Eustachian Tube Patulous Clinical Trial
Official title:
Post Operative Quality of Life Assesment After Patulous Eustachian Tube Surgical Treatment
Patulous eustachian tube (ET) is a usually asymptomatic poorly known ET pathology. When it
becomes so and thus impairs the eardrum (retraction pockets, cholesteatoma) or patients'
quality of life (QoL), therapeutic management is proposed. The surgical treatment has
diversified in recent years but remains dominated by filling spaces around the ET (autologous
fat and/or septal cartilage grafting). Efficiency is traditionally objectivized by dynamic
otoscopy, tubomanometry and audiometry, but QoL must also be taken into account and its
postoperative assesment was the objective of this work.
Materials and Methods This is a unicentric retrospective study conducted from November 2016
to March 2019 on all patients with a disabling patulous ET, single or bilateral, managed
surgically by autologous fat and/or septal cartilage grafting in investigators ENT
department. Patients for whom a concomitant procedure was performed were excluded from the
study.
The post-operative QoL assessment was performed using the Glasgow Benefit Inventory (GBI),
postoperative self-administered questionnaire validated in ENT, including a general, physical
and social evaluation. Predictive factors for QoL improvement were investigated among pre-,
per- and post-operative clinical data.
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