{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:08:10Z","timestamp":1784693290277,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Eustachian tube dysfunction is regarded as a \u2018black box\u2019 term, reflecting a spectrum of dysfunction. The key to its diagnosis and management is in identifying the aetiology and exact pathophysiology of the dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We present our retrospective 5\u2010year results for the technique of transnasal endoscopic balloon dilatation of the cartilaginous part of the Eustachian tube, balloon Eustachian tuboplasty (<jats:styled-content style=\"fixed-case\">BET<\/jats:styled-content>). The indication for treatment is chronic obstructive Eustachian tube dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Preoperatively, the Eustachian tube score (<jats:styled-content style=\"fixed-case\">ETS<\/jats:styled-content>) was obtained by a clinico\u2010objective assessment involving tubomanometry (<jats:styled-content style=\"fixed-case\">TMM<\/jats:styled-content>) and reported patient symptom. The measurements were repeated 1, 2, 3, 4 and 5\u00a0years postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 622 patients (1076 ears) were treated with <jats:styled-content style=\"fixed-case\">BET<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One year after treatment, the Eustachian tube score improved from 3.13 (\u00b1\u00a02.47 <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>) to 5.75 (\u00b1\u00a02.76 <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>). The Eustachian tube score improved significantly in 73% of ears. The average Eustachian tube score 2\u00a0years after treatment improved from 2.65 (\u00b1\u00a02.89 <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>) to 6.26 (\u00b1\u00a03.07 <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>). In 82% of patients, the Eustachian tube score improved significantly at 5\u00a0years. The subjective satisfaction of the patients was approximately 80%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our long\u2010term results suggest that <jats:styled-content style=\"fixed-case\">BET<\/jats:styled-content> is a safe and feasible treatment for chronic obstructive Eustachian tube dysfunction with a success rate of more than 70%. This study has important implications for other Eustachian tube\u2010related clinical entities, such as glue ear management (adults and children), continued grommet insertion and tympanomastoid surgery outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12429","type":"journal-article","created":{"date-parts":[[2015,4,13]],"date-time":"2015-04-13T08:12:53Z","timestamp":1428912773000},"page":"629-638","source":"Crossref","is-referenced-by-count":85,"title":["Balloon Eustachian tuboplasty: a retrospective cohort study"],"prefix":"10.1111","volume":"40","author":[{"given":"S.","family":"Schr\u00f6der","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Bielefeld Academic Teaching Hospital M\u00fcnster University Bielefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Bielefeld Academic Teaching Hospital M\u00fcnster University Bielefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Ebmeyer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Bielefeld Academic Teaching Hospital M\u00fcnster University Bielefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Upile","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Bielefeld Academic Teaching Hospital M\u00fcnster University Bielefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Sudhoff","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Bielefeld Academic Teaching Hospital M\u00fcnster University Bielefeld Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,18]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"182","volume-title":"Pediatric Otolaryngology","author":"Bluestone C.D.","year":"1996"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050335"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d1088"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb01004.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-005-1362-7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199311000-00010"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.8.1041"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2009.2.2.61"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00176702"},{"key":"e_1_2_7_11_1","first-page":"201","volume-title":"Ballenger's otorhinolaryngology: head and neck surgery","author":"Poe D.S.","year":"2009"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556139607500310"},{"key":"e_1_2_7_13_1","first-page":"102","article-title":"Early postoperative middle\u2010ear ventilation \u2013 risk for the transplant or guarantee for aeration of the tympanic cavity?","volume":"82","author":"Dorrie A.","year":"2003","journal-title":"Laryngorhinootologie"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050416"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-013-2691-6"},{"key":"e_1_2_7_16_1","volume-title":"Die Ballondilatation der Eustachischen R\u00f6hre zur Behandlung der obstruktiven Tubendysfunktion","author":"Ockermann T","year":"2009"},{"key":"e_1_2_7_17_1","unstructured":"IP 914.IP overview: Balloon dilatation of the Eustachian tube. Nice Assessment March2011."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181e8cc6d"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20950"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24922"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23223"},{"key":"e_1_2_7_22_1","first-page":"223","article-title":"Evaluation par tubomanometrie de la fonction douverture tubaire et de la r\u00e9ponse tympanique chez le sujet normal et chez le sujet porteur dune otide s\u00e9ro\u2010muqueuse chronique","volume":"50","author":"Esteve D.","year":"2001","journal-title":"J. Fr. ORL"},{"key":"e_1_2_7_23_1","volume-title":"Tubomanometry","author":"Ars B.","year":"2003"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-009-1908-1"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000214"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-013-2712-5"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541040515"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.56"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-013-2764-6"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3181e85614"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000246227.65877.1f"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200401000-00001"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-012-2573-3"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-013-2713-4"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-013-2711-6"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811399866"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814529538"},{"key":"e_1_2_7_38_1","first-page":"A4818","article-title":"Promising results after balloon dilatation of the Eustachian tube for obstructive dysfunction","volume":"61","author":"Wanscher J.H.","year":"2014","journal-title":"Dan Med J."},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1159\/000358254"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12195"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.12429","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.12429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T08:23:36Z","timestamp":1695543816000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.12429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,18]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1111\/coa.12429"],"URL":"https:\/\/doi.org\/10.1111\/coa.12429","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,18]]}}}