CAJ | 학술논문

目的：评价咽鼓管球囊扩张术治疗症状性咽鼓管功能障碍的短期效果。方法对40例诊断为症状性咽鼓管功能障碍患者进行咽鼓管球囊扩张术。患者纳入标准包括咽鼓管功能障碍的症状（主要为耳闷，伴或不伴耳痛、听觉模糊和耳鸣）、正常鼓膜、A型或C型鼓室压图以及无任何中耳病史。主要评价指标包括主观症状改善、耳内镜检查、纯音听力测试、声阻抗及咽鼓管测压。结果所有患者成功接受手术。术后1周及6个月主客观检查结果均显示咽鼓管功能明显改善。只有1例（耳）主观症状无明显改善。手术总有效率为98%。结论咽鼓管球囊扩张术能使对药物反应差的症状性咽鼓管功能障碍患者短期获益，症状性咽鼓管功能障碍可能是咽鼓管球囊扩张术的最佳适应证之一。
목적：평개인고관구낭확장술치료증상성인고관공능장애적단기효과。방법대40례진단위증상성인고관공능장애환자진행인고관구낭확장술。환자납입표준포괄인고관공능장애적증상（주요위이민，반혹불반이통、은각모호화이명）、정상고막、A형혹C형고실압도이급무임하중이병사。주요평개지표포괄주관증상개선、이내경검사、순음은력측시、성조항급인고관측압。결과소유환자성공접수수술。술후1주급6개월주객관검사결과균현시인고관공능명현개선。지유1례（이）주관증상무명현개선。수술총유효솔위98%。결론인고관구낭확장술능사대약물반응차적증상성인고관공능장애환자단기획익，증상성인고관공능장애가능시인고관구낭확장술적최가괄응증지일。
[ABSTRACT]OBJECTIVETo evaluate the short-term efficacy of Eustachian tube balloon dilation (ETBD) in the treatment of symptomatic Eustachian tube dysfunction (SETD) by subjective and objective analysis.METHODS Forty patients who underwent ETBD were included. Subjects’ inclusion criteria were as followed: symptoms of ETD (aural fullness predominantly, with or without otalgia, muffle hearing and tinnitus), normal tympanic membrane, type A or C tympanograms, and without a history of any middle ear diseases. Main outcomes including subjective improvement, otoscopy, pure-tone audiometry, impedance audiometry, R-value in tubomanometry (TMM) and Eustachian Tube Score (ETS) were assessed 1 week and 6 months postoperatively.RESULTSAll cases were dilated successfully. A significant effect of treatment was documented when measuring subjective improvement, impedance audiometry, R-value in TMM and ETS 1 week and 6 month postoperatively. Subjective symptoms were not relieved only in one patient. The overall success rate for all patients was 98%.CONCLUSIONETBD can provide short-term benefits to those who are diagnosed with SETD and refractory to medical management. SETD might be an optimal indication for ETBD in the treatment of ETD.