthine dysfunction, Meniere’s disease, patulous eustachian tube. Patient’s symptoms feedback evaluated through comparison of the 7-items Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score before and after the procedure. Primary safety endpoint was complication rate. Fourteen (14) patients were selected and underwent endoscopic eustachian tube balloon dilatation. Mean pre-operative EDTQ-7 score was 4.5, post-operative 2.6 with a mean change of -1.9. No surgical complications were reported. Balloon dilatation is a promisingly safe procedure and effective treatment option that can be offered to patients with persistent ETD. Further studies with increased number of representative sample of participants and longer terms results will certainly help confirming effectiveness.