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10.1002/lary.25168

http://scihub22266oqcxt.onion/10.1002/lary.25168
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C4725712!4725712!25646902
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suck abstract from ncbi


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pmid25646902      Laryngoscope 2015 ; 125 (9): 2193-8
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  • Surgical Management of Patulous Eustachian Tube: A Systematic Review #MMPMID25646902
  • Hussein AA; Adams A; Turner JH
  • Laryngoscope 2015[Sep]; 125 (9): 2193-8 PMID25646902show ga
  • Objectives: Patulous Eustachian tube (PET) is a challenging clinical problem with limited medical and surgical options. The current study systematically reviews the literature to determine the safety and efficacy of surgical treatments for PET. Data Sources: Medline, Google Scholar, and Cochrane databases. Methods: Studies evaluating the surgical management of PET were extracted based on defined inclusion criteria. Data including surgical techniques, outcomes, and complications were extracted and analyzed. Results: 1616 studies were retrieved from the initial search. Fourteen studies comprising a total of 226 patients (253 sides) met inclusion criteria and were evaluated for surgical techniques, patient outcomes and complications. All studies were classified as Level 4 evidence per definition provided by the Oxford Center for Evidence Based Medicine. The most commonly reported techniques were ET plugging (3 studies), PE tube placement (2 studies), and suture ligation (2 studies). Postoperative follow-up ranged from 2 to 60 months (mean, 20.6 months). Outcome measures varied significantly between individual studies, with overall symptom improvement reported at between 22% and 100% (mean 72.4%, 95% CI 62.5% - 81.2%). A low incidence of minor complications was reported in 9 of 14 studies. Conclusions: Current literature evaluating the surgical management of PET is limited and comprised entirely of Level 4 studies. Comparisons between techniques were not possible due to the small number of studies and variable outcome measures. Future larger studies evaluating defined outcomes and quality of life measures are needed to determine the comparative efficacy of surgical treatments for this challenging condition.
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