CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S173
DOI: 10.1055/s-0038-1640310
Poster
Otologie: Otology

Method for Position Control in Balloon Dilation Eustachian Tuboplasty: A Feasibility Study

HG Fischer
1   Bundeswehrkrankenhaus/HNO, Hamburg
,
H Kielstein
2   Universität/Anatomie und Zellbiologie, Halle/S.
,
T Rahne
3   Uniklinik/HNO, Halle/S.
,
A Gey
3   Uniklinik/HNO, Halle/S.
,
T Zehlicke
1   Bundeswehrkrankenhaus/HNO, Hamburg
,
S Plontke
3   Uniklinik/HNO, Halle/S.
› Author Affiliations
 

Introduction:

Balloon dilation Eustachian tuboplasty (BET) for treatment of the tuba auditiva is an established procedure. The correct positioning of the catheter has been dependent on the subjective feeling of the user. A misposition, e.g. submucous via falsa or mucosal fold of the nasopharynx may occur. To date, no objective measurement method exists to verify the position of the catheter. The aim of this work was to establish a practicable method for checking the right position of the BET.

Methods:

Examinations were performed on eight ears of four human cadavers. Measurement registered the acoustic signals in the auditory canal, triggered by the balloon catheter. The controls used an incorrectly positioned catheter.

Results:

The sound caused by the insertion and removal of the balloon catheter as well as the hydrostatic dilatation were neither specific nor reliably reproducible. Fast pneumatic balloon fillings produced a characteristic crackling sound that indicated the correct catheter position in all subjects.

Conclusion:

The derivation of acoustic signals in the auditory canal could help to improve the quality assurance of the BET.



Publication History

Publication Date:
18 April 2018 (online)

© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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