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BALLOON EUSTACHIAN TUBOPLASTY WITH DEXAMETHASONE IRRIGATION FOR EUSTACHIAN TUBE DILATORY DYSFUNCTION
1DEPARTMENT OF OTORHINOLARYNGOLOGY AND BIOMEDICAL RESEARCH INSTITUTE, PUSAN NATIONAL UNIVERSITY HOSPITAL, BUSAN, REPUBLIC OF KOREA 2DEPARTMENT OF OTORHINOLARYNGOLOGY AND BIOMEDICAL RESEARCH INSTITUTE, PUSAN NATIONAL UNIVERSITY YANGSAN HOSPITAL, YANGSAN, REPUBLIC OF KOREA
HYOSEOK SEO1 MD, HYUN MIN LEE, MD2 SE-JOON OH, MD, PHD1 IL-WOO LEE, MD, PHD2 SUNG-WON CHOI, MD1 SOO-KEUN KONG, MD, PHD1
¸ñÀû: To introduce a new technique to evaluate the patency of the Eustachian tube and predict the success of Balloon Eustachian Tuboplasty (BET) for Eustachian Tube Dysfunction (ETD) patients. ¹æ¹ý:Inflate the balloon in the Eustachian tube, inject 0.1~0.3cc of dexamethasone into the balloon lumen, and at the same time check the air fluid level of the ipsilateral middle ear cavity with an otoscope. Preoperative and postoperative changes were evaluated as surgical outcomes using Eustachian Tube Dysfunction Questionnaire (ETDQ-7) and Valsalva maneuver. °á°ú:The dexamethasone irrigation with BET technique was technically successful in all patients. The mean ETDQ-7 score was 3.11 preoperatively, which decreased to 2.27 at 1 month and 1.75 at 3 months, respectively. At 3 months after surgery, Valsalva maneuver was possible in 15 of 18 ears (83.33%). °á·Ð:The dexamethasone irrigation with BET technique obtained significant improvement in subjective(ETDQ-7) and objective(Valsalva maneuver) surgical outcomes in ETD patients. This technique is a simple, safe and effective method to improve the outcome of BET surgery in ETD patients.


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