Analysis of eustachian tube dysfunction by dynamic slow motion video endoscopy and eustachian tube dysfunction questionnaire in chronic otitis media

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2 Citations (Scopus)

Abstract

Objectives. Eustachian tube dysfunction has been associated with most cases of middle-ear disease. We aimed to assess the effectiveness of dynamic slow motion video endoscopy (DSVE) as a test of eustachian tube dysfunction. Furthermore, we assessed the correlation of the test with the Valsalva maneuver, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and intraoperative findings of the eustachian tube. Methods. We retrospectively reviewed medical records from April to September 2014 to identify patients who were diagnosed with chronic otitis media (COM) at Korea University Ansan Hospital. They all underwent surgery because of COM without cholesteatoma and were assessed via the DSVE and ETDQ-7 to determine eustachian tube function. Results. We reviewed 46 COM patients and examined 46 ears with COM and 46 ears on the contralateral side to COM that were thought to be normal. The mean DSVE grade in COM ears was 1.57±0.96, while the mean DSVE grade in contralateral ears was 1.15±0.94. The difference in DSVE between COM ears and normal ears was statistically significant (P=0.006). In the ETDQ-7, a higher score was related to intraoperative obstruction of the eustachian tube (P=0.012). Conclusion. DSVE and ETDQ-7 can provide information regarding preoperative status of eustachian tube dysfunction by measuring dynamic structural changes of the eustachian tube in combination with other diagnostic tests.

Original languageEnglish
Pages (from-to)315-320
Number of pages6
JournalClinical and Experimental Otorhinolaryngology
Volume10
Issue number4
DOIs
Publication statusPublished - 2017 Dec 1

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Eustachian Tube
Otitis Media
Endoscopy
Ear
Ear Diseases
Valsalva Maneuver
Cholesteatoma
Surveys and Questionnaires
Middle Ear
Korea
Routine Diagnostic Tests
Medical Records

Keywords

  • Dynamic slow motion video endoscopy
  • Endoscopy
  • Eustachian tube
  • Otitis media
  • Seven-item eustachian tube dysfunction questionnaire

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

@article{5e847dbcb0cd49afa5ccf5e5ad9cb24d,
title = "Analysis of eustachian tube dysfunction by dynamic slow motion video endoscopy and eustachian tube dysfunction questionnaire in chronic otitis media",
abstract = "Objectives. Eustachian tube dysfunction has been associated with most cases of middle-ear disease. We aimed to assess the effectiveness of dynamic slow motion video endoscopy (DSVE) as a test of eustachian tube dysfunction. Furthermore, we assessed the correlation of the test with the Valsalva maneuver, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and intraoperative findings of the eustachian tube. Methods. We retrospectively reviewed medical records from April to September 2014 to identify patients who were diagnosed with chronic otitis media (COM) at Korea University Ansan Hospital. They all underwent surgery because of COM without cholesteatoma and were assessed via the DSVE and ETDQ-7 to determine eustachian tube function. Results. We reviewed 46 COM patients and examined 46 ears with COM and 46 ears on the contralateral side to COM that were thought to be normal. The mean DSVE grade in COM ears was 1.57±0.96, while the mean DSVE grade in contralateral ears was 1.15±0.94. The difference in DSVE between COM ears and normal ears was statistically significant (P=0.006). In the ETDQ-7, a higher score was related to intraoperative obstruction of the eustachian tube (P=0.012). Conclusion. DSVE and ETDQ-7 can provide information regarding preoperative status of eustachian tube dysfunction by measuring dynamic structural changes of the eustachian tube in combination with other diagnostic tests.",
keywords = "Dynamic slow motion video endoscopy, Endoscopy, Eustachian tube, Otitis media, Seven-item eustachian tube dysfunction questionnaire",
author = "Han, {Won Gue} and Jun Yoo and Rah, {Yoon Chan} and Jiwon Chang and Im, {Gi Jung} and Jae-Jun Song and Sungwon Chae and Jung, {Hak Hyun} and June Choi",
year = "2017",
month = "12",
day = "1",
doi = "10.21053/ceo.2016.01683",
language = "English",
volume = "10",
pages = "315--320",
journal = "Clinical and Experimental Otorhinolaryngology",
issn = "1976-8710",
publisher = "Korean Society of Otolaryngology",
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}

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T1 - Analysis of eustachian tube dysfunction by dynamic slow motion video endoscopy and eustachian tube dysfunction questionnaire in chronic otitis media

AU - Han, Won Gue

AU - Yoo, Jun

AU - Rah, Yoon Chan

AU - Chang, Jiwon

AU - Im, Gi Jung

AU - Song, Jae-Jun

AU - Chae, Sungwon

AU - Jung, Hak Hyun

AU - Choi, June

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Objectives. Eustachian tube dysfunction has been associated with most cases of middle-ear disease. We aimed to assess the effectiveness of dynamic slow motion video endoscopy (DSVE) as a test of eustachian tube dysfunction. Furthermore, we assessed the correlation of the test with the Valsalva maneuver, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and intraoperative findings of the eustachian tube. Methods. We retrospectively reviewed medical records from April to September 2014 to identify patients who were diagnosed with chronic otitis media (COM) at Korea University Ansan Hospital. They all underwent surgery because of COM without cholesteatoma and were assessed via the DSVE and ETDQ-7 to determine eustachian tube function. Results. We reviewed 46 COM patients and examined 46 ears with COM and 46 ears on the contralateral side to COM that were thought to be normal. The mean DSVE grade in COM ears was 1.57±0.96, while the mean DSVE grade in contralateral ears was 1.15±0.94. The difference in DSVE between COM ears and normal ears was statistically significant (P=0.006). In the ETDQ-7, a higher score was related to intraoperative obstruction of the eustachian tube (P=0.012). Conclusion. DSVE and ETDQ-7 can provide information regarding preoperative status of eustachian tube dysfunction by measuring dynamic structural changes of the eustachian tube in combination with other diagnostic tests.

AB - Objectives. Eustachian tube dysfunction has been associated with most cases of middle-ear disease. We aimed to assess the effectiveness of dynamic slow motion video endoscopy (DSVE) as a test of eustachian tube dysfunction. Furthermore, we assessed the correlation of the test with the Valsalva maneuver, the seven-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7), and intraoperative findings of the eustachian tube. Methods. We retrospectively reviewed medical records from April to September 2014 to identify patients who were diagnosed with chronic otitis media (COM) at Korea University Ansan Hospital. They all underwent surgery because of COM without cholesteatoma and were assessed via the DSVE and ETDQ-7 to determine eustachian tube function. Results. We reviewed 46 COM patients and examined 46 ears with COM and 46 ears on the contralateral side to COM that were thought to be normal. The mean DSVE grade in COM ears was 1.57±0.96, while the mean DSVE grade in contralateral ears was 1.15±0.94. The difference in DSVE between COM ears and normal ears was statistically significant (P=0.006). In the ETDQ-7, a higher score was related to intraoperative obstruction of the eustachian tube (P=0.012). Conclusion. DSVE and ETDQ-7 can provide information regarding preoperative status of eustachian tube dysfunction by measuring dynamic structural changes of the eustachian tube in combination with other diagnostic tests.

KW - Dynamic slow motion video endoscopy

KW - Endoscopy

KW - Eustachian tube

KW - Otitis media

KW - Seven-item eustachian tube dysfunction questionnaire

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