咽鼓管评分标准用于球囊咽鼓管成形术。
Eustachian tube scoring criteria for balloon Eustachian tuboplasty.
文献信息
| PMID | 42815161 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Ardhendu S Kar |
| 作者单位 | Department of Otorhinolaryngology, BL Taneja block, Maulana Azad Medical College, Delhi, 110002, India. Electronic address: ardhenduask@gmail.com. |
| 期刊 | American journal of otolaryngology |
| SCI 分区 | Q2 |
| IF | 1.8 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
引言： 球囊咽鼓管成形术（BET）是一种用于治疗阻塞性咽鼓管功能障碍的新技术。本文介绍了用于诊断阻塞性咽鼓管功能障碍（OETD）并作为BET选择标准的新临床评分标准。
方法： 开展了一项前瞻性观察性研究，其中14例患者（23条咽鼓管）伴有2级和3级紧张部内陷或未消退的伴OETD的分泌性中耳炎，接受了BET。采用MAMC临床咽鼓管评分进行术前评估、诊断和患者选择。结局通过术前和术后MAMC临床咽鼓管评分及咽鼓管功能障碍评分（ETDQ-7）进行测量。
结果： 所有使用MAMC临床咽鼓管评分（评分<4）选择接受BET的病例（23条咽鼓管）均显示根据ETDQ-7评分咽鼓管功能改善。约65.2%（15条咽鼓管）显示咽鼓管功能恢复至正常水平（ETDQ评分<14），ETDQ-7评分降低65.7%。该研究还显示，ETDQ-7评分较高的患者（术前和术后）MAMC临床咽鼓管评分更差。
结论： 本文提示，MAMC临床咽鼓管评分可在所有中心普遍用作诊断和评估OETD的客观工具，以及BET的选择标准。
英文摘要
INTRODUCTION: Balloon Eustachian Tuboplasty (BET) is a novel technique useful for the treatment of Obstructive Eustachian Tube Dysfunction. This article introduces new clinical scoring criteria for diagnosis of Obstructive Eustachian Tube Dysfunction (OETD) and as a selection criterion for BET.
METHODOLOGY: A prospective observational study was conducted in which 14 patients (23 Eustachian tubes), with grade 2 and 3 pars tensa retractions or unresolved otitis media with effusion with OETD underwent BET. MAMC Clinical Eustachian tube score was used for preoperative assessment, diagnosis and selection of patients for the procedure. The outcome was measured using pre-operative and post-operative MAMC Clinical Eustachian tube score and Eustachian Tube Dysfunction Score (ETDQ-7).
RESULTS: All cases (23 Eustachian tubes) who were selected for BET using the MAMC Clinical ET score (score < 4) showed an improvement in ET functioning according to the ETDQ-7 score. Around 65.2% (15 Eustachian Tubes) showed a return to normal level of Eustachian Tube function (ETDQ score < 14) with a reduction of 65.7% in ETDQ-7 score. The study also showed a worse MAMC Clinical Eustachian Tube score in patients with a higher ETDQ-7 score (both preoperatively and postoperatively).
CONCLUSION: This article suggests that MAMC Clinical Eustachian Tube score can be used universally as an objective tool for diagnosis and assessment of OETD as well as the selection criterion for BET in all centres.