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Polydimethylsiloxane elastomer injection in the management of the patulous eustachian tube

Published online by Cambridge University Press:  12 August 2016

S A C Mackeith  and
I D Bottrill
S A C Mackeith*
Affiliation:
Department of Otolaryngology, John Radcliffe Hospital, Oxford, UK
I D Bottrill
Affiliation:
Department of Otolaryngology, John Radcliffe Hospital, Oxford, UK
*
Address for correspondence: Mr Samuel MacKeith, Department of Otolaryngology, West Wing, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK E-mail: samuel.mackeith@ouh.nhs.uk
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Abstract

Objective:

To determine the effectiveness of augmentation surgery using polydimethylsiloxane elastomer injection for the management of patulous eustachian tube.

Method:

All patients were treated with eustachian tube injection augmentation performed via a combined transnasal-transoral endoscopic approach. Clinical presentation, volume of injection, complications and initial response were all prospectively recorded. Longer-term follow up was conducted through structured telephone interviews using previously described patient-reported outcome measures.

Results:

Overall, 8 of 11 patients (73 per cent) derived complete or significant symptom improvement; 1 patient had significant improvements but was dissatisfied, and in 2 patients the symptoms were unchanged. The eight satisfied patients showed improvement in their quality-of-life scores.

Conclusion:

This study describes an effective treatment option for patulous eustachian tube. Unlike many prior published reports, previously described patient-reported outcome measures were utilised in order to allow more direct comparison.

Keywords

Eustachian TubeDysfunctionInjectionAugmentation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 9 , September 2016 , pp. 805 - 810
Copyright
Copyright © JLO (1984) Limited 2016 

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