Outcome of eustachian tube balloon dilation in children: A systematic review

Objective: Eustachian tube dysfunction (ETD) is a chronic entity that has been historically managed with adenoidectomy and ventilation tube insertion. Recently, balloon dilation of the eustachian tube has shown promising results in recalcitrant eustachian tube dysfunction. We reviewed the literature...

Full description

Saved in:
Bibliographic Details
Main Authors: Saniasiaya, Jeyasakthy, Kulasegarah, Jeyanthi, Narayanan, Prepageran
Format: Article
Published: SAGE Publications Inc 2022
Subjects:
Online Access:http://eprints.um.edu.my/41817/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.um.eprints.41817
record_format eprints
spelling my.um.eprints.418172023-10-23T08:50:22Z http://eprints.um.edu.my/41817/ Outcome of eustachian tube balloon dilation in children: A systematic review Saniasiaya, Jeyasakthy Kulasegarah, Jeyanthi Narayanan, Prepageran RF Otorhinolaryngology RJ Pediatrics Objective: Eustachian tube dysfunction (ETD) is a chronic entity that has been historically managed with adenoidectomy and ventilation tube insertion. Recently, balloon dilation of the eustachian tube has shown promising results in recalcitrant eustachian tube dysfunction. We reviewed the literature to determine the outcome of eustachian tube balloon dilation in children. Methods: A literature search was conducted for the period from 1990 to 2020 by searching several databases over a 1-month period (January 2021) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook for Systematic Reviews for Interventions. Primary outcome was defined as the success of the intervention determined by the resolution of symptoms, and secondary outcome was determined by revisions surgery and presence of complications. Results: Only 7 articles were identified based on our objectives and selection criteria. All studies included are retrospective cohort case series (Level IV) and 1 cohort of matched controls (Level III). A total of 284 patients were included in this review, with a mean age of 7.8 years. A total of 463 balloon dilation were performed either bilaterally or unilaterally. The most common finding of ETD is middle ear effusion in 5 studies. Balloon dilation of eustachian tube was second-line treatment in 6 studies and first-line treatment in 1 study. Improvement of symptoms was identified in all studies through various assessments performed. Revision surgery was performed in 1 study with no major complications reported. Conclusions: Balloon dilation of the eustachian tube may be considered as an alternative procedure following failed standard treatment in children. The quality of evidence is inadequate to recommend widespread use of the technique until a better-quality study has been completed. Future randomized controlled studies with a large sample size are warranted to determine the efficacy of this procedure amongst children. SAGE Publications Inc 2022-07 Article PeerReviewed Saniasiaya, Jeyasakthy and Kulasegarah, Jeyanthi and Narayanan, Prepageran (2022) Outcome of eustachian tube balloon dilation in children: A systematic review. Annals of Otology Rhinology and Laryngology, 131 (7). pp. 797-804. ISSN 0003-4894, DOI https://doi.org/10.1177/00034894211041340 <https://doi.org/10.1177/00034894211041340>. 10.1177/00034894211041340
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RF Otorhinolaryngology
RJ Pediatrics
spellingShingle RF Otorhinolaryngology
RJ Pediatrics
Saniasiaya, Jeyasakthy
Kulasegarah, Jeyanthi
Narayanan, Prepageran
Outcome of eustachian tube balloon dilation in children: A systematic review
description Objective: Eustachian tube dysfunction (ETD) is a chronic entity that has been historically managed with adenoidectomy and ventilation tube insertion. Recently, balloon dilation of the eustachian tube has shown promising results in recalcitrant eustachian tube dysfunction. We reviewed the literature to determine the outcome of eustachian tube balloon dilation in children. Methods: A literature search was conducted for the period from 1990 to 2020 by searching several databases over a 1-month period (January 2021) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook for Systematic Reviews for Interventions. Primary outcome was defined as the success of the intervention determined by the resolution of symptoms, and secondary outcome was determined by revisions surgery and presence of complications. Results: Only 7 articles were identified based on our objectives and selection criteria. All studies included are retrospective cohort case series (Level IV) and 1 cohort of matched controls (Level III). A total of 284 patients were included in this review, with a mean age of 7.8 years. A total of 463 balloon dilation were performed either bilaterally or unilaterally. The most common finding of ETD is middle ear effusion in 5 studies. Balloon dilation of eustachian tube was second-line treatment in 6 studies and first-line treatment in 1 study. Improvement of symptoms was identified in all studies through various assessments performed. Revision surgery was performed in 1 study with no major complications reported. Conclusions: Balloon dilation of the eustachian tube may be considered as an alternative procedure following failed standard treatment in children. The quality of evidence is inadequate to recommend widespread use of the technique until a better-quality study has been completed. Future randomized controlled studies with a large sample size are warranted to determine the efficacy of this procedure amongst children.
format Article
author Saniasiaya, Jeyasakthy
Kulasegarah, Jeyanthi
Narayanan, Prepageran
author_facet Saniasiaya, Jeyasakthy
Kulasegarah, Jeyanthi
Narayanan, Prepageran
author_sort Saniasiaya, Jeyasakthy
title Outcome of eustachian tube balloon dilation in children: A systematic review
title_short Outcome of eustachian tube balloon dilation in children: A systematic review
title_full Outcome of eustachian tube balloon dilation in children: A systematic review
title_fullStr Outcome of eustachian tube balloon dilation in children: A systematic review
title_full_unstemmed Outcome of eustachian tube balloon dilation in children: A systematic review
title_sort outcome of eustachian tube balloon dilation in children: a systematic review
publisher SAGE Publications Inc
publishDate 2022
url http://eprints.um.edu.my/41817/
_version_ 1781704559928803328
score 13.222552