Assessment of eustachian tube dysfunction using theETDQ-7 questionnaire and its relationship with impedanceaudiometry

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Catalina Pachón Rojas
Alejandro González Orozco
María Alejandra Henao Rincón
Edder Armando Pulido Arias
María Camila Borbón Vélez
María Camila Salazar Agudelo
Carlos Arturo Vélez Duncan
Mayra Alejandra Duncan Barceló

Abstract

Introduction: Eustachian Tube Dysfunction is a prevalent pathology in the ge­neral population, with a higher prevalence in children than in adults. Eustachian Tube Dysfunction results in inadequate ventilation of the middle ear and mastoid, which can lead to multiple symptoms and diseases such as hearing loss, recurrent serous otitis media, chronic otitis media, retraction and perforation of the tympanic membrane, and eventually the formation of cholesteatoma. Methods: A descripti­ve, cross-sectional observational study was conducted, in which 91 patients with symptoms of Eustachian tube dysfunction were evaluated. The Eustachian Tube Dysfunction Questionnaire (ETDQ-7) was administered, with a minimum score of 7 and a maximum score of 49. Results: In our study, 82.5% of the patients had a total ETDQ-7 score greater than 14.5. Tympanometry revealed a Type A curve in most patients in both ears, with 48.8% in the right ear and 61.5% in the left ear. Regarding the relationship between the ETDQ-7 and tympanometry findings, among patients with a score greater than 14.5, a Type A tympanometric curve was more frequently observed in the right ear (43.9% of cases), and in the left ear, 56.4% of those with an ETDQ-7 score above 14.5 presented a Type A curve on tympanometry.

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Assessment of eustachian tube dysfunction using theETDQ-7 questionnaire and its relationship with impedanceaudiometry. Acta otorrinolaringol cir cabeza cuello [Internet]. 2025 Dec. 4 [cited 2025 Dec. 4];53(3):248-53. Available from: https://revista.acorl.org.co/index.php/acorl/article/view/795

References

1. Maddineni S, Ahmad I. Updates in Eustachian Tube Dysfunction. Otolaryngol Clin North Am. 2022;55(6):1151- 1164. doi: 10.1016/j.otc.2022.07.010.

2. Xie L, Xu Y, Chen L, Liu J, Li J, Ou Y, et al. Characteristics of tympanogram in symptomatic Eustachian tube dysfunction. Eur Arch Otorhinolaryngol. 2023;280(2):581-587. doi: 10.1007/ s00405-022-07503-7.

3. Vila PM, Thomas T, Liu C, Poe D, Shin JJ. The Burden and Epidemiology of Eustachian Tube Dysfunction in Adults. In: Otolaryngology - Head and Neck Surgery (United States). SAGE Publications Inc.; 2017. p. 278–84.

4. Teixeira MS, Swarts JD, Alper CM. Accuracy of the ETDQ- 7 for Identifying Persons with Eustachian Tube Dysfunction. Otolaryngol Head Neck Surg. 2018;158(1):83-89. doi: 10.1177/0194599817731729.

5. McCoul ED, Anand VK, Christos PJ. Validating the clinical assessment of eustachian tube dysfunction: The Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope. 2012;122(5):1137-41. doi: 10.1002/lary.23223.

6. Parsel SM, Unis GD, Souza SS, Bartley H, Bergeron JM, Master AN, et al. Interpretation of Normal and Abnormal Tympanogram Findings in Eustachian Tube Dysfunction. Otolaryngol Head Neck Surg. 2021;164(6):1272-1279. doi: 10.1177/0194599820965236.

7. Xiong H, Liang M, Zhang Z, Xu Y, Ou Y, Chen S, et al. Efficacy of balloon dilation in the treatment of symptomatic Eustachian tube dysfunction: One year follow-up study. Am J Otolaryngol. 2016;37(2):99-102. doi: 10.1016/j.amjoto.2015.10.010.

8. Sandoval M, Navarro JJ, Martínez-Beneyto P, Herrera M, Alfaro J, López F, et al. Balloon Eustachian tuboplasty for obstructive Eustachian tube dysfunction: retrospective multicentre cohort study of 248 patients. Eur Arch Otorhinolaryngol. 2023;280(9):4045-4055. doi: 10.1007/s00405-023-07906-0.

9. Froehlich MH, Le PT, Nguyen SA, McRackan TR, Rizk HG, Meyer TA. Eustachian Tube Balloon Dilation: A Systematic Review and Meta-analysis of Treatment Outcomes. Otolaryngol Head Neck Surg. 2020;163(5):870-882. doi: 10.1177/0194599820924322.

10. Andresen NS, Sharon JD, Nieman CL, Seal SM, Ward BK. Predictive value of the Eustachian Tube Dysfunction Questionnaire-7 for identifying obstructive Eustachian tube dysfunction: A systematic review. Laryngoscope Investig Otolaryngol. 2021;6(4):844-851. doi: 10.1002/lio2.606.

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