{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:08:11Z","timestamp":1784693291672,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T00:00:00Z","timestamp":1512000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the role and effect of concomitant adjunctive procedures when combined with balloon dilation of the Eustachian tube (BDET), including a new technique for treating obstructive disease within the bony Eustachian tube (ET).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects<\/jats:title><jats:p>Adults with persistent (\u22652 years): 1) OME or non\u2010fixed TM retraction AND type B or C tympanogram OR 2) Consistent symptoms of barochallenge with flights or diving, all despite medical treatment for \u22656 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Balloon dilation of the cartilaginous ET (BDET) was performed under general anesthesia using concomitant myringotomy with or without tube placement if indicated. Adjunctive turbinectomy, adenoidectomy, and\/or tympanoplasty were used in selected cases. For suspected disease in the bony ET, an illuminated guidewire was used for probing and clearing the lumen. Outcome measures were tympanogram, otomicroscopy, ET mucosal inflammation score, Valsalva maneuver, and PTA audiometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>67 ETs (48 patients) underwent BDET: 1) 30\/67 balloon w\/wo myringotomy, w\/wo tube, 2) 20\/67 plus adjunctive procedure or 3) 17\/67 plus guidewire. Follow\u2010up was ranging from 0.4 to 3.4 years (mean 1.3 year, SD\u2009=\u20090.7). Significant improvement occurred in 79%. There was no significant difference in the failure rate comparing balloon dilation with adjunctive procedures 5\/20 (25%) or without adjunctive procedures; 4\/30 <jats:italic>p<\/jats:italic>\u2009=\u20090.45 (13%). Failure rate for BDET plus guide wire was 5\/17 (29%) and resistance within the bony ET occurred in 8\/17 (47%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Balloon dilation of the cartilaginous ET demonstrated significant improvement despite expansion of indications that necessitated the addition of adjunctive procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.110","type":"journal-article","created":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T06:36:42Z","timestamp":1512023802000},"page":"337-343","source":"Crossref","is-referenced-by-count":19,"title":["Utility of Adjunctive Procedures With Balloon Dilation of the Eustachian Tube"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3843-427X","authenticated-orcid":false,"given":"Yehia","family":"Ashry","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Communications Enhancement Boston Children's Hospital and Harvard Medical School Boston Massachusetts U.S.A"},{"name":"Department of Otolaryngology Suez Canal University Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kosuke","family":"Kawai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communications Enhancement Boston Children's Hospital and Harvard Medical School Boston Massachusetts U.S.A"},{"name":"Clinical Research Center Boston Children's Hospital Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8641-7370","authenticated-orcid":false,"given":"Dennis","family":"Poe","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communications Enhancement Boston Children's Hospital and Harvard Medical School Boston Massachusetts U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,30]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Eustachian Tube: Structure, Function, Role in Otitis Media","author":"Bluestone CD","year":"2005"},{"key":"e_1_2_8_3_1","first-page":"602","article-title":"Analysis of eustachian tube function by video endoscopy","volume":"21","author":"Poe DS","year":"2000","journal-title":"Am J Otol"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200109000-00005"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12475"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(00)00075-4"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.03.004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811430809"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200401000-00001"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.10.031"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24894"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20950"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814529538"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814567105"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000895"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811399866"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70100-1"},{"key":"e_1_2_8_18_1","unstructured":"PoeD.Pathophysiology and Surgical Treatment of Eustachian Tube Dysfunction. Academic Dissertationthe board of the School of Medicine of the University of Tampere Tampere Finland December2011. 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