Eustachian Tube Dysfunction Diagnostic Pathway—What Is the Current State of the Art and How Relevant Is Chronic Nasal Disease?
Abstract
:1. Introduction
2. Methods
3. Results
4. Discussion
4.1. Why Is a Consensus on Diagnostics Difficult to Achieve?
4.2. How Do We Diagnose ETD Nowadays?
4.3. Considering the Need for Diagnostic Accuracy, Is TMM the Solution?
4.4. Sonotubometry as a Diagnostic Tool
4.5. What Happens with Diagnosis of ETD with PET or Non-PET?
4.6. What Are the Current Views on Diagnostics of ETD in Patients with Chronic Nasal Disease?
4.7. A New Suggested Diagnostic Pathway
5. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
ET | Eustachian tube |
ETD | Eustachian tube dysfunction |
PROMS | Patient-reported outcomes |
TMM | Tubomanometry |
CRS | Chronic rhinosinusitis |
NICE | National Institute for Health and Care Excellence |
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Inclusion Criteria | Exclusion Criteria |
English Language | Studies not mentioning diagnostic approaches |
Prospective and retrospective studies, reviews, case series | Studies correlating TMM, sonotubometry or Tympanometry with other diseases |
ETD diagnosis/treatment articles | Studies focusing on post-operative outcomes |
Consensus papers on ETD | Single case reports |
Investigation | Article Representation | %100 |
---|---|---|
Adult studies | 41 | 80% |
Children studies | 10 | 20% |
ETDQ—7 | 34 | 66% |
Tympanometry | 21 | 42% |
Tubomanometry TMM | 28 | 56% |
Sonotubometry | 24 | 47% |
Ear pathology mentioned | 12 | 25% |
Nasal pathology mentioned | 4 | 8% |
Reference | Study (Adult, Children) | PROMs | Objective Method | ETD Diagnosis | Ear Pathology Mentioned | Nose Pathology Mentioned | |
---|---|---|---|---|---|---|---|
1 | Ikeda et al. (2024) [4] | Adults | Yes | Tympanometry, TMM | Yes | Yes | No |
2 | Teixeira et al. (2023) [5] | Adults | Yes | TMM | Yes | No | No |
3 | Bilgili et al. (2023) [6] | Children | Yes | TMM | Yes | Yes | Yes |
4 | Azevedo C, et al. 2023 [2] | Adults | Yes | Tympanometry, TMM | Yes | No | No |
5 | Gürtler N, et al. 2024 [3] | Children | Yes | Tympanometry, TMM | Yes | No | No |
6 | Kaderbay A, et al. 2023 [7] | Adults | Yes | Tympanometry | Yes | No | No |
7 | Ros L, et al. 2023 [8] | Adults | Yes | TMM | Yes | No | No |
8 | Oehlandt et al. (2022) [9] | Adults | No | TMM | Yes | No | No |
9 | Fontes Lima et al. (2022) [10] | Adults | Yes | Tympanometry, TMM | Yes | No | Yes |
10 | Widodo et al. (2021) [11] | Children | No | Sonotubometry | Yes | No | Yes |
11 | Jamil et al. (2020) [12] | Adults | Yes | Tympanometry/TMM | Yes | Yes | No |
12 | Chen et al. (2020) [13] | Children | Yes | Tympanometry/TMM | Yes | Yes | No |
13 | Ruan et al. (2020) [14] | Adults | Yes | Sonotubometry/TMM | Yes | No | No |
14 | Vandersteen et al. (2020) [15] | Adults | Yes | Tympanometry/TMM | Yes | No | Yes |
15 | Manno et al. (2021) [16] | Children | Yes | None | Yes | Yes | No |
16 | Ma et al. (2020) [17] | Adults | Yes | Tympanometry/TMM | Yes | No | No |
17 | Ikeda et al. (2020) [18] | Adults | No | Tympanometry/ Sonotubometry | Yes | No | No |
18 | Joshi et al. (2020) [19] | Adults | No | Tympanometry/TMM, Sonotubometry | Yes | No | No |
19 | Ikeda et al. (2019) [20] | Adults | No | Tympanometry/ Sonotubometry | Yes | No | No |
20 | Ikeda et al. (2019) [21] | Adults | Yes | Sonotubometry | Yes | No | No |
21 | Herrera et al. (2019) [22] | Adults | Yes | TMM | Yes | No | No |
22 | Zhang et al. (2018) [23] | Adults | No | TMM | Yes | Yes | No |
23 | Smith et al. (2018) [24] | Adults | Yes | Sonotubometry, TMM | Yes | No | No |
