儿童咽鼓管球囊扩张术：英国首次经验

文献信息

中文摘要

背景： 咽鼓管球囊扩张术是一种治疗咽鼓管功能障碍的微创手术。尽管在成人中已被广泛采用，但英国尚无已发表的儿童病例系列。本项目评估了在我们三级耳鼻咽喉科儿童中心接受治疗的儿童中，球囊扩张术治疗咽鼓管功能障碍的结局。
方法： 对三年期间因咽鼓管功能障碍接受球囊扩张术的儿童患者进行了回顾性审查。记录术前以及术后六周和三个月的咽鼓管功能障碍问卷-7评分。
结果： 16例患者接受了球囊扩张术，46%的患者同时接受了其他手术。术前咽鼓管功能障碍问卷-7平均评分为27.1，在6周时显著改善至12.4，在3个月时改善至11.25（p < 0.0001）。所有患者均表现出症状改善，包括既往曾反复接受通气管置入术的腭裂修复患者。
结论： 球囊扩张术显著改善了儿童咽鼓管功能障碍的患者报告结局，本研究是英国首次报告的儿童病例系列。

英文摘要

BACKGROUND: Eustachian tube balloon dilatation is a minimally invasive procedure to treat Eustachian tube dysfunction. Although widely adopted in adults, there are no published UK paediatric series. This project evaluated outcomes of balloon dilatation for Eustachian tube dysfunction in children treated at our tertiary ENT paediatric unit.
METHODS: A retrospective review was conducted of paediatric patients undergoing balloon dilatation for Eustachian tube dysfunction over a three-year period. Eustachian Tube Dysfunction Questionnaire-7 scores were recorded pre-operatively and at six weeks and three months post-operatively.
RESULTS: Sixteen patients underwent balloon dilatation and 46 per cent of patients had concurrent procedures. The mean pre-operative Eustachian Tube Dysfunction Questionnaire-7 score was 27.1, improving significantly to 12.4 at 6 weeks and 11.25 at 3 months (p < 0.0001). All patients demonstrated symptomatic improvement, including those with repaired cleft palate who had undergone repeated ventilation tube insertion previously.
CONCLUSION: Balloon dilatation significantly improved patient-reported outcomes in paediatric Eustachian tube dysfunction and this study represents the first reported UK paediatric series.