What is the full range of medical and surgical treatments available for patients with Eustachian tube dysfunction?
Abstract
Purpose of review To present the current medical and surgical treatment options for Eustachian tube dysfunction. Recent findings Balloon dilation or microdebrider Eustachian tuboplasty are feasible treatment options for patients with refractory dilatory dysfunction as an alternative to tympanostomy tube placement. There is increasing evidence that repair of patulous Eustachian tubes by the insertion of a shim or fat graft reconstruction within the lumen of the Eustachian tube orifice may be effective. Summary In patients with Eustachian tube dysfunction that is refractory to medical management, newer surgical techniques may provide symptomatic relief with a reasonable duration. Continued basic science research into the cause of dysfunction, the mechanisms of benefit from intervention and long-term clinical outcomes are necessary.
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Recent evidence suggests that, in the healthy middle ear, pressure slowly decreases, and periodic opening of the Eustachian tube restores the middle ear towards atmospheric pressure.
“Recent evidence suggests that, in the healthy middle ear, pressure slowly decreases, and periodic opening of the Eustachian tube restores the middle ear towards atmospheric pressure.4”
From Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis (2015) · cites this paper as [4]
Patulous Eustachian tube dysfunction symptoms may be better in the supine position or during upper respiratory tract infection.
“Symptoms may be better in the supine position or during upper respiratory tract infection.4”
From Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis (2015) · cites this paper as [4]
In patulous Eustachian tube dysfunction, symptoms go together with evidence on otoscopy or tympanometry of tympanic membrane excursion with breathing.
“In Patulous Eustachian tube dysfunction, symptoms go together with evidence on otoscopy or tympanometry of tympanic membrane excursion with breathing.4”
From Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis (2015) · cites this paper as [4]
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Schilder, A. G. M., Bhutta, M. F., Butler, C. C., Holy, C., Levine, L. H., Kvaerner, K. J., Norman, G., Pennings, R. J., Poe, D., Silvola, J. T., et al. (2015) · Clinical Otolaryngology · doi:10.1111/coa.12475 · Cited by 407 · see citing works
Self-citationMehta, N. K., Ma, C., Nguyen, S. A., McRackan, T. R., Meyer, T. A., & Lambert, P. R. (2022) · The Laryngoscope · doi:10.1002/lary.29878 · Cited by 33 · see citing works
- Authors
- Adil, E., & Poe, D.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Poe, Dennis
- Venue
- Current Opinion in Otolaryngology & Head and Neck Surgery
- Published
- 2014-02
- Volume
- 22
- Issue
- 1
- Pages
- 8-15
- ISSN
- 1068-9508 (ISSN-L)
- OpenAlex
- W1984606999
- Cited by
- 104
- References
- 0
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 9 · 2023: 12 · 2022: 12 · 2021: 10 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 6 · 2016: 9 · 2015: 7 · 2013: 1
- FWCI
- 5.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Otolaryngology & Head & Neck Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Keywords
- Eustachian tube dysfunction, balloon dilation, patulous Eustachian tube, tympanostomy tubes, medical treatment
- MeSH terms
- Ear Diseases, Eustachian Tube, Humans
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