Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube
- Author:
Min Young KWAK
1
;
Ho Yun LEE
;
Soo-Keun KONG
;
In Seok MOON
;
Bong Jik KIM
;
Myung-Whan SUH
;
Jae Yun JUNG
;
Hong Ju PARK
;
Kyu-Yup LEE
;
Hyong-Ho CHO
;
Ryoukichi IKEDA
;
Jae-Jin SONG
;
Chi-Kyou LEE
Author Information
- Publication Type:Original Article
- From:Clinical and Experimental Otorhinolaryngology 2024;17(4):273-281
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objectives:. Balloon dilation of the Eustachian tube (BDET) is widely recognized as a minimally invasive treatment for obstructive Eustachian tube dysfunction (ETD). We employed a Delphi consensus methodology to develop recommendations for the clinical management of BDET in cases of obstructive ETD.
Methods:. A Delphi panel consisting of 26 expert physicians specializing in otology participated in two rounds of anonymous, iterative questionnaires. Consensus was defined as agreement from ≥70% of the panelists on a recommendation, while disagreement was defined as <70% agreement. The responses from the Delphi study were analyzed using both the content validity ratio and Kendall’s coefficient of concordance.
Results:. The panel finally evaluated 26 topics, reaching agreement on 9 and failing to reach consensus on 17 after two rounds. While consensus was not achieved regarding the postoperative follow-up period, a duration of 12 months was most commonly adopted. The Valsalva maneuver and questionnaire responses were identified as the most agreed-upon postoperative assessment tools following BDET.
Conclusion:. Consensus was reached on several recommendations for managing BEDT in obstructive ETD. This agreement will guide future research aimed at defining standard postoperative management for BEDT.
