Cartilage tympanoplasty in the treatment of adhesive otitis media with and without Eustachian tube balloon dilatation
Ahmed abdel rahman abdel aziz1
Ahmed Mahmoud Youssef1
Mostafa Mohamed Mostafa2
Mostafa talaat1
Khaled Mohamed Abdelzaher1
Ahmed Adel Sadeq1
1.Department of Otorhinolaryngology,Faculty of Medicine,El Minia,Egypt2.Radiology Department,Faculty of Medicine,El Minia,Egypt
摘要：Purpose:To compare cartilage tympanoplasty(CT)combined with eustachian tube balloon dilatation(ETBD)and cartilage tympanoplasty alone as a surgical treatment modality for adhesive otitis media(AdOM)in terms of graft healing,audiological outcomes,and impact on life style,using Chronic Otitis Media Outcome Test 15(COMOT-15).Methods:50 patients with AdOM were randomly classified into 2 groups:25 patients for cartilage tympanoplasty only(CT group)and 25 patients for cartilage tympanoplasty combined with eustachian tube balloon dilatation(CT+ETBD group).Clinical outcomes in both groups were compared at 3 and 6 months of follow up.Results:There was no significant difference in graft healing between the two groups.Postoperative COMOT-15 scores significantly decreased in both groups with a significant difference between the groups with regard to the decrease in COMOT-15 scores at 3 and 6 months of follow-up(P＜0.05).Hearing improvement was achieved,as the mean preoperative ABG was 26.5±5.4 and 27.1±4.6 dB,and the mean postoperative ABG at 6 months was 19.4±4.4 and 14.6±3.9 dB in the CT and the CT+ETBD groups,respectively.The difference in the magnitude of ABG reduction in the two groups was significant at 3 and 6 months of postoperative follow-up(P＜0.05)in favour of the CT+ETBD group.Conclusion:ETBD can increase the success rate of cartilage tympanoplasty in patients with AdOM by enhancing the audiological outcome and quality of life.
机标关键词：mediaadhesiveballooncartilagedilatationeustachianotitistreatment
论文发表日期：2022-12-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 226-231 )