Our Summary

This study looks at the effectiveness and safety of a specific type of surgery called Kobayashi plug surgery. This surgery is for patients who have a condition called patulous Eustachian tubes, which is when the tubes in the ears that help regulate pressure are too open.

The study found that the surgery had a success rate of around 65-74% up to a year after the operation. Some patients did experience otitis media with effusion (fluid in the ear that can cause hearing loss) and others had a perforated eardrum, but these issues were relatively rare. Some patients needed follow-up surgeries or procedures.

In terms of patient symptoms and quality of life, there was a significant improvement after the surgery. This suggests that the Kobayashi plug surgery is a safe and effective long-term treatment for individuals with patulous Eustachian tubes.

FAQs

  1. What is the Kobayashi plug surgery and who is it for?
  2. What is the success rate of the Kobayashi plug surgery and what are the potential complications?
  3. How does the Kobayashi plug surgery affect patient symptoms and quality of life?

Doctor’s Tip

One helpful tip a doctor might give a patient about ear tube surgery is to follow all post-operative care instructions carefully. This may include keeping the ears dry, avoiding activities that could increase pressure in the ears, and attending follow-up appointments as scheduled. By following these instructions, the patient can help ensure a successful outcome and minimize the risk of complications.

Suitable For

Patients who are typically recommended ear tube surgery include those who have recurrent ear infections, chronic fluid buildup in the middle ear, hearing loss caused by fluid in the middle ear, or Eustachian tube dysfunction. Ear tube surgery may also be recommended for patients with conditions such as patulous Eustachian tubes, as mentioned in the study above.

It is important for patients to consult with an ear, nose, and throat specialist to determine if ear tube surgery is the best treatment option for their specific condition.

Timeline

Before ear tube surgery, a patient may experience symptoms such as recurrent ear infections, fluid buildup in the ears, hearing loss, and balance issues. They may also experience frequent ear pain or pressure, trouble sleeping, and difficulty hearing.

After ear tube surgery, patients typically experience immediate relief from symptoms such as ear pain and pressure. They may also notice improved hearing and balance. In the days following surgery, patients may experience some mild discomfort or drainage from the ears. Over the next few weeks, patients will have follow-up appointments with their doctor to ensure proper healing and monitor for any complications.

In the months following ear tube surgery, patients should notice a significant improvement in their overall quality of life. They may experience fewer ear infections and less fluid buildup in the ears. Their hearing and balance should continue to improve as well. It is important for patients to follow their doctor’s post-operative instructions, including keeping the ears dry and attending follow-up appointments.

What to Ask Your Doctor

Some questions a patient should ask their doctor about ear tube surgery include:

  1. What is the success rate of the surgery for my specific condition?
  2. What are the potential risks and complications associated with the surgery?
  3. Will I need to have any additional procedures or surgeries after the initial surgery?
  4. How long is the recovery process and what can I expect in terms of post-operative care?
  5. Will the surgery improve my symptoms and quality of life in the long-term?
  6. Are there any alternative treatments or therapies that I should consider before deciding on surgery?
  7. How experienced are you in performing this type of surgery?
  8. What is the expected outcome in terms of hearing improvement and prevention of future ear issues?
  9. What is the long-term prognosis for my condition after the surgery?
  10. Are there any lifestyle changes or precautions I should take after the surgery to prevent complications or recurrence of symptoms?

Reference

Authors: Shibasaki T, Koike N, Shindo H, Hirai R, Oshima T. Journal: Auris Nasus Larynx. 2025 Apr;52(2):116-121. doi: 10.1016/j.anl.2024.12.006. Epub 2025 Jan 30. PMID: 39889492