Feeling of Foreign Object in Ear After Nasal Surgery: Causes and Solutions

Feeling of foreign body in the ear?

I previously underwent surgery for a deviated septum, and since then, I have been rinsing my nose daily.
Today, while rinsing my nose, I noticed some mucus.
When I cleared my nose, my ears felt sticky and damp, as if there was something in them.
When I tried to clean my ears, I heard a popping sound, and I also experienced noticeable tinnitus while sleeping.
Why is this happening, and how can I resolve it?

Xiao Fang, 10~19 year old female. Ask Date: 2016/07/04

Dr. Ji Zhaoyun reply Otolaryngology

Hello, Xiao Fang.
The issues you mentioned could possibly be due to: 1) Eustachian tube dysfunction, 2) Sudden sensorineural hearing loss, or 3) Otitis media: a) Acute otitis media, which often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, may lead to ear discharge; b) Chronic otitis media with acute exacerbation, which typically occurs when there is a pre-existing perforation in the eardrum, often caused by unclean water or improper ear cleaning, leading to inflammation.
All of the above conditions can be appropriately treated with medication after consulting a healthcare provider.
Regarding your recent septoplasty, it is indeed possible that the packing could cause the aforementioned symptoms, but these usually improve after the packing is removed.
If symptoms persist, it is advisable to seek medical evaluation and treatment.
Wishing you safety and good health.
Sincerely, Dr.
Chi Chao-Yun, Head of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/07/04

More Info

After undergoing nasal surgery, such as a septoplasty, it is not uncommon to experience sensations that may feel like a foreign object in the ear. This can be attributed to several factors related to the surgery and the healing process.

Firstly, the anatomy of the nasal passages and the ears are interconnected through the Eustachian tubes, which help equalize pressure in the middle ear. When you undergo nasal surgery, inflammation and changes in the nasal cavity can affect the Eustachian tubes, leading to a sensation of fullness or pressure in the ears. This can manifest as a feeling of "clogged" ears or the sensation of fluid in the ear, which may be exacerbated by activities such as nasal irrigation or blowing your nose.

The sensation of wetness or stickiness in the ear could also be related to the presence of mucus that may be draining from the nasal passages into the throat and potentially affecting the Eustachian tubes. If mucus accumulates, it can create a feeling of pressure or fullness in the ear, and you might hear sounds like popping or crackling when you move your jaw or swallow. This is often due to the Eustachian tubes not functioning properly, which can lead to a temporary imbalance in ear pressure.

Additionally, the ear ringing (tinnitus) you are experiencing, especially when lying down, can be a result of changes in pressure or fluid dynamics in the ear following your surgery. Tinnitus can be triggered by various factors, including stress, changes in pressure, or even the healing process itself.

To address these symptoms, consider the following solutions:
1. Nasal Irrigation: Continue with gentle nasal irrigation, but ensure you are using a saline solution that is isotonic (similar in salt concentration to your body) to avoid further irritation. This can help clear mucus and reduce inflammation.

2. Decongestants: Over-the-counter decongestants may help reduce swelling in the nasal passages and Eustachian tubes, promoting better drainage and pressure equalization. However, consult with your healthcare provider before starting any medication.

3. Ear Pressure Equalization: Techniques such as the Valsalva maneuver (gently blowing while pinching your nose) or swallowing can help equalize ear pressure. However, be cautious not to do this too forcefully, as it may cause discomfort or damage.

4. Warm Compress: Applying a warm compress to the affected ear may provide relief from discomfort and help with drainage.

5. Follow-Up Appointment: If symptoms persist or worsen, it is essential to follow up with your ENT specialist. They may perform a thorough examination to rule out any complications, such as fluid accumulation or infection in the middle ear, which could require further treatment.

In summary, the sensations you are experiencing in your ears after nasal surgery are likely related to the interconnected nature of the nasal and ear anatomy, as well as the healing process. By managing nasal congestion and ensuring proper drainage, you can alleviate these symptoms. However, always consult with your healthcare provider for personalized advice and treatment options.

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