{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T12:48:12Z","timestamp":1789649292987,"version":"4.0.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Good Eustachian tube (ET) function is necessary in order to equalize middle ear (ME) pressure with ambient pressures and avoid barotrauma among divers. Since placement of ventilation tubes is not compatible with diving, balloon eustachian tuboplasty is a potential surgical solution for divers with ET dysfunction (ETD). This is the first report of the outcome of balloon tuboplasty for ETD among divers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis of medical records and clinical examinations of adult divers treated in a single tertiary medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four male divers (age range 21-71 years, 5 ETs) underwent balloon tuboplasty for ETD. None had identifiable risk factors for ETD. Symptom duration ranged from 2 to 5 years and was restricted to diving in 3 patients. The most common symptom was difficulties in equalizing air pressure during descent and ascent, followed by aural fullness and hearing loss. The validated Hebrew version of ETD-7 questionnaire (ETDQ-7H) results were normal in 3 ears and pathological (2.9 and 3.3) in 2 ears. The averaged postoperative ETDQ-7H score was 1.2 points, significantly better than the preoperative score ( P &lt; .05). While diving, pressure-equalizing sensation improved in all ears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Balloon eustachian tuboplasty is a safe method for treating diving-induced baro-challenge ETD. This procedure can improve symptoms and enable the patient to resume diving.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561320933957","type":"journal-article","created":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T07:34:06Z","timestamp":1592465646000},"page":"014556132093395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Outcome of Balloon Eustachian Tuboplasty in SCUBA Divers"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5904-1291","authenticated-orcid":false,"given":"Omer J.","family":"Ungar","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oren","family":"Cavel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oron","family":"Yahav","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Tsur","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"},{"name":"Department of Otolaryngology, Head and Neck Surgery, Beilinson Medical Center, Petach-Tiqwa, Israel"},{"name":"Israeli Naval Special Warfare Unit, Israeli Navy, Israeli Defense Forces"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ophir","family":"Handzel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,18]]},"reference":[{"key":"bibr1-0145561320933957","volume-title":"Eustachian tube: structure, function, role in otitis media","author":"Bluestone MB","year":"2005"},{"key":"bibr2-0145561320933957","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200206000-00004"},{"key":"bibr3-0145561320933957","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.121320"},{"key":"bibr4-0145561320933957","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414526689"},{"key":"bibr5-0145561320933957","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21284"},{"key":"bibr6-0145561320933957","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22473"},{"issue":"6","key":"bibr7-0145561320933957","first-page":"752","volume":"39","author":"Cuhadaroglu C","year":"2010","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"bibr8-0145561320933957","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007586"},{"key":"bibr10-0145561320933957","first-page":"281","volume":"8","author":"Uzun C","year":"2001","journal-title":"Kulak Burun Bogaz Ihtis Derg"},{"key":"bibr11-0145561320933957","first-page":"1","volume":"115","author":"Neblett LM","year":"1985","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"issue":"5","key":"bibr12-0145561320933957","first-page":"1412","volume":"113","author":"American Academy of Family Physicians; AmericanAcademy of Otolaryngology-Head and Neck Surgery;American Academy of Pediatrics Subcommittee onOtitis Media With Effusion","year":"2004","journal-title":"Otitis media with effusion. 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