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What is the full range of medical and surgical treatments available for patients with Eustachian tube dysfunction?

Adil, Eelama,b; Poe, Dennisa,b

Current Opinion in Otolaryngology & Head & Neck Surgery: February 2014 - Volume 22 - Issue 1 - p 8–15
doi: 10.1097/MOO.0000000000000020
NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa

Purpose of review: To present the current medical and surgical treatment options for Eustachian tube dysfunction.

Recent findings: Balloon dilation or microdebrider Eustachian tuboplasty are feasible treatment options for patients with refractory dilatory dysfunction as an alternative to tympanostomy tube placement. There is increasing evidence that repair of patulous Eustachian tubes by the insertion of a shim or fat graft reconstruction within the lumen of the Eustachian tube orifice may be effective.

Summary: In patients with Eustachian tube dysfunction that is refractory to medical management, newer surgical techniques may provide symptomatic relief with a reasonable duration. Continued basic science research into the cause of dysfunction, the mechanisms of benefit from intervention and long-term clinical outcomes are necessary.

aDepartment of Otolaryngology and Communication Enhancement, Boston Children's Hospital

bDepartment of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, USA

Correspondence to Dennis Poe MD, PhD Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, LO-367, Boston, MA 02115, USA. Tel. +1 617 355 3794; fax +1 617 730 0611;. e-mail: dennis.poe@childrens.harvard.edu

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