Evidence map›Paper›PMID 39868609›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Tubomanometry-Score as Predictor of Outcome for Balloon Eustachian Tuboplasty in Patients With Eustachian Tube Dysfunction.

Niels H Holm, Alexander Mirz, Therese Ovesen, Christoph J Pfeiffer

Abstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Niels H HolmDepartment of Otorhinolaryngology, Head and Neck Surgery, Gødstrup Hospital, Herning, Denmark.ORCID 0009-0004-9674-764X
Alexander MirzDepartment of Otorhinolaryngology, Head and Neck Surgery, Gødstrup Hospital, Herning, Denmark.ORCID 0009-0005-2247-0403
Therese OvesenDepartment of Otorhinolaryngology, Head and Neck Surgery, Gødstrup Hospital, Herning, Denmark.ORCID 0000-0003-0864-7987
Christoph J PfeifferDepartment of Otolaryngology, Head and Neck Surgery, Medical School OWL, Bielefeld University, Klinikum Bielefeld Mitte, Bielefeld, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the predictive value of tubomanometry (TMM) in predicting subjective outcome of Balloon Eustachian Tuboplasty (BET) in patients with long-lasting Eustachian tube dysfunction (ETD). STUDY

designRetrospective case series.

settingSingle tertiary referral center.

methodsA total of 111 ETD patients undergoing 194 BET procedures were included. Demographics, TMM measurements, and tympanograms were registered before and 3 to 6 months after BET. The time ratio between the pressure increase in the nasopharynx and the outer ear canal was labelled R value.

resultsAt follow-up, 58.8% of the patients were satisfied with BET outcomes. The prevalence of normal R values increased significantly at 30 mbar (12%, P = .024), 40 mbar (14%, P = .0082), and 50 mbar (13%, P = .011). The prevalence of R = 0 decreased at all three pressure levels (-20%, P = .0001; -15%, P = .0013, and -16%, P = .0005, respectively). Type A tympanograms increased from 37% to 56% (P = .0002), while type B tympanograms decreased from 44% to 25% (P = .0006). Stratifying TMM measurements (R ≤ 1, R > 1, and R = 0) showed that preoperative R values were not prognostic of subjective outcome. Preoperative type B tympanogram indicated a risk of poor subjective outcome.

conclusionBET appeared to improve Eustachian tube function with reduced prevalence of pathologic R values and tympanograms. Although preoperative R values were not prognostic, TMM remains promising for assessing Eustachian tube function. Further studies are needed to refine TMM's role in predicting BET efficacy.

Indexed as

Ear DiseasesEustachian TubeAcoustic Impedance TestsAdultAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesTreatment OutcomeBalloon Eustachian TuboplastyEustachian tube dysfunctionpredictive valuesurgical outcometubomanometry

Identifiers

PMID39868609
PMCPMC11947850

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.