Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube
Objectives. Balloon dilation of the Eustachian tube (BDET) is widely recognized as a minimally invasive treatment for obstructive Eustachian tube dysfunction (ETD). We employed a Delphi consensus methodology to develop recommendations for the clinical management of BDET in cases of obstructive ETD....
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| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2024-11-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
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| Online Access: | http://e-ceo.org/upload/pdf/ceo-2024-00121.pdf |
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| author | Min Young Kwak Ho Yun Lee Soo-Keun Kong In Seok Moon Bong Jik Kim Myung-Whan Suh Jae Yun Jung Hong Ju Park Kyu-Yup Lee Hyong-Ho Cho Ryoukichi Ikeda Jae-Jin Song Chi-Kyou Lee |
| author_facet | Min Young Kwak Ho Yun Lee Soo-Keun Kong In Seok Moon Bong Jik Kim Myung-Whan Suh Jae Yun Jung Hong Ju Park Kyu-Yup Lee Hyong-Ho Cho Ryoukichi Ikeda Jae-Jin Song Chi-Kyou Lee |
| author_sort | Min Young Kwak |
| collection | DOAJ |
| description | Objectives. Balloon dilation of the Eustachian tube (BDET) is widely recognized as a minimally invasive treatment for obstructive Eustachian tube dysfunction (ETD). We employed a Delphi consensus methodology to develop recommendations for the clinical management of BDET in cases of obstructive ETD. Methods. A Delphi panel consisting of 26 expert physicians specializing in otology participated in two rounds of anonymous, iterative questionnaires. Consensus was defined as agreement from ≥70% of the panelists on a recommendation, while disagreement was defined as <70% agreement. The responses from the Delphi study were analyzed using both the content validity ratio and Kendall’s coefficient of concordance. Results. The panel finally evaluated 26 topics, reaching agreement on 9 and failing to reach consensus on 17 after two rounds. While consensus was not achieved regarding the postoperative follow-up period, a duration of 12 months was most commonly adopted. The Valsalva maneuver and questionnaire responses were identified as the most agreed-upon postoperative assessment tools following BDET. Conclusion. Consensus was reached on several recommendations for managing BEDT in obstructive ETD. This agreement will guide future research aimed at defining standard postoperative management for BEDT. |
| format | Article |
| id | doaj-art-874c3bf76d6949f3886be2c3491e2c6c |
| institution | Kabale University |
| issn | 1976-8710 2005-0720 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj-art-874c3bf76d6949f3886be2c3491e2c6c2024-12-06T07:43:25ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202024-11-0117427328110.21053/ceo.2024.00121915Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian TubeMin Young Kwak0Ho Yun Lee1Soo-Keun Kong2In Seok Moon3Bong Jik Kim4Myung-Whan Suh5Jae Yun Jung6Hong Ju Park7Kyu-Yup Lee8Hyong-Ho Cho9Ryoukichi Ikeda10Jae-Jin Song11Chi-Kyou Lee12 Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University College of Medicine, Busan, Korea Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hospital, Gwangju, Korea Department of Otolaryngology-Head and Neck Surgery, Iwate Medical University, Morioka, Japan Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul, KoreaObjectives. Balloon dilation of the Eustachian tube (BDET) is widely recognized as a minimally invasive treatment for obstructive Eustachian tube dysfunction (ETD). We employed a Delphi consensus methodology to develop recommendations for the clinical management of BDET in cases of obstructive ETD. Methods. A Delphi panel consisting of 26 expert physicians specializing in otology participated in two rounds of anonymous, iterative questionnaires. Consensus was defined as agreement from ≥70% of the panelists on a recommendation, while disagreement was defined as <70% agreement. The responses from the Delphi study were analyzed using both the content validity ratio and Kendall’s coefficient of concordance. Results. The panel finally evaluated 26 topics, reaching agreement on 9 and failing to reach consensus on 17 after two rounds. While consensus was not achieved regarding the postoperative follow-up period, a duration of 12 months was most commonly adopted. The Valsalva maneuver and questionnaire responses were identified as the most agreed-upon postoperative assessment tools following BDET. Conclusion. Consensus was reached on several recommendations for managing BEDT in obstructive ETD. This agreement will guide future research aimed at defining standard postoperative management for BEDT.http://e-ceo.org/upload/pdf/ceo-2024-00121.pdfdelphieustachian tubeballoon dilationobstructive |
| spellingShingle | Min Young Kwak Ho Yun Lee Soo-Keun Kong In Seok Moon Bong Jik Kim Myung-Whan Suh Jae Yun Jung Hong Ju Park Kyu-Yup Lee Hyong-Ho Cho Ryoukichi Ikeda Jae-Jin Song Chi-Kyou Lee Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube Clinical and Experimental Otorhinolaryngology delphi eustachian tube balloon dilation obstructive |
| title | Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube |
| title_full | Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube |
| title_fullStr | Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube |
| title_full_unstemmed | Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube |
| title_short | Consensus Statement: Postoperative Management After Balloon Dilation of the Eustachian Tube |
| title_sort | consensus statement postoperative management after balloon dilation of the eustachian tube |
| topic | delphi eustachian tube balloon dilation obstructive |
| url | http://e-ceo.org/upload/pdf/ceo-2024-00121.pdf |
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