24 | Schmitt et al. (2017) [25] | Adults | Yes | Tubomanometry | Yes | No | No |
25 | Takata et al. (2017) [26] | Adults | Yes | Sonotubometry | Yes | No | No |
26 | Smith et al. (2017) [27] | Adults | Yes | Sonotubometry, TMM | Yes | No | No |
27 | Leichtle et al. (2017) [28] | Children | Yes | Tympanometry/TMM | Yes | Yes | No |
28 | Smith et al. (2017) [29] | Adults | Yes | Tympanometry/TMM/Sonotubometry | Yes | No | No |
29 | Smith et al. (2017) [30] | Adults | Yes | TMM | Yes | No | No |
30 | Iannella et al. (2017) [31] | Adults | Yes | TMM | Yes | No | No |
31 | Alper et al. (2017) [32] | Adults | Yes | Tympanometry/TMM | Yes | No | No |
32 | Xiong et al. (2016) [33] | Adults | Yes | Tympanometry/TMM | Yes | No | No |
33 | Zhong et al. (2016) [34] | Adults | Yes | TMM | Yes | Yes | No |
34 | Amoako-Tuffour et al. (2016) [35] | Adults | Yes | Sonotubometry | Yes | No | No |
35 | Beleskiene et al. (2016) [36] | Adults | No | Tympanometry/Sonotubometry | Yes | No | No |
36 | Dalchow et al. (2016) [37] | Adults | Yes | Tympanometry/TMM | Yes | No | No |
37 | Alper et al. (2016) [38] | Adults | Yes | Sonotubometry | Yes | No | No |
38 | Schroder et al. (2015) [39] | Adults | Yes | TMM | Yes | No | No |
39 | Jenckel et al. (2015) [40] | Children | Yes | TMM | Yes | No | No |
40 | Gürtler et al. (2015) [41] | Adults | Yes | Tympanometry/TMM | Yes | No | No |
41 | Schroder et al. (2014) [42] | Adults | Yes | Tympanometry | Yes | No | No |
42 | Kitajima et al. (2014) [43] | Adults | No | Sonotubometry | Yes | Yes | No |
43 | Kitajima et al. (2013) [44] | Adults | No | Sonotubometry | Yes | Yes | No |
44 | Asenov et al. (2010) [45] | Adults | No | Sonotubometry | Yes | Yes | No |
45 | Di Martino et al. (2010) [46] | Adults | No | Sonotubometry | Yes | No | No |
46 | Van der Avoort et al. (2008) [47] | Children | No | Sonotubometry | Yes | Yes | No |
47 | Takano et al. (2007) [48] | Adults | No | Sonotubometry | Yes | No | No |
48 | Heerbeek et al. (2007) [49] | Adults | No | Sonotubometry | Yes | No | No |
49 | Wang et al. (2001) [50] | Adults | No | Tympanometry/Sonotubometry | Yes | No | No |
50 | Munro et al. (1999) [51] | Children | No | Sonotubometry | Yes | Yes | No |
51 | Morita et al. (1993) [52] | Children | No | Sonotubometry | Yes | No | No |
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Anastasiadou, S.; Bountzis, P.; Gkogkos, D.E.; Karkos, P.; Constantinidis, J.; Triaridis, S.; Psillas, G. Eustachian Tube Dysfunction Diagnostic Pathway—What Is the Current State of the Art and How Relevant Is Chronic Nasal Disease? J. Clin. Med. 2024, 13, 3700. https://doi.org/10.3390/jcm13133700
Anastasiadou S, Bountzis P, Gkogkos DE, Karkos P, Constantinidis J, Triaridis S, Psillas G. Eustachian Tube Dysfunction Diagnostic Pathway—What Is the Current State of the Art and How Relevant Is Chronic Nasal Disease? Journal of Clinical Medicine. 2024; 13(13):3700. https://doi.org/10.3390/jcm13133700
Chicago/Turabian StyleAnastasiadou, Sofia, Polyzois Bountzis, Dimitrios Evangelos Gkogkos, Petros Karkos, Jannis Constantinidis, Stefanos Triaridis, and George Psillas. 2024. "Eustachian Tube Dysfunction Diagnostic Pathway—What Is the Current State of the Art and How Relevant Is Chronic Nasal Disease?" Journal of Clinical Medicine 13, no. 13: 3700. https://doi.org/10.3390/jcm13133700
APA StyleAnastasiadou, S., Bountzis, P., Gkogkos, D. E., Karkos, P., Constantinidis, J., Triaridis, S., & Psillas, G. (2024). Eustachian Tube Dysfunction Diagnostic Pathway—What Is the Current State of the Art and How Relevant Is Chronic Nasal Disease? Journal of Clinical Medicine, 13(13), 3700. https://doi.org/10.3390/jcm13133700