Patulous Eustachian tube obliteration using endovascular coils: a novel technique. Issue 6 (11th June 2018)

• Record Type: Journal Article
• Authors: Jolly, K; Darr, A; Chavda, S V; Ahmed, S K
• Is Part Of: Journal of laryngology & otology. Volume 132:Issue 6(2018)
• Page Start: 564
• Page End: 566
• Publication Date: 2018-06-11
• Subjects: Patulous Eustachian Tube, -- Endovascular Coil, -- Endoscopic Surgical Procedure; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215118000725
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Background: Patulous Eustachian tube is a distressing condition characterised by chronic patency of the Eustachian tube and its failure to close. Patients typically present with symptoms of autophony and aural fullness. In patients requiring surgical intervention, a variety of different procedures have been demonstrated (both transtympanic and endonasal), with limited success. Evidence of the effectiveness of a number of surgical interventions is limited to small case series only. Objective: This paper describes a novel treatment for patulous Eustachian tube using a 3 mm VortX Diamond endovascular coil. Case report: A transnasal endoscopic approach was adopted, with cannulation of the Eustachian tube orifice using a Relieva sinus guide suction tube from a balloon sinuplasty set. The coil was deployed 1.5 cm deep into the Eustachian tube. Post-operative imaging was used to confirm correct positioning. Regular follow up was arranged. The patient reported complete resolution of her symptoms. Conclusion: The technique has so far proved highly effective and minimally invasive. It will be employed in more patients to fully establish its effectiveness in treating patulous Eustachian tube.