Our Summary

This research paper discusses a medical treatment for Eustachian tube dysfunction, a condition that affects the tube connecting the middle ear to the back of the nose. The treatment, called Balloon Dilation of the Eustachian Tube (BDET), involves inflating a small balloon inside the tube to help it function better. The procedure can be done in a doctor’s office using local anesthesia, meaning the patient is awake but the area is numbed. The paper describes how this treatment has evolved, explains the process of doing it in an office setting, and provides a guide for identifying patients who might benefit from it.

FAQs

  1. What is balloon dilation of the Eustachian tube (BDET) and how is it used to treat Eustachian tube dysfunction?
  2. Can the BDET procedure be performed under local anesthesia in the office?
  3. How is the process of identifying suitable patients for BDET performed?

Doctor’s Tip

A doctor might tell a patient that ear tube surgery, also known as balloon dilation of the Eustachian tube, is an effective treatment for Eustachian tube dysfunction. This procedure can be performed in the office under local anesthesia, making it a convenient and less invasive option for patients. It is important to discuss with your doctor if you are a suitable candidate for this procedure.

Suitable For

Patients who may be recommended for ear tube surgery, specifically balloon dilation of the Eustachian tube under local anesthesia, include those who have persistent Eustachian tube dysfunction. This may manifest as symptoms such as ear pain, pressure, hearing loss, and recurrent middle ear infections. Patients who have not responded to conservative treatments such as nasal steroids, decongestants, and antibiotics may be candidates for this procedure. Additionally, patients who have a history of multiple ear infections or chronic otitis media may benefit from ear tube surgery. It is important to consult with an ENT specialist to determine if balloon dilation of the Eustachian tube under local anesthesia is the appropriate treatment option for each individual patient.

Timeline

Before ear tube surgery:

  1. Patient experiences symptoms of Eustachian tube dysfunction such as ear pain, pressure, and hearing loss.
  2. Patient consults with an ENT specialist who recommends ear tube surgery as a treatment option.
  3. Pre-operative evaluations and tests are conducted to assess the patient’s candidacy for the surgery.
  4. Surgery is scheduled and patient is instructed on pre-operative care and restrictions.

After ear tube surgery:

  1. Patient undergoes the surgery under local anesthesia in the office setting.
  2. The procedure involves the insertion of a balloon catheter into the Eustachian tube and inflating it to dilate the tube and improve ventilation.
  3. Patient may experience minimal discomfort or pressure during the procedure.
  4. Post-operative care instructions are provided to the patient, including avoiding water in the ears and using ear drops as needed.
  5. Follow-up appointments are scheduled to monitor the patient’s recovery and assess the effectiveness of the surgery in relieving symptoms.
  6. Patient may experience improved ear function, reduced pain and pressure, and better hearing after the surgery.

What to Ask Your Doctor

  1. What is the success rate of ear tube surgery in treating my specific condition?
  2. What are the potential risks and complications associated with ear tube surgery?
  3. How long is the recovery time after ear tube surgery?
  4. Will I need to follow any special precautions or restrictions after the procedure?
  5. How long do the ear tubes typically stay in place before they need to be removed?
  6. Will I need any follow-up appointments after the surgery?
  7. Are there any alternative treatments to consider before proceeding with ear tube surgery?
  8. How will ear tube surgery affect my hearing and overall ear health in the long term?
  9. Are there any lifestyle changes or habits I should consider to prevent future ear issues after surgery?
  10. Can you walk me through the steps of the in-office balloon dilation procedure and what to expect during and after the surgery?

Reference

Authors: Dean M, Pynnonen MA. Journal: Otolaryngol Clin North Am. 2019 Jun;52(3):509-520. doi: 10.1016/j.otc.2019.02.005. Epub 2019 Mar 22. PMID: 30905561