Purpose:To compare cartilage tympanoplasty(CT)combined with eustachian tube balloon dilatation(ETBD)and cartilage tympanoplasty alone as a surgical treatment modality for adhesive otitis media(AdOM)in terms of graft healing,audiological outcomes,and impact on life style,using Chronic Otitis Media Outcome Test 15(COMOT-15).Methods:50 patients with AdOM were randomly classified into 2 groups:25 patients for cartilage tympanoplasty only(CT group)and 25 patients for cartilage tympanoplasty combined with eustachian tube balloon dilatation(CT+ETBD group).Clinical outcomes in both groups were compared at 3 and 6 months of follow up.Results:There was no significant difference in graft healing between the two groups.Postoperative COMOT-15 scores significantly decreased in both groups with a significant difference between the groups with regard to the decrease in COMOT-15 scores at 3 and 6 months of follow-up(P＜0.05).Hearing improvement was achieved,as the mean preoperative ABG was 26.5±5.4 and 27.1±4.6 dB,and the mean postoperative ABG at 6 months was 19.4±4.4 and 14.6±3.9 dB in the CT and the CT+ETBD groups,respectively.The difference in the magnitude of ABG reduction in the two groups was significant at 3 and 6 months of postoperative follow-up(P＜0.05)in favour of the CT+ETBD group.Conclusion:ETBD can increase the success rate of cartilage tympanoplasty in patients with AdOM by enhancing the audiological outcome and quality of life.

Ahmed abdel rahman abdel aziz;Ahmed Mahmoud Youssef;Mostafa Mohamed Mostafa;Mostafa talaat;Khaled Mohamed Abdelzaher;Ahmed Adel Sadeq

Department of Otorhinolaryngology,Faculty of Medicine,El Minia,Egypt;Radiology Department,Faculty of Medicine,El Minia,Egypt

中华耳科学杂志（英文版）

[1]Ahmed abdel rahman abdel aziz;Ahmed Mahmoud Youssef;Mostafa Mohamed Mostafa;Mostafa talaat;Khaled Mohamed Abdelzaher;Ahmed Adel Sadeq-.Cartilage tympanoplasty in the treatment of adhesive otitis media with and without Eustachian tube balloon dilatation)[J].中华耳科学杂志（英文版）,2022(04):226-231

Eustachian,ETBD,AdOM,audiological,COMOT,CT+ETBD

Cartilage,tympanoplasty,treatment,adhesive,otitis,media,without,tube,balloon,dilatation,Purpose,To,cartilage,combined,eustachian,alone,surgical,modality,terms,graft,healing,outcomes,impact,life,style,using,Chronic,Otitis,Media,Outcome,Test,Methods,patients,were,randomly,classified,into,groups,only,Clinical,both,compared,months,follow,Results,There,was,difference,between,two,Postoperative,scores,significantly,decreased,regard,Hearing,improvement,achieved,mean,preoperative,ABG,dB,postoperative,respectively,magnitude,reduction,favour,Conclusion,increase,success,rate,by,enhancing,quality

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