Dilatation Eustachian tuboplasty with a Eustachian tube video endoscope and supporting balloon

J Laryngol Otol. 2024 Mar;138(3):246-252. doi: 10.1017/S0022215123001202. Epub 2023 Jul 26.

Abstract

Objective: To evaluate the feasibility and safety of employing a Eustachian tube video endoscope with a supporting balloon as a viable treatment and examination option for patients with Eustachian tube dysfunction.

Methods: A study involving nine fresh human cadaver heads was conducted to investigate the potential of balloon dilatation Eustachian tuboplasty using a Eustachian tube video endoscope and a supporting balloon catheter. The Eustachian tube cavity was examined with the Eustachian tube video endoscope during the procedure, which involved the dilatation of the cartilaginous portion of the Eustachian tube with the supporting balloon catheter.

Results: The utilisation of the Eustachian tube video endoscope in conjunction with the supporting balloon catheter demonstrated technical ease during the procedure, with no observed damage to essential structures, particularly the Eustachian tube cavity.

Conclusion: This newly introduced method of dilatation and examination of the Eustachian tube cavity using a Eustachian tube video endoscope and the supporting balloon is a feasible, safe procedure.

Keywords: Dilation; Eustachian tube; feasibility; safety; supporting balloon; visual endoscope.

MeSH terms

  • Dilatation / methods
  • Ear Diseases* / diagnosis
  • Endoscopes
  • Eustachian Tube* / surgery
  • Humans
  • Treatment Outcome
  • Tympanoplasty