Luaran Terapi Balloon Eustachian Tuboplasty pada Disfungsi Tuba Eustachius
DOI:
https://doi.org/10.35790/ecl.v11i2.44304Abstract
Abstract: Eustachian tube dysfunction (ETD) is a common condition complained by patients and most of them are still managed today by medical therapy. Newer management techniques such as Balloon Eustachian Tuboplasty (BET) has been introduced. This study aimed to evaluate the available studies regarding the indications, safety, and efficacy of BET in reducing the symptoms of patients with ETD. This was a systematic review study. A comprehensive literature search was carried out according to PRISMA guidelines, and seven articles were obtained. The follow-up results showed a significant improvement in the ETDQ-7 score and the results of middle ear assessments. Progress observed over 1-12 months confirmed the efficacy and demonstrated the durability of the BET procedure, without complications that occurred during follow-up. In conclusion, based on the literature review the procedure BET was found to be safe and efficient in the short and long terms up to five years post operatively in patient with chronic ETD.
Keywords: Balloon Eustachian Tuboplasty; Eustachian tube dysfunction
Abstrak: Disfungsi tuba Eustachius (ETD) merupakan kondisi yang umum dikeluhkan oleh pasien dan sebagian besar masih dikelola saat ini dengan terapi medis. Dewasa ini teknik manajemen yang lebih baru seperti Balloon Eustachian Tuboplasty (BET) telah diperkenalkan. Penelitian ini bertujuan untuk mengevaluasi studi-studi yang tersedia mengenai indikasi, keamanan, keberhasilan BET dalam mengurangi gejala pasien ETD. Jenis penelitian ialah suatu systematic review. Pencarian literatur dilakukan secara komprehensif sesuai dengan pedoman PRISMA. Hasil penelitian mendapatkan tujuh artikel untuk dilakukan tinjauan sistematis. Hasil follow-up dari semua peserta yang menjalani BET menunjukkan peningkatan bermakna berdasar-kan skor ETDQ-7 dan hasil penilaian telinga tengah. Perkembangan selama 1-12 bulan menunjuk-kan kemanjuran dan daya tahan prosedur BET tanpa disertai komplikasi berat yang muncul selama masa follow-up. Simpulan penelitian ini ialah prosedur BET dilaporkan aman dan efektif dalam jangka pendek dan jangka panjang hingga mencapai lima tahun pasca operasi pada pasien dengan ETD kronis.
Kata kunci: Balloon Eustachian Tuboplasty; disfungsi tuba Eustachius
References
Adil E, Poe D. What is the full range of medical and surgical treatments available for patients with Eustachian tube dysfunction? Curr Opin Otolaryngol Head Neck Surg. 2014;22(1):8–15.
Norman G, Llewellyn A, Harden M, Coatesworth A, Kimberling D, Schilder A, et al. Systematic review of the limited evidence base for treatments of Eustachian tube dysfunction: a health technology assessment. Clin Otolaryngol. 2014;39(1):6–21.
Tisch M, Maier H, Sudhoff H. Balloon dilation of the Eustachian tube: clinical experience in the management of 126 children. Acta Otorhinolaryngol Ital. 2017;37(6):509–12.
Randrup TS, Ovesen T. Balloon Eustachian tuboplasty: a systematic review. Otolaryngol Neck Surg. 2015;152(3):383–92.
Llewellyn A, Norman G, Harden M, Coatesworth A, Kimberling D, Schilder A, et al. Interventions for adult Eustachian tube dysfunction: a systematic review. Health Technol Assess (Rockv). 2014; 18(46):1–180.
Schilder AGM, Bhutta MF, Butler CC, Holy C, Levine LH, Kvaerner KJ, et al. Eustachian tube dysfunction: Consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol. 2015;40(5):407–11.
Tucci DL, McCoul ED, Rosenfeld RM, Tunkel DE, Batra PS, Chandrasekhar SS, et al. Clinical Consensus Statement: Balloon dilation of the Eustachian tube. Otolaryngol Neck Surg. 2019; 161(1):6–17.
Schröder S, Lehmann M, Sauzet O, Ebmeyer J, Sudhoff H. A novel diagnostic tool for chronic obstructive Eustachian tube dysfunction—the Eustachian tube score. Laryngoscope. 2015;125(3): 703–8.
Van Roeyen S, van de Heyning P, van Rompaey V. Responsiveness of the 7-item Eustachian Tube Dysfunction Questionnaire. J Int Adv Otol. 2016;12(1):106–8.
