Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction

Background: Chronic rhinosinusitis [CRS] is a distressing disease that affects patients' mental and physical health. Eustachian tube dysfunction [ETD] affects approximately 1% of the adult population, especially patients with rhinosinus diseases. Transnasal Balloon Eustachian tuboplasty [BET] i...

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Autores principales:	Mohamed Alahmer, Ashraf Wahba
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	chronic rinosinusitis eustachian tube dysfunction balloon dilatation function endoscopic sinus surgery eustachian tube dysfunction questionnaire Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5f62e41595c4406e998c88940a12a06f
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spelling	oai:doaj.org-article:5f62e41595c4406e998c88940a12a06f2021-12-02T10:46:43ZCombined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction2636-41742682-378010.21608/ijma.2020.42697.1167https://doaj.org/article/5f62e41595c4406e998c88940a12a06f2021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_129166_71388245aad1557e6f4fe61c8e6c9373.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Chronic rhinosinusitis [CRS] is a distressing disease that affects patients' mental and physical health. Eustachian tube dysfunction [ETD] affects approximately 1% of the adult population, especially patients with rhinosinus diseases. Transnasal Balloon Eustachian tuboplasty [BET] is a safe intervention for adult patients with chronic ETD. Aim of the work: To evaluate the impact of combined Function endoscopic sinus surgery [FESS] for CRS and BET on ETD manifestations compared to FESS only. Patients and Methods: 45 patients were randomly allocated into Group C underwent FESS, and Group-I underwent FESS and BET. ETD was evaluated using the 7-item Eustachian Tube Dysfunction Questionnaire [ETDQ-7] score, Otoscopy, Valsalva maneuver, and tympanometry. BET was performed using the XprESS ENT Dilation System with balloon inflation to 12 atmospheres for 2-min. Study outcomes were determined after 6-wk. Results: At 6-wk, the frequency of normal TM position and positive Valsalva's maneuver was significantly higher, and ETDQ-7 scores were significantly improved in all patients, while the frequency of tympanogram type-A was significantly and non-significantly higher in groups I and C, respectively. ROC curve and Regression analyses defined the application of FESS with BET as the significant predictor for normalization of tympanogram to type-A. Conclusion: Coupling Balloon Eustachian tuboplasty with Function endoscopic sinus surgery provided outcome more superior to Function endoscopic sinus surgery alone. Balloon Eustachian tuboplasty in experienced hands can be performed with a 100% technical success rateMohamed AlahmerAshraf WahbaAl-Azhar University, Faculty of Medicine (Damietta)articlechronic rinosinusitiseustachian tube dysfunctionballoon dilatationfunction endoscopic sinus surgeryeustachian tube dysfunction questionnaireMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1125-1135 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic rinosinusitis eustachian tube dysfunction balloon dilatation function endoscopic sinus surgery eustachian tube dysfunction questionnaire Medicine (General) R5-920
spellingShingle	chronic rinosinusitis eustachian tube dysfunction balloon dilatation function endoscopic sinus surgery eustachian tube dysfunction questionnaire Medicine (General) R5-920 Mohamed Alahmer Ashraf Wahba Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction
description	Background: Chronic rhinosinusitis [CRS] is a distressing disease that affects patients' mental and physical health. Eustachian tube dysfunction [ETD] affects approximately 1% of the adult population, especially patients with rhinosinus diseases. Transnasal Balloon Eustachian tuboplasty [BET] is a safe intervention for adult patients with chronic ETD. Aim of the work: To evaluate the impact of combined Function endoscopic sinus surgery [FESS] for CRS and BET on ETD manifestations compared to FESS only. Patients and Methods: 45 patients were randomly allocated into Group C underwent FESS, and Group-I underwent FESS and BET. ETD was evaluated using the 7-item Eustachian Tube Dysfunction Questionnaire [ETDQ-7] score, Otoscopy, Valsalva maneuver, and tympanometry. BET was performed using the XprESS ENT Dilation System with balloon inflation to 12 atmospheres for 2-min. Study outcomes were determined after 6-wk. Results: At 6-wk, the frequency of normal TM position and positive Valsalva's maneuver was significantly higher, and ETDQ-7 scores were significantly improved in all patients, while the frequency of tympanogram type-A was significantly and non-significantly higher in groups I and C, respectively. ROC curve and Regression analyses defined the application of FESS with BET as the significant predictor for normalization of tympanogram to type-A. Conclusion: Coupling Balloon Eustachian tuboplasty with Function endoscopic sinus surgery provided outcome more superior to Function endoscopic sinus surgery alone. Balloon Eustachian tuboplasty in experienced hands can be performed with a 100% technical success rate
format	article
author	Mohamed Alahmer Ashraf Wahba
author_facet	Mohamed Alahmer Ashraf Wahba
author_sort	Mohamed Alahmer
title	Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction
title_short	Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction
title_full	Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction
title_fullStr	Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction
title_full_unstemmed	Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction
title_sort	combined endoscopic sinus surgery and eustachian tube balloon dilatation improves eustachian tube functions in patients had chronic rhinosinusitis with nasal polyposis and eustachian tube dysfunction
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/5f62e41595c4406e998c88940a12a06f
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_version_	1718396713557819392

Combined Endoscopic Sinus Surgery and Eustachian Tube Balloon dilatation improves Eustachian Tube Functions in patients had Chronic rhinosinusitis with nasal polyposis and Eustachian tube dysfunction

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