Clinical trial NCT06605937: The Effect of Postoperative Eustachian Milking Maneuver on Eustachian Tube Dysfunction
Official title: Eustachian Dysfunction Occurring After Adenoidectomy and/or Adenotonsillectomy and the Effect of Postoperative Eustachian Milking Maneuver on Eustachian Dysfunction
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Postoperative Middle Ear Pressure
Otalgia
Keywords: Eustachian Milking Maneuver
Analgesia
Eustachian dysfunction
Lead sponsor: Karaman Training and Research Hospital
Sponsor class: OTHER
First posted: 2024-09-20
Enrollment: 80
Sex: ALL
Minimum age (years): 3
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: 80 patients aged 3-15 years who were indicated for adenoidectomy and/or adenotonsillectomy.

Brief summary: This study will evaluate the effectiveness of this lymphatic drainage method in eliminating otalgia interruption due to eustachian dysfunction and reducing middle ear pressure, which occurs in the postoperative period after adenoidectomy and/or adenotonsillectomy.

Detailed description: The eustachian tube lies between the middle ear and the nasopharyngeal cavity and provides ventilation of the middle ear. The most important function of the Eustachian tube is to balance the air pressure in the middle ear with atmospheric pressure.

Temporary eustachian dysfunction and ear fullness occur in the early postoperative period after adenoidectomy and/or adenotonsillectomy. This temporary eustachian dysfunction is considered to be caused by clots and edema in the nasopharynx after surgery. In addition, trauma to the eustachian tube during adenoidectomy performed by curettage also contributes.

Eustachian dysfunction may present at the post-operative period resulted in otalgia related to middle ear pressure in the pediatric patients undergoing adenoidectomy or adenotonsillectomy. In this case, the need for analgesic agents rises in the early postoperative operiod and beyond this stituation impairs the quality of the healing process.

Reducing middle ear pressure by ensuring the mobility of the eustachian tube with the eustachian milking maneuver, which is a lymphatic drainage method, may reduce the otalgia symptoms during the post-operative recovery period, thus reducing the use of analgesic agents and improving the quality of the healing process. The aim of this observational study is to investigate to what extent a eustachian therapy maneuver corrects the negative values in middle ear pressure in the postoperative period.

Eligibility criteria: Inclusion Criteria:

Patients with ASA 1 and 2 The parent will be able to perform eustachian milking manoeuvres

Exclusion Criteria:

Tympanometric examination performed in the preoperative period revealed eustachian dysfunction Craniofacial malformation

Primary outcomes:
measure: Middle ear pressure
timeFrame: Perioperative period
Secondary outcomes:
measure: Evaluation of postoperative otalgia symptoms
timeFrame: Postoperative period
Other outcomes:
Locations:
city: Karaman
country: Turkey
facility: Karaman Training and Research Hospital, Karaman
Study officials:
affiliation: Karaman Training and Research Hospital
name: Ayşe Duran, MD
role: PRINCIPAL_INVESTIGATOR
References: