Polydimethylsiloxane elastomer injection in the management of the patulous eustachian tube

To determine the effectiveness of augmentation surgery using polydimethylsiloxane elastomer injection for the management of patulous eustachian tube. All patients were treated with eustachian tube injection augmentation performed via a combined transnasal-transoral endoscopic approach. Clinical pres...

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Bibliographic Details
Published in:Journal of laryngology and otology 2016-09, Vol.130 (9), p.805-810
Main Authors: Mackeith, S A C, Bottrill, I D
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical outcomes
Dimethylpolysiloxanes - administration & dosage
Dimethylpolysiloxanes - therapeutic use
Ear Diseases - surgery
Eardrum
Elastomers - administration & dosage
Elastomers - therapeutic use
Endoscopy - instrumentation
Endoscopy - methods
Eustachian Tube - surgery
Female
Follow-Up Studies
Hearing loss
Humans
Injections - instrumentation
Injections - methods
Main Articles
Male
Middle Aged
Patients
Respiration
Retrospective Studies
Transplants & implants
Vertigo
Young Adult
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Summary:To determine the effectiveness of augmentation surgery using polydimethylsiloxane elastomer injection for the management of patulous eustachian tube. All patients were treated with eustachian tube injection augmentation performed via a combined transnasal-transoral endoscopic approach. Clinical presentation, volume of injection, complications and initial response were all prospectively recorded. Longer-term follow up was conducted through structured telephone interviews using previously described patient-reported outcome measures. Overall, 8 of 11 patients (73 per cent) derived complete or significant symptom improvement; 1 patient had significant improvements but was dissatisfied, and in 2 patients the symptoms were unchanged. The eight satisfied patients showed improvement in their quality-of-life scores. This study describes an effective treatment option for patulous eustachian tube. Unlike many prior published reports, previously described patient-reported outcome measures were utilised in order to allow more direct comparison.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215116008215