医学
咽鼓管
球囊扩张
瓦萨尔瓦机动
科克伦图书馆
系统回顾
荟萃分析
外科
安慰剂
随机对照试验
气球
梅德林
中耳
内科学
病理
替代医学
法学
血压
政治学
作者
Jolien Marieke Lieselot Huisman,Froukje J. Verdam,Inge Stegeman,J. Alexander de Ru
出处
期刊:Laryngoscope
[Wiley]
日期:2017-08-11
卷期号:128 (1): 237-247
被引量:82
摘要
Balloon dilation is a new entity in the therapeutic approach of Eustachian tube dysfunction. The aim of this systematic review is to evaluate the success of balloon dilation of the tuba auditiva in reducing symptoms in adult patients with Eustachian tube dysfunction.Embase, PubMed, and Cochrane Library.The systematic literature search was conducted independently by two authors based on title and abstracts, and resulted in 36 articles. These articles were screened as full text, 15 of them were eligible for critical appraisal. Data were extracted from selected studies and presented in this article. A meta-analysis was conducted for four subgroups. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used as a writing guideline for this systematic review.All 15 included studies were case series. A total of 1,155 patients were treated with balloon dilation of the tuba auditiva. Outcome parameters were relief of symptoms, otoscopy, Valsalva maneuver or Toynbee test, audiometry, tympanometry, Eustachian tube dysfunction classification, and Eustachian tube score. All articles showed short-term improvement of original symptoms; some showed further improvement over time. Follow-up ranged from just after therapy to 50 months. Relatively mild and self-limiting complications were described in 36 patients.All current studies suggest that balloon dilation of the Eustachian tube can be a helpful treatment in patients with Eustachian tube dysfunction. However, placebo controlled trials are still warranted. Laryngoscope, 128:237-247, 2018.
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