Anand V, Poe D, Dean M, Roberts W, Stolovitzky P, Hoffmann K, et al. Balloon dilation of the Eustachian tube: 12-month follow-up of the randomized controlled trial treatment group. Otolaryngol - Head Neck Surg (United States). 2019;160(4):687–94.
Ockermann T, Reineke U, Upile T, Ebmeyer J, Sudhoff HH. Balloon dilation Eustachian tuboplasty: a feasibility study. Otol Neurotol. 2010;31(7):1100–3.
McCoul ED, Lucente FE, Anand VK. Evolution of Eustachian tube surgery. Laryngoscope. 2011; 121(3):661–6.
McCoul ED, Anand VK, Christos PJ. Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope. 2012;122(5):1137–41.
Luukkainen V, Kivekäs I, Silvola J, Jero J, Sinkkonen ST. Balloon eustachian tuboplasty: systematic review of long-term outcomes and proposed indications. J Int Adv Otol. 2018;14(1):112–26.
Teixeira MS, Swarts JD, Alper CM. Accuracy of the ETDQ-7 Questionnaire for identifying persons with Eustachian tube dysfunction. Otolaryngol Head Neck Surg. 2018;158(1):83–9.
Lidén G. The scope and application of current audiometric tests. J Laryngol Otol. 1969;83(6):507–20.
Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol. 1970;92(4):311–24.
Meyer TA, O’Malley EM, Schlosser RJ, Soler ZM, Cai J, Hoy MJ, et al. A randomized controlled trial of balloon dilation as a treatment for persistent Eustachian tube dysfunction with 1-year follow-up. Otol Neurotol. 2018;39(7):894–902.
Schröder S, Lehmann M, Korbmacher D, Sauzet O, Sudhoff H, Ebmeyer J. Evaluation of tubomano-metry as a routine diagnostic tool for chronic obstructive Eustachian tube dysfunction. Clin Otolaryngol. 2015;40(6):691–7.
Soetirto I, Hendarmin H, Bashiruddin J. Gangguan pendengaran dan kelainan telinga. In: Soepardi EA, Iskandar N, Bashiruddin J RR, editors. Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala dan Leher (6th ed). Jakarta, Indonesia: Balai Penerbit FKUI; 2007. p. 10
Xiong H, Liang M, Zhang Z, Xu Y, Ou Y, Chen S, et al. Efficacy of balloon dilation in the treatment of symptomatic Eustachian tube dysfunction: one year follow-up study. Am J Otolaryngol - Head Neck Med Surg [Internet]. 2016;37(2):99–102. Available from: http://dx.doi.org/10.1016/j. amjoto. 2015.10.010
Formánek M, Formánková D, Školoudík L, Zeleník K, Chrobok V, Komínek P. Effect of Balloon Eustachian Tuboplasty in adults that only have symptoms of chronic eustachian tube dysfunction, with a 1-year follow-up: prospective clinical trial. Ear Nose Throat J. 2020;145561320980199. Doi: 10.1177/0145561320980199.
Cutler JL, Meyer TA, Nguyen SA, O’Malley EM, Thackeray L, Slater PW. Long-term outcomes of balloon dilation for persistent Eustachian tube dysfunction. Otol Neurotol. 2019;40(10):1322–5.
Poe D, Anand V, Dean M, Roberts WH, Stolovitzky JP, Hoffmann K, et al. Balloon dilation of the eustachian tube for dilatory dysfunction: a randomized controlled trial. Laryngoscope. 2018; 128(5):1200–6.
Satmis MC, van der Torn M. Balloon dilatation of the Eustachian tube in adult patients with chronic dilatory tube dysfunction: a retrospective cohort study. Eur Arch Oto-Rhino-Laryngology [Internet]. 2018;275(2):395–400. Available from: http://dx.doi.org/10.1007/s00405-017-4857-4
Schröder S, Lehmann M, Ebmeyer J, Upile T, Sudhoff H. Balloon Eustachian tuboplasty: a retro-spective cohort study. Clin Otolaryngol. 2015;40(6):629–38.
Tailor B V, Smith ME, Hutchinson PJA, Tysome JR. Outcome measures for baro-challenge-induced Eustachian tube dysfunction: a systematic review. Otol Neurotol. 2018;39(2):138–49.
Smith ME, Tysome JR. Tests of Eustachian tube function: a review. Clin Otolaryngol. 2015;40(4):300–11.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Ida Ayu I. Larassanthi, Yully Prapyatiningsih
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).
