Auris, nasus, larynx · 2025
Postoperative course of Eustachian tube plug surgery with Kobayashi plug.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Shibasaki Tomoo, Koike Naoto, Shindo Hidefumi, Hirai Ryoji, Oshima Takeshi
Аннотация
OBJECTIVE: To investigate its effectiveness and safety and clarify the postoperative course of Kobayashi plug surgery for refractory patulous Eustachian tubes.
METHODS: This retrospective study included 83 patients diagnosed with a patulous Eustachian tube who received Kobayashi plug surgery at our hospital.
RESULTS: At 1 month postoperatively, the success rate was 74.0 %; at 3 months, it was 67.1 %; at 6 months, it was 65.0 %; and at 12 months it was 65.2 %. At 6 months, otitis media with effusion (OME) was observed in 12.5 % of cases, and residual tympanic membrane perforation was observed in 5.0 %. Ventilation tube placement was performed in 10 cases, and eight cases required revision surgery. During the course, plugs were removed in four cases. Median values of patulous Eustachian Tube Handicap Inventory-10 (PHI-10) at 1, 3, 6, and 12 months postoperatively were 14, 16, 16, and 20, respectively. PHI-10 significantly improved at all the time points after surgery than before surgery (median 33).
CONCLUSION: The Kobayashi plug surgery is safe and effective for refractory patulous Eustachian tubes over the long term. At 6 months postoperatively, there were few cases of OME, and the symptoms also stabilized.
METHODS: This retrospective study included 83 patients diagnosed with a patulous Eustachian tube who received Kobayashi plug surgery at our hospital.
RESULTS: At 1 month postoperatively, the success rate was 74.0 %; at 3 months, it was 67.1 %; at 6 months, it was 65.0 %; and at 12 months it was 65.2 %. At 6 months, otitis media with effusion (OME) was observed in 12.5 % of cases, and residual tympanic membrane perforation was observed in 5.0 %. Ventilation tube placement was performed in 10 cases, and eight cases required revision surgery. During the course, plugs were removed in four cases. Median values of patulous Eustachian Tube Handicap Inventory-10 (PHI-10) at 1, 3, 6, and 12 months postoperatively were 14, 16, 16, and 20, respectively. PHI-10 significantly improved at all the time points after surgery than before surgery (median 33).
CONCLUSION: The Kobayashi plug surgery is safe and effective for refractory patulous Eustachian tubes over the long term. At 6 months postoperatively, there were few cases of OME, and the symptoms also stabilized.