Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 365-367,378
CHENG Jian-an, XI Qing-ming, TONG Bu-sheng. The clinical value of Eustachian tube exploration in tympanoplasty under otoendoscopy[J]. Chinese Journal of General Practice, 2021, 19(3): 365-367,378. doi: 10.16766/j.cnki.issn.1674-4152.001811
Citation: CHENG Jian-an, XI Qing-ming, TONG Bu-sheng. The clinical value of Eustachian tube exploration in tympanoplasty under otoendoscopy[J]. Chinese Journal of General Practice, 2021, 19(3): 365-367,378. doi: 10.16766/j.cnki.issn.1674-4152.001811
shu

The clinical value of Eustachian tube exploration in tympanoplasty under otoendoscopy

doi: 10.16766/j.cnki.issn.1674-4152.001811
  • 1.

    NE.N.T. Department, Chuzhou Clinical College of Anhui Medical University, Chuzhou, Anhui 239000, China

Funds:

 JK2014A120

  • Received Date: 2020-05-30
    Available Online: 2022-02-19
    Abstract
  •   Objective  To investigate the clinical value of eustachian tube exploration in the tympanoplasty of chronic suppurative otitis media with eustachian tube dysfunction.   Methods   A total of 58 patients diagnosed with chronic suppurative otitis media with eustachian tube dysfunction and underwent tympanoplasty in the Department of Otorhinolaryngology, Chuzhou Clinical College, Anhui Medical University from February 2017 to December 2019 were enrolled in this study. They were randomly divided into observation (29 cases) and control (29 cases) groups by using a random-number table. Eustachian tube exploration was performed in the observation group, whereas only tympanum exploration was conducted in the control group. The graft survival rate, eustachian tube function, and hearing improvement before and after 3 and 6 months were evaluated.   Results   At 3 and 6 months after operation, the observation group (both 100%) was superior to the control group (both 96.6%) in graft survival rate, but no statistical difference (P>0.05) was observed. The eustachian tube dysfunction scale lowered in the observation group [the scores of eustachian tube dysfunction questionnaire (ETDQ-7) for and 3 and 6 months after operation were 8.78±5.35, and 9.64±5.76, respectively) than in the control group (the scores of ETDQ-7 for and 3 and 6 months after operation were 9.81±4.50, and 10.30±5.16, respectively), P < 0.001]. No significant difference was observed between the two time points and the two groups (P>0.05). 3 months, 6 months after operation, the hearing condition of the observation group [the pure tone average (PTA) were (19.9±10.5) dB HL and (20.5±8.8) dB HL respectively] and the control group [the PTA were (25.6±9.2) dB HL and (26.6±10.3) dB HL respectively] were improved(P < 0.001). But the hearing was stable after 3 months, and there was no significant difference in PTA difference compared with 6 months (P>0.05). Both 3 months and 6 months after operation, the pure tone threshold of observation group was better than that of the control group(P < 0.05).   Conclusion   Eustachian tube plays an important role in the pathogenesis of otitis media. Whether tympanoplasty can restore the sound transmission of the middle ear cavity depends on whether the eustachian tube functions are normal. The exploration of eustachian tube can improve the operative effect in the tympanoplasty of chronic suppurative otitis media with eustachian tube dysfunction. Whether the Eustachian tube can be penetrated may be used as the basis of prognosis and indication of postoperative treatment.

     

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