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Preoperative evaluations included otoscopy, pure\u2010tone audiometry (PTA), tympanometry, nasopharyngeal endoscopy, eustachian Tube Dysfunction Questionnaire (ETDQ\u20107), and temporal bone CT scans. Postoperative evaluation incorporated PTA, tympanometry, and ETDQ\u20107 assessment. Statistical analysis incorporated both within\u2010group (pre\u2013post) and between\u2010group comparisons of therapeutic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All interventions demonstrated therapeutic safety with no postoperative complications. While all groups showed hearing improvement, the BDET group failed to achieve statistically significant improvement in air conduction (AC) thresholds. The BDET\u2009+\u2009TTI combination yielded superior outcomes to TTI alone in AC thresholds, air\u2010bone gap (ABG), and ETDQ\u20107 scores improvements. Tympanometric normalization was significant in both TTI\u2010containing groups but not in the BDET\u2010alone group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While BDET monotherapy shows limited efficacy in adult COME management, its combination with TTI produces superior therapeutic outcomes compared to either procedure alone. These results position BDET as a potentially valuable adjunct to conventional TTI rather than an independent treatment modality for this patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70385","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T11:44:43Z","timestamp":1768995883000},"page":"3176-3184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Balloon Dilation With Tympanostomy Enhances Outcomes in Adult Chronic Otitis Media With Effusion"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1389-4284","authenticated-orcid":false,"given":"Mingxuan","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, State 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