In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review

Objective: To study the effectiveness and feasibility of in office balloon dilation of the Eustachian tube (BDET) utilizing a novel anesthetic protocol. Study design: retrospective review. Methods: Retrospective chart review looking at the tolerability and effectiveness of stand-alone BDET in an off...

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Autor principal:	Marc Dean
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/a4dbb40c59dc4659b729db784af862fc
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spelling	oai:doaj.org-article:a4dbb40c59dc4659b729db784af862fc2021-12-02T13:28:56ZIn-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review2095-881110.1016/j.wjorl.2019.08.001https://doaj.org/article/a4dbb40c59dc4659b729db784af862fc2019-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881119300927https://doaj.org/toc/2095-8811Objective: To study the effectiveness and feasibility of in office balloon dilation of the Eustachian tube (BDET) utilizing a novel anesthetic protocol. Study design: retrospective review. Methods: Retrospective chart review looking at the tolerability and effectiveness of stand-alone BDET in an office setting utilizing a novel topical anesthesia protocol in 33 patients with Eustachian tube dysfunction as defined by an ETDQ-7 score greater than 2.2 and type B or C tympanograms for greater than 3 months despite maximal medical management, including at least 4 weeks of nasal steroids. Results: BDET in the office was well tolerated with 94% (31/33) of patients completing the procedure as planned. No adverse effects or complications were reported; however, the planned dilation time was cut short in one case due to significant discomfort and aborted prior to dilation in another due significant coughing. Tympanograms normalized at six weeks in 87.1% (27/31) of patients who underwent dilation. Conclusion: This study demonstrates that performing BDET in an office setting utilizing a local anesthesia protocol is feasible and effective when the unique barometric considerations of BDET are addressed. Keywords: Balloon dilatation, Eustachian tube, Local anesthesia, In office, TopicalMarc DeanKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 3, Pp 143-147 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Marc Dean In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review
description	Objective: To study the effectiveness and feasibility of in office balloon dilation of the Eustachian tube (BDET) utilizing a novel anesthetic protocol. Study design: retrospective review. Methods: Retrospective chart review looking at the tolerability and effectiveness of stand-alone BDET in an office setting utilizing a novel topical anesthesia protocol in 33 patients with Eustachian tube dysfunction as defined by an ETDQ-7 score greater than 2.2 and type B or C tympanograms for greater than 3 months despite maximal medical management, including at least 4 weeks of nasal steroids. Results: BDET in the office was well tolerated with 94% (31/33) of patients completing the procedure as planned. No adverse effects or complications were reported; however, the planned dilation time was cut short in one case due to significant discomfort and aborted prior to dilation in another due significant coughing. Tympanograms normalized at six weeks in 87.1% (27/31) of patients who underwent dilation. Conclusion: This study demonstrates that performing BDET in an office setting utilizing a local anesthesia protocol is feasible and effective when the unique barometric considerations of BDET are addressed. Keywords: Balloon dilatation, Eustachian tube, Local anesthesia, In office, Topical
format	article
author	Marc Dean
author_facet	Marc Dean
author_sort	Marc Dean
title	In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review
title_short	In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review
title_full	In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review
title_fullStr	In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review
title_full_unstemmed	In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review
title_sort	in-office balloon dilation of the eustachian tube under local anesthesia: a retrospective review
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/a4dbb40c59dc4659b729db784af862fc
work_keys_str_mv	AT marcdean inofficeballoondilationoftheeustachiantubeunderlocalanesthesiaaretrospectivereview
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In-office balloon dilation of the Eustachian tube under local anesthesia: A retrospective review

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