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. 2022 Aug 26:2022:9516029.
doi: 10.1155/2022/9516029. eCollection 2022.

Balloon Eustachian Tuboplasty and Grommet Insertion: A Combined Surgical Treatment for Chronic Suppurative Otitis Media with Eustachian Tube Dysfunction

ShuXuan Lu  1 , Jin Xu  1 , HongYi Lu  1 , WanLei Chi  1
Affiliations

Balloon Eustachian Tuboplasty and Grommet Insertion: A Combined Surgical Treatment for Chronic Suppurative Otitis Media with Eustachian Tube Dysfunction

ShuXuan Lu et al. Evid Based Complement Alternat Med. .

Retraction in

Abstract

Objectives: This study aims to evaluate the effectiveness of Balloon Eustachian tuboplasty (BET) and grommet insertion in patients having chronic suppurative otitis media combined with eustachian tube dysfunction (CSOM-ETD).

Methods: We evaluated the data of CSOM-ETD patients (n = 96) from January 2019 to January 2021, who were divided into the following groups: 48 cases underwent BET (BET group) and 48 cases underwent BET plus Grommet insertion (BET + Grommet group). The air-bone gap (ABG), Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score, Eustachian tube inflammation scale, Chronic Otitis Media Outcome Test 15 (COMOT-15), Valsalva maneuver, and patient satisfaction were evaluated after surgery.

Results: The postoperative ABG in the BET + Grommet group was better than that in the BET. In addition, the ABG was improved obviously in the BET + Grommet group at 6 and 12 months after the corresponding surgery. Moreover, the Eustachian tube inflammation scale, ETDQ-7, and COMOT-15 scores were reduced after the treatment with the combination of BET and Grommet insertion at 6 and 12 months. The postoperative ETDQ-7 score, Eustachian tube inflammation scale, and COMOT-15 score were lower in the BET + Grommet group than that in the BET group. The percentage of patients who could perform a positive Valsalva maneuver was significantly higher in the BET + Grommet group than that in the BET group at 6 months and 12 months after surgery with increased patient satisfaction.

Conclusion: Our results demonstrate that BET plus Grommet insertion showed better treatment efficacy for patients with CSOM-ETD than BET alone via improving the Eustachian tube function hearing outcome and quality of life with less Eustachian tube inflammation.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
The comparison of hearing outcome after surgery between the BET (n = 48) and the BET + Grommet group (n = 48). Note: patients with postoperative air-bone gap (ABG) ≤ 20 dB were considered as functionally successful.
Figure 2
Figure 2
Comparison of postoperative ETDQ-7, Eustachian tube inflammation scale, and COMOT-15 between the BET (n = 48) and the BET + Grommet group (n = 48). (a, b) Comparison of postoperative ETDQ-7 between the BET + Grommet group and the BET group. Patients were identified as ETD according to the ETDQ‐7 with the total score of ≥14.5. (c) Comparison of Eustachian tube inflammation scale between the two groups. (d) Comparison of postoperative quality of life (QoL) between the BET + Grommet group and the BET group.
Figure 3
Figure 3
Comparison of positive Valsalva maneuver (a) and patient satisfaction (b) between the BET (n = 48) and the BET + Grommet group (n = 48).
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