| Association Between Eustachian Tube Dysfunction Questionnaire-7 Scores and Eustachian Tube Function Test Results in Symptomatic Patients With a Normal Drum |
Seojin Moon 
, Yujin Lee
, Jinsei Jung
, In Seok Moon
, Seong Hoon Bae
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Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea |
Correspondence
Seong Hoon Bae ,Tel: +82-2-2228-3484, Fax: +82-2-393-0580, Email: bshsap@naver.com
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Submitted: November 25, 2021 Accepted after revision: February 28, 2022 |
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| Abstract |
Background and Objectives
We investigated the clinical validity of and correlation between the Eustachian Tube Dysfunction Questionnaire-7 (ETDQ-7) scores and the eustachian tube function test (ETFT) results in patients with a normal drum.
Subjects and Methods
The study included 49 patients (93 ears) with unilateral or bilateral ear fullness over >3 months. All patients were administered the ETDQ-7 survey and underwent the ETFT on the same day. The receiver operating characteristic (ROC) curve and the association between the results were statistically analyzed.
Results
ETDQ-7 scores were not significantly correlated with the ETFT results or with middle ear pressure. ETDQ-7 scores in patients with eustachian tube dysfunction (ETD) were significantly higher than those in patients with normal ETFT results (p=0.039) when ETD was defined as a pressure change <10 daPa on the ETFT. The area under the ROC curve was 0.631, with a sensitivity of 37.0% and specificity of 89.4%.
Conclusions
The ETDQ-7 has limited clinical significance in patients with ETD but a normal drum. Therefore, concomitant objective tests should be performed to diagnose patients with ETD. |
| Keywords:
Eustachian tube; Middle ear ventilation; Tympanic membrane; Middle ear; Tympanometry |
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