Balloon Dilation of the Eustachian Tube (BDET)-A Pooled Analysis in Pediatric Patients.

Document Type

Article

Publication Date

6-27-2025

Publication Title

Laryngoscope

Abstract

OBJECTIVE: To analyze the outcomes and safety of pediatric Balloon Dilation of Eustachian Tube (BDET).

STUDY DESIGN: Retrospective pooled analysis.

METHODS: Records of 219 patients (425 ears) were analyzed. The inclusion criteria included children 17 years old and younger who underwent BDET with or without adjunctive procedures. Patients had a diagnosis of chronic otitis media with effusion (COME) or recurrent acute otitis media (RAOM) refractory to prior surgical treatment. Procedures were performed by a total of seven surgeons at six surgical centers. Pooled analysis was performed on efficacy, complications, BDET failure, and tympanograms.

RESULTS: No major complications were reported; however, minor adverse events occurred in 5.9% of patients. BDET had a 1-year failure-free probability of 93.8% (95% CI: 89.7%-96.3%); at 2 years, it was 87.2% (95% CI: 81.9%-91.0%). Tympanograms improved in 83.7% of ears.

CONCLUSION: BDET in pediatric patients demonstrated a favorable safety profile, while being effective and exhibiting long-lasting durability.

Volume

Online ahead of print

DOI

10.1002/lary.32356

ISSN

1531-4995

PubMed ID

40574604

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