Efficacy analysis of modified endoscopic autologous cartilage eustachian tube pharyngeal orifice tubo-plasty on patulous eustachian tube
10.3969/j.issn.1006-7299.2025.05.002
- VernacularTitle:内镜下改良自体软骨咽鼓管咽口成形术对咽鼓管异常开放的疗效分析
- Author:
Jingcheng ZHOU
1
;
Zhenhao FU
;
Fangyuan WANG
;
Jianping JIA
;
Danheng ZHAO
;
Ya LIU
;
Li ZHU
;
Kun HOU
;
Mengyuan GUO
;
Haoze ZHANG
;
Yulin DING
;
Xiaolong LI
;
Zhaohui HOU
Author Information
1. 中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科医学部听觉与平衡觉全国重点实验室国家耳鼻咽喉疾病临床医学研究中心聋病教育部重点实验室聋病防治北京市重点实验室(北京 100853);中国人民解放军医学院(北京 100853)
- Publication Type:Journal Article
- Keywords:
Patulous eustachian tube(PET);
Eustachian tuboplasty;
Efficacy
- From:
Journal of Audiology and Speech Pathology
2025;33(5):418-423
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to investigate the efficacy of modified endoscopic autologous cartilage eustachian tube pharyngeal orifice tuboplasty(MEACETT)in patients with patulous eustachian tube(PET).Meth-ods A retrospective analysis was conducted on the clinical data of 27 patients(30 ears)diagnosed with PET who underwent MEACETT.Autologous cartilage was used through the incision at the posterior end of the inferior turbi-nate and filled into the lateral wall of the pharyngeal orifice of the eustachian tube.Without affecting the movement function of the eustachian tube during swallowing,the collapse of the pharyngeal orifice was fully filled.Before and after the surgery,the visual analogue scale(VAS),the eustachian tube dysfunction questionnaire-7(ETDQ-7)and hospital anxiety and depression scale(HADS)was used for assessment to evaluate the surgical efficacy.Results There was no significant difference in depression scores before and after surgery(P＞0.05).However,postopera-tive anxiety scores,ETDQ-7 scores,and VAS scores were significantly lower than preoperative scores(P＜0.05).Among the 27 patients,9 showed significant symptom relief,13 exhibited partial relief,and 5 had no significant change compared to preoperative symptoms.The overall response rate of the treatment(significant relief and partial relief)was 81.48％(22/27).All surgeries were successfully performed.Except for secretory otitis media occurring in 2 cases,no major complications were observed.Conclusion MEACETT demonstrates significant symptom relief in PET patients,with high surgical safety and low complication rates,making it worthy of clinical promotion.
