Evidence map›Paper›PMID 39825201›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Efficacy of concurrent balloon eustachian tuboplasty in the treatment of chronic otitis media with effusion in children with tonsil and adenoid hypertrophy.

Jianli Ma, Zhaopeng Kang, Lian Xu, Ping Ai, Qun Zhang, Lixin Wang

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jianli MaDepartment of Otorhinolaryngology Head and Neck Surgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Zhaopeng KangDepartment of Andrology, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China. 407416410@qq.com.
Lian XuDepartment of Otolaryngology Head and Neck Surgery, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.
Ping AiDepartment of Otolaryngology Head and Neck Surgery, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.
Qun ZhangDepartment of Otolaryngology Head and Neck Surgery, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.
Lixin WangDepartment of Otolaryngology Head and Neck Surgery, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China. wanglxlx@126.com.ORCID http://orcid.org/0009-0001-1922-8799

Funding

Natural Science Foundation of Hubei Province No. 2022CFB839
6 · The paper itself

Abstract

objectiveThis study aims to explore the clinical effects of simultaneous balloon eustachian tuboplasty (BET) in treating chronic secretory otitis media (COME) in children with bilateral tonsil and adenoid hypertrophy (TAH), providing a theoretical basis for the clinical application of BET.

methodsFrom January 2023 to January 2024, 30 children diagnosed with COME and bilateral TAH were included in this retrospective study at our hospital. The cohort comprised a total of 55 affected ears. Sixteen patients (28 affected ears) were assigned to the study group, which underwent bilateral ablation of tonsils and adenoids (ATA) combined with tympanostomy tube insertion (TTI) and BET. Fourteen patients (27 affected ears) were assigned to the control group, which received bilateral ATA and TTI only. The observation indicators included otolaryngology specialist examinations, imaging assessments, endoscopic evaluations, hearing examinations, and efficacy assessments.

resultsAll surgeries were performed successfully without significant complications. Within 48 h post-surgery, none of the patients experienced noticeable dizziness, vomiting, earache, or other discomforts. The proportion of symptom improvement in the study group was significantly higher than in the control group (P < 0.001). Additionally, the proportion of tympanogram type A in the study group was significantly greater than that in the control group (P = 0.004). Six months post-operation, the air conduction (AC), bone conduction (BC), and air-bone gap (ABG) values in the study group were significantly lower than those in the control group (all P < 0.05). Furthermore, the effective rate in the study group six months after the operation was significantly higher than that in the control group (P < 0.001).

conclusionThis study confirms the near-term efficacy and safety of the combined approach of ATA, TTI, and BET in treating children with COME. It provides valuable clinical experience and a theoretical foundation for the application of BET in this patient population.

Indexed as

AdenoidsEustachian TubeOtitis Media with EffusionPalatine TonsilChildChild, PreschoolChronic DiseaseFemaleHumansHypertrophyMaleMiddle Ear VentilationRetrospective StudiesTreatment OutcomeAblation of tonsils and adenoidsBalloon eustachian tuboplastyChronic secretory otitis mediaTympanostomy tube insertion

Identifiers

PMID39825201

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