Balloon Eustachian tuboplasty (BET) in children with general or localized retractions of the tympanic membrane: subgroup analysis of a retrospective multicenter study

S Euteneuer; S Maier; S Preyer; S Kourtidis; G Lehnerdt; S Winterhoff; CV. Dalchow; F Müller-Jenckel; HH. Sudhoff; S Schröder; A Koitschev; P Amrhein; KL Bruchhage; A Leichtle; C Güldner; J Grulich-Henn; K Jensen; M Pohl; Peter K. Plinkert; M Tisch

doi:10.1055/s-0040-1711270

Laryngo-Rhino-Otologie, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Laryngorhinootologie 2020; 99(S 02): S313-S314
DOI: 10.1055/s-0040-1711270

Abstracts

Otology

Balloon Eustachian tuboplasty (BET) in children with general or localized retractions of the tympanic membrane: subgroup analysis of a retrospective multicenter study

S Euteneuer

¹Universitätsklinikum Heidelberg, HNO-Klinik Heidelberg

,

S Maier

²Bundeswehrkrankenhaus Ulm, Klinik für HNO-Heilkunde Ulm

,

S Preyer

⁴ViDia Christliche Kliniken Karlsruhe, Diakonissenkrankenhaus, HNO-Klinik Karlsruhe

,

S Kourtidis

⁴ViDia Christliche Kliniken Karlsruhe, Diakonissenkrankenhaus, HNO-Klinik Karlsruhe

,

G Lehnerdt

⁵Klinikverbund St. Antonius und St. Joseph, St. Anna Klinik, HNO-Klinik Wuppertal

,

S Winterhoff

⁵Klinikverbund St. Antonius und St. Joseph, St. Anna Klinik, HNO-Klinik Wuppertal

,

CV. Dalchow

⁶Universitätsklinikum Hamburg-Eppendorf (UKE), HNO-Heilkunde Hamburg

,

F Müller-Jenckel

⁶Universitätsklinikum Hamburg-Eppendorf (UKE), HNO-Heilkunde Hamburg

,

HH. Sudhoff

⁶Universitätsklinikum Hamburg-Eppendorf (UKE), HNO-Heilkunde Hamburg

,

S Schröder

,

A Koitschev

¹⁰Klinikum Stuttgart, Olgahospital, HNO-Klinik Stuttgart

,

P Amrhein

¹⁰Klinikum Stuttgart, Olgahospital, HNO-Klinik Stuttgart

,

KL Bruchhage

¹¹Universitätsklinikum Schleswig-Holstein, Campus Lübeck, HNO-Klinik Lübeck

,

A Leichtle

¹¹Universitätsklinikum Schleswig-Holstein, Campus Lübeck, HNO-Klinik Lübeck

,

C Güldner

¹²Universitätsklinikum Giessen-Marburg (UKGM), Standort Marburg, HNO-Klinik Marburg

,

J Grulich-Henn

¹⁴Universitätsklinikum Heidelberg, Zentrum für Kinder- und Jugendmedizin, Klinik für Allgemeine Pädiatrie, Neuropädiatrie, Stoffwechsel, Gastroenterologie und Nephrologie Heidelberg

,

K Jensen

¹⁵Universitätsklinikum Heidelberg, Institut für Medizinische Biometrie und Informatik (IMBI), Abteilung Biometrie Heidelberg

,

M Pohl

¹⁵Universitätsklinikum Heidelberg, Institut für Medizinische Biometrie und Informatik (IMBI), Abteilung Biometrie Heidelberg

,

Peter K. Plinkert

¹Universitätsklinikum Heidelberg, HNO-Klinik Heidelberg

,

M Tisch

²Bundeswehrkrankenhaus Ulm, Klinik für HNO-Heilkunde Ulm

› Institutsangaben

Abstract

Volltext

Introduction General or localized retractions of the tympanic membrane are frequently seen in children. They pose a challenge to therapeutic decision making. On the one hand a significant proportion of retractions lingers stable. On the other hand, other retractions do progress to cholestatoma. Furthermore, recurrences after surgery, like ventilation tube placement or tympanoplasty, develop. Balloon Eustachian tuboplasty (BET) now presents a causal treatment approach to address the underlying Eustachian tube dysfunction.

Methods Retrospective multicenter study (9 tertiary care ENT departments). Patients: 4-12 year-old children with tympanic membrane retractions. Treatment: BET, alone or synchronously with paracentesis (PC), ventilation tube (VT) insertion or tympanoplasty (TPL), during 3/2011 and 8/2014. Outcome criteria: tympanic membrane appearance at microscopic otoscopy, type of tympanogram, hearing level, ability to perform Valsalva’s maneuver.

Results In total, 299 BETs were carried out in 167 children. In 88 children (140 ears), generalized or localized retraction of the tympanic membrane was given as reason for BET. 80 children (124 ears) still presented with tympanic membrane retractions at the time of surgery. They were therefore subjected to the present subgroup analysis. In 61 ears BET was the only intervention. 63 ears were treated with additional PC, VT insertion, or TPL. All outcome criteria improved in both groups treated either with BET-only or with BET and PC, PD or TPL.

Conclusion The treatment effects observed need to be surveyed in prospective clinical trials.

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