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 | ||||
| International Journal of Medical Arts | ||||
| Article 31, Volume 3, Issue 1, January 2021, Page 1125-1135 PDF (1.64 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2020.42697.1167 | ||||
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| Authors | ||||
Mohamed Hamed Alahmer  1; Ashraf Abdalla Wahba2
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| 1Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Egypt; ENT consultant at Algafel International Hospital, KSA | ||||
| 2Department of Otorhinolaryngology, Damietta Faculty of Medicine, Al-Azhar University, Egypt; ENT Consultant at Yanbu National Hospital, KSA | ||||
| 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 | ||||
| Keywords | ||||
| Chronic Rinosinusitis; Eustachian tube dysfunction; Balloon dilatation; Function endoscopic sinus surgery; Eustachian Tube Dysfunction Questionnaire | ||||
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