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Erschienen in: Wiener klinische Wochenschrift 13-14/2021

22.01.2021 | letter to the editors

Balloon Eustachian tuboplasty (BET) in children

Potential of side-controlled clinical trials to examine effectiveness

verfasst von: MD, PhD Gerold Besser, MD Valerie Dahm, MD Dominik Riss, Stefan Flak, MD Christoph Arnoldner

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 13-14/2021

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Efficacy and long-term outcome of balloon Eustachian tuboplasty (BET) are debated controversially, as high quality prospective controlled studies in this area remain sparse [ 1]. In children chronic otitis media with effusion (COME) is a common and often recurrent problem even after first-line treatment involving adenoidectomy (AT) and paracentesis (PC) with or without ventilation tube (VT). Eustachian tube dysfunction (ETD) is considered to be partly causative and retrospective data on BET in children show promising results [ 2, 3]. With sham surgery being unethical and a large heterogeneity in disease severity in ETD among patients of all ages, study planning is challenging. Although alternative approaches have been advocated (delayed start design, see [ 4]), the ears provide the possibility of a within-patient control. …
Literatur
1.
Zurück zum Zitat Poe D, Anand V, Dean M, et al. Balloon dilation of the eustachian tube for dilatory dysfunction: a randomized controlled trial. Laryngoscope. 2018;128(5):1200–6. CrossRef Poe D, Anand V, Dean M, et al. Balloon dilation of the eustachian tube for dilatory dysfunction: a randomized controlled trial. Laryngoscope. 2018;128(5):1200–6. CrossRef
2.
Zurück zum Zitat Leichtle A, Hollfelder D, Wollenberg B, et al. Balloon eustachian tuboplasty in children. Eur Arch Otorhinolaryngol. 2017;274(6):2411–9. CrossRef Leichtle A, Hollfelder D, Wollenberg B, et al. Balloon eustachian tuboplasty in children. Eur Arch Otorhinolaryngol. 2017;274(6):2411–9. CrossRef
3.
Zurück zum Zitat Tisch M, Maier S, Preyer S, et al. Balloon eustachian tuboplasty (BET) in children: a retrospective multicenter analysis. Otol Neurotol. 2020;7:e921. CrossRef Tisch M, Maier S, Preyer S, et al. Balloon eustachian tuboplasty (BET) in children: a retrospective multicenter analysis. Otol Neurotol. 2020;7:e921. CrossRef
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Zurück zum Zitat Schilder A, Bhutta M, Butler C, et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol. 2015;40(5):407–11. CrossRef Schilder A, Bhutta M, Butler C, et al. Eustachian tube dysfunction: consensus statement on definition, types, clinical presentation and diagnosis. Clin Otolaryngol. 2015;40(5):407–11. CrossRef
Metadaten
Titel
Balloon Eustachian tuboplasty (BET) in children
Potential of side-controlled clinical trials to examine effectiveness
verfasst von
MD, PhD Gerold Besser
MD Valerie Dahm
MD Dominik Riss
Stefan Flak
MD Christoph Arnoldner
Publikationsdatum
22.01.2021
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 13-14/2021
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-020-01803-w