Tympanoplasty and eustachian tube balloon dilatation in the treatment of adhesive otitis media
10.3969/j.issn.1006-7299.2025.04.014
- VernacularTitle:鼓室成形联合咽鼓管球囊扩张术治疗粘连性中耳炎的疗效分析
- Author:
Hongmin LI
1
;
Pengfei WANG
1
;
Xiaodan ZHU
1
;
Ling LI
1
;
Yuan ZHANG
1
;
Le WANG
1
;
Fanglei YE
1
Author Information
1. 郑州大学第一附属医院耳鼻咽喉头颈外科(郑州 450052)
- Publication Type:Journal Article
- Keywords:
Adhesive otitis media;
Eustachian tube balloon dilatation;
Tympanoplasty
- From:
Journal of Audiology and Speech Pathology
2025;33(4):368-371
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of tympanoplasty with and without eustachian tube bal-loon dilatation(ETBD)in the treatment of adhesive otitis media(AOM).Methods A total of 43 patients with AOM and eustachian tube dysfunction(ETD)were retrospectively analyzed,and were divided into the experimental group(n=22)who underwent tympanoplasty combined with ETBD and the control group(n=21)who underwent tympanoplasty alone.The changes of average air conduction hearing thresholds,pure-tone air-bone gap(ABG)and eustachian tube score(ETS)were compared between the two groups before and after surgery at 6 months and 2 years.Results There were no significant differences between the experimental group and the control group in air conduction hearing thresholds,ABG and ETS before operation(P＞0.05).Comparison within both the two groups after operation:air conduction hearing thresholds and ABG in both groups were significantly reduced(P＜0.05),and ETS in the experimental group was significantly higher than that before surgery(P＜0.05).Comparison be-tween two groups after operation:there were no statistically significant differences in the air conduction hearing thresholds and ABG at 6 months after surgery(P＞0.05),while there was statistically significant difference in ETS(P＜0.05).At 2 years,there were statistically significant differences in the air conduction hearing thresholds,ABG and ETS between the two groups(P＜0.05)with the experimental group showing better outcomes.Conclusion Tympanoplasty can significantly improve the postoperative hearing of AOM.Tympanoplasty combined with ETBD not only effectively improves the eustachian tube function,but also shows better long-term follow-up hearing im-provement,making it an effective treatment for AOM patients.
