Eustachian Tube Surgery Explained: Balloon Dilation for Dilatory & Baro-Challenge ETD скачать в хорошем качестве

Eustachian Tube Surgery Explained: Balloon Dilation for Dilatory & Baro-Challenge ETD

Dr. Ashley Agan explains surgical options for dilatory eustachian tube dysfunction and baro-challenge eustachian tube dysfunction—conditions where the eustachian tube has trouble opening (not patulous ETD, which is treated differently). She describes office evaluation with nasal endoscopy to assess the eustachian tube opening and signs of swelling or mucus, and explains how baro-challenge ETD can be symptom-free in the office but painful during flying or diving. The main procedure discussed is eustachian tube balloon dilation, performed through the nose with a balloon catheter inflated for 1–2 minutes, either in-office with local anesthesia or in the OR under general anesthesia; results may take 4–8 weeks as the inflamed mucosa heals. She notes high success and durability in baro-challenge patients (including an example of improved flying and successful SCUBA certification), while outcomes in dilatory ETD can be harder to predict and may require ongoing management of underlying inflammation such as allergies or chronic rhinosinusitis. She also discusses adenoid hypertrophy as a potential cause of blockage, the role of adenoidectomy, and how adenoidectomy can be paired with balloon dilation when both obstruction and inflammation are present. She concludes that these procedures are quick, can be done safely in clinic or the OR, and are FDA-indicated for patients as young as 8 years old. To schedule an appointment with Dr. Agan, visit ScottieENT.com or call 214-444-5518. 00:00 Welcome + What This Video Covers (Dilatory & Baro-Challenge ETD) 00:51 How the Eustachian Tube Works & Why It Gets Blocked 02:09 Office Evaluation: Nasal Scope Exam of the Eustachian Tube 02:46 Baro-Challenge ETD Explained (Flying, Diving, Pressure Pain) 03:56 When to Consider Surgery: Conservative Treatments First 04:14 Balloon Dilation Procedure: How It’s Done (Office vs OR) 05:10 How Balloon Dilation Heals + When Results Show Up 06:28 Real-World Outcomes: Success for Baro-Challenge Patients 07:48 Dilatory ETD Results: Allergies, Sinusitis & Preventing Relapse 09:12 Other Surgical Option: Adenoid Hypertrophy & Adenoidectomy 10:36 Key Takeaways, Age Indications, and Wrap-Up