Transtympanic balloon dilatation of the eustachian tube: Systematic review

N. Jufas*, N. Patel

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    6 Citations (Scopus)


    Objective: To investigate the evidence for balloon dilatation of the eustachian tube using a transtympanic approach. Methods: A systematic search of several databases was conducted (using the search terms 'dilation' or 'dilatation', and 'balloon' and 'eustachian tube'). Only studies that used a transtympanic approach for the procedure were included. These studies were then assessed for risk of bias. Results: Three studies were included. Each of these studies was a limited case series, with two performed on human subjects and one on human cadavers. Results of safety and efficacy are conflicting. There is a high risk of bias overall. Conclusion: At present, there is a very narrow evidence base for transtympanic balloon dilatation of the eustachian tube. There are a number of advantages and disadvantages of the technique. Previously identified and theoretical safety concerns will need to be addressed thoroughly in future studies prior to wider clinical use.

    Original languageEnglish
    Pages (from-to)425-430
    Number of pages6
    JournalJournal of Laryngology and Otology
    Issue number5
    Publication statusPublished - 1 May 2016


    • Carotid Artery
    • Dilatation
    • Ear, Middle
    • Eustachian Tube


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