{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:32:51Z","timestamp":1782397971671,"version":"3.54.5"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Tampere University including Tampere University Hospital, Tampere University of Applied Sciences"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Chronic obstructive Eustachian tube dysfunction (OETD) can lead to tympanic membrane (TM) retraction and middle ear effusion (MEE) which can cause conductive hearing impairment, which among other ear symptoms can lower the quality of life (QoL). In this prospective study we assess hearing results and subjective changes in QoL following balloon Eustachian tuboplasty (BET) in treatment of OETD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Totally 25 ears with TM retraction and 18 ears with MEE due to chronic OETD underwent BET as the sole intervention. Outcomes including otoscopy, ability to perform the Valsalva maneuver, tympanometry, audiometry, Eustachian tube inflammation scale and the Glasgow Benefit Inventory questionnaire (GBI) were obtained on all patients preoperatively and 6\u00a0months postoperatively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Hearing thresholds improved statistically significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) with means of 3\u00a0dB in the TM retraction group and 9\u00a0dB in the MEE group. Total GBI results indicated a positive influence on patients\u2019 QoL. Valsalva success rate was 80% in patients with TM retraction and 67% in patients with MEE. Tympanometry results improved in 50% of TM retraction patients and in 33% of MEE patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Here we demonstrated that the BET has a positive impact on patients\u2019 conductive hearing loss and QoL in patients with TM retraction or MEE. Results were better in TM retraction group than in MEE group.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-023-08231-2","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T13:02:09Z","timestamp":1695128529000},"page":"1259-1265","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Balloon dilation improves both the hearing level and the quality of life in patients suffering from obstructive Eustachian tube dysfunction"],"prefix":"10.1007","volume":"281","author":[{"given":"Leena","family":"P\u00f6yh\u00f6nen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7615-096X","authenticated-orcid":false,"given":"Juha","family":"Silvola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Poe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5905-0059","authenticated-orcid":false,"given":"Markus","family":"Rautiainen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6931-3641","authenticated-orcid":false,"given":"Ilkka","family":"Kivek\u00e4s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,9,19]]},"reference":[{"issue":"10","key":"8231_CR1","doi-asserted-by":"publisher","first-page":"974","DOI":"10.1001\/jamaoto.2019.1917","volume":"145","author":"A Shan","year":"2019","unstructured":"Shan A, Ward BK, Goman AM, Betz JF, Reed NS, Poe DS, Nieman CL (2019) Prevalence of eustachian tube dysfunction in adults in the United States. 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