Eustachian Tube Dilation
What is eustachian tube dysfunction (ETD)?
The eustachian tube connects the back of the nose to the back of the ear drum and allows air to fill the middle ear so the ear drum can move freely. When the tube does not open properly, patients suffer from chronic pressure issues, pain, infections and hearing loss due to fluid accumulation.
How is ETD treated?
Traditionally, ventilation tubes placed in the ear drum were the main treatment for eustachian tube problems. In 2010, balloon eustachian tube dilation (or eustachian tuboplasty) was introduced as a procedural option. A specialized ear balloon was designed in 2016 with a good safety profile.
The Acclarent AERA® Eustachian Tube Balloon Dilation System, pictured above, is designed to dilate the Eustachian tube
Who should get this procedure?
This procedure is indicated for patients who have recurrent infections or chronic fluid in their ears due to a poorly functioning eustachian tube. If you have difficulty clearing your ears throughout the day, at altitude or on the airplane, this procedure might be an option for you also.
How is it performed?
The procedure can be performed in the office under local anesthetic or under general anesthesia.
How does it work?
The balloon is dilated for 2 minutes in the cartilage segment of the eustachian tube. The pressure from the balloon causes injury to the unhealthy epithelium while sparing the underlying tissue which reduces inflammation
Is the procedure safe?
There have been no reported major complications and even minor adverse events were rare.
How effective is it?
Patients claim 73-98% improvement in subjective symptoms with 80% of patients at least partly satisfied with the result at 2 years. Tympanogram normalization at 6-week follow-up was observed in 51.8% and 62.2% after 24 weeks. Normalization of Eustachian Tube Dysfunction Questionaire-7 Symptom scores at 6-week follow-up was observed in 56.2%
Where can I get this done?
Dr Golgert was the first ENT doctor in Santa Barbara to perform this procedure in the office under local anesthesia.
