CC BY-NC-ND 4.0 · Laryngorhinootologie 2020; 99(S 02): S313-S314
DOI: 10.1055/s-0040-1711270
Abstracts
Otology

Balloon Eustachian tuboplasty (BET) in children with general or localized retractions of the tympanic membrane: subgroup analysis of a retrospective multicenter study

S Euteneuer
1   Universitätsklinikum Heidelberg, HNO-Klinik Heidelberg
,
S Maier
2   Bundeswehrkrankenhaus Ulm, Klinik für HNO-Heilkunde Ulm
,
S Preyer
4   ViDia Christliche Kliniken Karlsruhe, Diakonissenkrankenhaus, HNO-Klinik Karlsruhe
,
S Kourtidis
4   ViDia Christliche Kliniken Karlsruhe, Diakonissenkrankenhaus, HNO-Klinik Karlsruhe
,
G Lehnerdt
5   Klinikverbund St. Antonius und St. Joseph, St. Anna Klinik, HNO-Klinik Wuppertal
,
S Winterhoff
5   Klinikverbund St. Antonius und St. Joseph, St. Anna Klinik, HNO-Klinik Wuppertal
,
CV. Dalchow
6   Universitätsklinikum Hamburg-Eppendorf (UKE), HNO-Heilkunde Hamburg
,
F Müller-Jenckel
6   Universitätsklinikum Hamburg-Eppendorf (UKE), HNO-Heilkunde Hamburg
,
HH. Sudhoff
6   Universitätsklinikum Hamburg-Eppendorf (UKE), HNO-Heilkunde Hamburg
,
S Schröder
,
A Koitschev
10   Klinikum Stuttgart, Olgahospital, HNO-Klinik Stuttgart
,
P Amrhein
10   Klinikum Stuttgart, Olgahospital, HNO-Klinik Stuttgart
,
KL Bruchhage
11   Universitätsklinikum Schleswig-Holstein, Campus Lübeck, HNO-Klinik Lübeck
,
A Leichtle
11   Universitätsklinikum Schleswig-Holstein, Campus Lübeck, HNO-Klinik Lübeck
,
C Güldner
12   Universitätsklinikum Giessen-Marburg (UKGM), Standort Marburg, HNO-Klinik Marburg
,
J Grulich-Henn
14   Universitätsklinikum Heidelberg, Zentrum für Kinder- und Jugendmedizin, Klinik für Allgemeine Pädiatrie, Neuropädiatrie, Stoffwechsel, Gastroenterologie und Nephrologie Heidelberg
,
K Jensen
15   Universitätsklinikum Heidelberg, Institut für Medizinische Biometrie und Informatik (IMBI), Abteilung Biometrie Heidelberg
,
M Pohl
15   Universitätsklinikum Heidelberg, Institut für Medizinische Biometrie und Informatik (IMBI), Abteilung Biometrie Heidelberg
,
Peter K. Plinkert
1   Universitätsklinikum Heidelberg, HNO-Klinik Heidelberg
,
M Tisch
2   Bundeswehrkrankenhaus Ulm, Klinik für HNO-Heilkunde Ulm
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    Introduction General or localized retractions of the tympanic membrane are frequently seen in children. They pose a challenge to therapeutic decision making. On the one hand a significant proportion of retractions lingers stable. On the other hand, other retractions do progress to cholestatoma. Furthermore, recurrences after surgery, like ventilation tube placement or tympanoplasty, develop. Balloon Eustachian tuboplasty (BET) now presents a causal treatment approach to address the underlying Eustachian tube dysfunction.

    Methods Retrospective multicenter study (9 tertiary care ENT departments). Patients: 4-12 year-old children with tympanic membrane retractions. Treatment: BET, alone or synchronously with paracentesis (PC), ventilation tube (VT) insertion or tympanoplasty (TPL), during 3/2011 and 8/2014. Outcome criteria: tympanic membrane appearance at microscopic otoscopy, type of tympanogram, hearing level, ability to perform Valsalva’s maneuver.

    Results In total, 299 BETs were carried out in 167 children. In 88 children (140 ears), generalized or localized retraction of the tympanic membrane was given as reason for BET. 80 children (124 ears) still presented with tympanic membrane retractions at the time of surgery. They were therefore subjected to the present subgroup analysis. In 61 ears BET was the only intervention. 63 ears were treated with additional PC, VT insertion, or TPL. All outcome criteria improved in both groups treated either with BET-only or with BET and PC, PD or TPL.

    Conclusion The treatment effects observed need to be surveyed in prospective clinical trials.

    Poster-PDF A-1994.PDF


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    SE, SP, SK, SW, GL, CD, HHS, SS, PA, KLB, AL, CG, JGH und MT erhielten Reisekostenerstattungen vom Hersteller (Spiggle & Theis Medizintechnik, Overath) des verwendeten BET Katheters. Weiterhin erhielten CD, HHS and SE finanzielle Unterstützung vom Hersteller bei der Durchführung von Symposien.

    Dr. med. Sara Euteneuer
    Universitätsklinikum Heidelberg, HNO-Klinik
    Im Neuenheimer Feld 400
    69120 Heidelberg

    Publication History

    Article published online:
    10 June 2020

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