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What is Patulous Eustachian Tube?

Writer's picture: Jameson MontgomeryJameson Montgomery

A patulous Eustachian tube is a condition where the Eustachian tube, which connects the middle ear to the back of the nose and upper throat, remains open and does not close as it should ¹ ² ³. Here are some key points about the condition:


Symptoms:

- A sense of fullness in the ears

- Hearing one's own voice, breathing, or bodily functions too loudly

- Hearing the sound of blood pumping

- Autophony (hearing one's own voice, breathing, or heartbeat loudly)

- Tinnitus (ringing in the ear)

- Muffled hearing

Causes:

- Weight loss

- Hormonal changes (pregnancy, birth control pills, or hormone replacement therapy)

- Chronic nasal allergy

- A history of acid reflux disease

- Stress and anxiety

- Chronic neuromuscular or immunological disease

Diagnosis:

- Ear exam (otoscopy)

- Nasal endoscopy

- Tympanometry

- Computed tomography (CT) scanning

Treatment:

- Limiting decongestants and caffeine

- Drinking more water

- Medicated nasal drops

- Surgery (implants, fillers, grafts, or fat transfers)


Here are some key bullet points regarding P.E.T.


If you're experiencing any of the following symptoms, you may have a patulous Eustachian tube:

1. Autophony: Hearing your own voice, breathing, or heartbeat loudly in your ear.

2. Fullness or blockage: Feeling like your ear is plugged or full of pressure.

3. Tinnitus: Ringing, buzzing, or hissing sounds in your ear.

4. Muffled hearing: Difficulty hearing or a sense of hearing through a tunnel.

5. Ear popping or clicking: Unusual sounds or sensations in your ear when you swallow, yawn, or change altitude.

6. Nasal congestion: Persistent stuffiness or congestion in your nose.

7. Sinus pressure: Pain or pressure in your sinuses, face, or forehead.

8. Hearing your own breathing: Hearing your own breathing sounds loudly in your ear.

9. Voice changes: Hearing your own voice differently, such as sounding nasal or echoey.

10. Dizziness or lightheadedness: Feeling off-balance or dizzy, especially when changing positions.

If you're experiencing several of these symptoms, it's a good idea to consult an ear, nose, and throat (ENT) specialist for a thorough evaluation. They will perform a physical examination, take a detailed medical history, and may conduct tests such as:

1. Otoscopy: Examining the ear canal and eardrum with a scope.

2. Nasal endoscopy: Examining the nasal passages and sinuses with a flexible tube.

3. Tympanometry: Measuring the movement of the eardrum and middle ear structures.

4. Acoustic reflex testing: Testing the reflexes of the middle ear muscles.

Based on the results, your ENT specialist can diagnose a patulous Eustachian tube and recommend appropriate treatment options.


For more details regarding PET, please watch this video: https://youtu.be/KrTqIuSKbvw

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