{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T23:47:05Z","timestamp":1790725625408,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,3,4]],"date-time":"2011-03-04T00:00:00Z","timestamp":1299196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>(1) To translate techniques developed in a previous cadaver study of balloon dilation of the cartilaginous eustachian tube (ET) into clinical treatment for refractory dilatory dysfunction and (2) to study the safety\/efficacy of the technique in a pilot clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective with subjects as their own historical controls since June 2009.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Regional academic center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>Eleven consecutive adult patients with longstanding otitis media with effusion (OME) who were unable to autoinsufflate their ET by Valsalva, swallow, or yawn and who had previous tympanostomies (average, 4.7). At the time of intervention, 5 of 11 had a tube; 2 of 11 had a tympanic membrane (TM) perforation. Four of 11 had intact TMs, 2 with OME and tympanogram type B and 2 with TM retraction and tympanogram types B and C. Balloon dilation of the cartilaginous ET was performed with sinus dilation instruments via transnasal endoscopic approach under general anesthesia in a day surgery setting. Inflation was to a maximum of 12 atm for 1\u00a0minute. Outcome measures: ability to Valsalva, rating of ET mucosal inflammation, tympanogram, and otomicroscopy findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All cases successfully dilated. Eleven of 11 could self\u2010insufflate by Valsalva (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;. 001); tympanograms were A (4\/11), C (1\/11), or open (6\/11). All atelectases resolved. Procedures were well tolerated, without pain or complications related to dilation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dilation of the cartilaginous ET appeared to be beneficial and without significant adverse effects in the treatment of ET dilatory dysfunction. Larger controlled trials with long\u2010term results are now justified and needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0194599811399866","type":"journal-article","created":{"date-parts":[[2011,3,4]],"date-time":"2011-03-04T23:04:19Z","timestamp":1299279859000},"page":"563-569","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":139,"title":["Balloon Dilation of the Cartilaginous Eustachian Tube"],"prefix":"10.1002","volume":"144","author":[{"given":"Dennis S.","family":"Poe","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Tampere Medical School Tampere Finland"},{"name":"Department of Otolaryngology Children\u2019s Hospital and Department of Otology and Laryngology Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Silvola","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology P\u00e4ij\u00e4t\u2010H\u00e4me Central Hospital Lahti Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilmari","family":"Pyykk\u00f6","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Tampere Medical School Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,3,4]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-998060"},{"key":"e_1_2_9_3_2","first-page":"773","article-title":"Microfibroendoscopy of the eustachian tube [in French]","volume":"24","author":"Chays A","year":"1995","journal-title":"Presse Med"},{"key":"e_1_2_9_4_2","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_9_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200109000-00005"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000246227.65877.1f"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.10.031"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.06.133"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.06.423"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200304000-00001"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01085-1"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.67.6.445"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198109000-00003"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/mao.0b013e31804d4998"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600710"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198709000-00002"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811399866","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811399866","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811399866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:37:27Z","timestamp":1760971047000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811399866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,3,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1177\/0194599811399866"],"URL":"https:\/\/doi.org\/10.1177\/0194599811399866","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3,4]]},"assertion":[{"value":"2010-09-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-01-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-03-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}