Analysis of the Effect of Weight Loss on Eustachian Tube Function by Transnasal Videoendoscopy

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dc.contributor.authorEravci, Fakih Cihat
dc.contributor.authorYildiz, Baris Dogu
dc.contributor.authorOzcan, Kursat Murat
dc.contributor.authorMoran, Munevver
dc.contributor.authorColak, Mustafa
dc.contributor.authorKaraku, Mehmet Fatih
dc.contributor.authorKarakurt, Suleyman Emre
dc.date.accessioned2024-02-23T14:23:30Z
dc.date.available2024-02-23T14:23:30Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractObjective: To investigate the effect of weight loss after bariatric surgery on eustachian tube (ET) function with video endoscopy. Materials and Methods: The present study was conducted as a prospective cohort and was completed with 19 patients. Three-step tympanometry (basal, Toynbee, Valsalva), dynamic slow-motion video endoscopy, and the Eustachian Tube Dysfunction Questionnaire-7 (ETDA-7) were applied to the patients preoperatively before bariatric surgery and in the postoperative 6th month. Dynamic slow-motion video endoscopy was graded between 0 and 3, or classified as patulous, as indicated in the literature. Results: The mean body mass index of 6 male and 13 female patients decreased from 47.3 +/- 4.6 to 31.2 +/- 5.4. Grade decline (median 2 +/- 1) was experienced in all patients in DSVE, and 1 patient resulted as patulous ET. The ETDA-7 scores decreased in11 patients, remained stable in 7 patients, and increased in 1 patient with patulous ET. The statistical analysis of the preoperative and postoperative DSVE grading and ETDA-7 scores, excluding the patulous ET patient, was found to be significant (P = 0.001 and P = 0.003, respectively). There was no significant change in any of the tympanometry parameters (P > 0.05). Conclusions: Rapid weight loss with bariatric surgery results in an improvement in both the DSVE images and in the complaints of ET dysfunction in the majority of patients, but in some patients it may result in patulous ET. Therefore, preoperative evaluation of the ET with DSVE and questioning the patient's complaints are important in predicting patients who may develop patulous ET.en_US
dc.identifier.doi10.1097/SCS.0000000000007965
dc.identifier.endpageE221en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue3en_US
dc.identifier.pmid34267142en_US
dc.identifier.scopus2-s2.0-85131311272en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE219en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000007965
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13582
dc.identifier.volume33en_US
dc.identifier.wosWOS:000797136800004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBariatric Surgeryen_US
dc.subjectDynamic Slow Motion Video Endoscopyen_US
dc.subjectEustachian Tubeen_US
dc.subjectEustachian Tube Dysfunction Questionnaireen_US
dc.subjectTympanometryen_US
dc.subjectVideo-Endoscopyen_US
dc.subjectWeight Loss Obesityen_US
dc.titleAnalysis of the Effect of Weight Loss on Eustachian Tube Function by Transnasal Videoendoscopyen_US
dc.typeArticleen_US

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