Episode # 159 • 20 Feb 2024
Eustachian Tube Dilation In The Pediatric Population
In this episode, host Dr. Ashley Agan discusses eustachian tube (ET) dilation with Dr. Dennis Poe, neurotologist and Professor of Otolaryngology at Harvard Medical School.
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Timestamps
00:00 - Introduction
04:03 - Understanding Eustachian Tube Anatomy
07:22 - Causes of Eustachian Tube Dysfunction in Children
12:53 - Examination and Diagnosis of Eustachian Tube Dysfunction
19:10 - Treatment Options for Eustachian Tube Dysfunction
27:05 - Avoiding Unpredictable Injury and Scarring During Balloon Dilation
31:51 - Contraindications and Precautions for Balloon Dilation
37:49 - Understanding Risks & Complications of Balloon Dilation
48:34 - Closing Remarks & Future Prospects
Resources
- Dr. Dennis Poe’s Harvard Profile
- BackTable ENT Ep. 40 – “Diagnosis & Management of Eustachian Tube Disorders with Dr. Dennis Poe:”
- American Academy of Otolaryngology-Head and Neck Surgery Clinical Practice Guideline: Otitis Media with Effusion (Update)
- “Complications of Eustachian Tube Balloon Dilation: Manufacturer and User Facility Device Experience (MAUDE) Database Analysis and Literature Review,” Chisolm, P.F. et al: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731503/
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More about this episode
First, the surgeons describe clinically meaningful differences between adult and pediatric ETs. Then, Dr. Poe reviews workup of pediatric ET disorders. Since inflammation accounts for most ET dysfunction, controlling comorbid allergies and/or performing adenoidectomy provides relief to some patients. For patients with continued symptoms, balloon dilation – now approved for children as young as eight years of age– directly counteracts obstructive inflammation in the tube lumen. To conclude, Dr. Poe describes how to select patients for, perform, and avoid complications of balloon dilation.
ACCLARENT AERA® Eustachian Tube Balloon Dilation System is intended for use by physicians who are trained on Acclarent Technology. Eustachian tube balloon dilation has associated risks, including tissue and mucosal trauma, infection, or possible carotid artery injury. Prior to use, it is important to read the Instructions for Use and to understand the contraindications, warnings, and precautions associated with these devices.
Caution: Federal (US) law restricts the sale, distribution, or use of these devices to, by or on the order of a physician. Third party trademarks used herein are trademarks of their respective owners. This content is intended for audience within the US only.
This podcast is sponsored by Acclarent, Inc. The information contained in this podcast, and findings and conclusions expressed are those reached independently by the authors.
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