Effect of balloon dilation eustachian tuboplasty combined with tympanic tube insertion in the treatment of chronic recurrent secretory otitis media

  • Yong-qi LiEmail author
  • Yu-bin Chen
  • Gen-di Yin
  • Xiang-li Zeng



To investigate the long-term clinical effect of balloon dilation eustachian tuboplasty (BET) combined with tympanic tube insertion (TTI) in the treatment of chronic recurrent secretory otitis media (CRSOM).

Materials and methods

A retrospective study of 30 cases of CRSOM treated with BET combined with TTI under general anesthesia between August 2014 and September 2016. Thirty cases of CRSOM treated with TTI in the same period were taken as the control group. All cases were followed over 24 months. The scores of eustachian tube (ET) function preoperation, 1 month, 6 months, 12 months, and 24 months postoperation were collected and analyzed, respectively. A satisfaction questionnaire was used to evaluate the therapy at 24-months postoperation.


The symptoms were significantly improved and the ET score was obviously increased postsurgery in most cases treated with BET plus TTI compared with those treated with TTI alone. The highest ET score was obtained at 6 months post BET. Five (14%) cases (6 ears) of CRSOM recurred. The 24-month postoperation follow-up questionnaire showed that 84.6% of the patients were satisfied with the treatment, while ten cases (25%) in the TTI group recurred.


BET combined with TTI surgery is an effective therapy for patients with CRSOM.


Balloon dilation eustachian tuboplasty Chronic recurrent secretory otitis media Eustachian tube function score Tympanic tube insertion Treatment 



Eustachian tube

ET score

Eustachian tube function score


Balloon dilation eustachian tuboplasty combined with tympanic tube insertion


Tympanic tube insertion


Chronic recurrent secretory otitis media


Balloon dilation eustachian tuboplasty



This research was supported by a grant from the Guangdong Natural Science Foundation (No. 2015A030313180).

Compliance with ethical standards

Conflict of interest

All the authors declare that they have no competing conflict of interest.

Ethical approval

All procedures performed in research involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otolaryngology Head and Neck SurgeryThird Affiliated Hospital of Sun Yat-Sen UniversityGuangzhouChina

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