Can You Control Your Eustachian Tube? Ear Function - Otolaryngology

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Eustachian tube function


Hello, doctor! It seems that I can control my Eustachian tube opening and closing on my own (without needing to yawn or swallow).
However, I found online that this shouldn't be possible.
The way I control it is by using the muscles at the back of my jaw (yawning also works).
At this time, I can hear the sound of air in my ears, and the sound becomes muffled (occasionally, I can hear my heartbeat).
I control it by inhaling through my nose (or pinching my nose and inhaling).
When it's closed, I can hear very clearly (the opening and closing sensation is my own perception).
I would like to ask if this is correct? (I don't have any significant ear issues.) I'm a bit worried that this inhalation through my nose might affect the pressure in my lungs.

xue, 20~29 year old female. Ask Date: 2016/12/15

Dr. Ji Zhaoyun reply Otolaryngology


Hello, based on your description, it is indeed possible to perform certain actions that affect the opening and closing of the Eustachian tube.
Common applications include during airplane takeoff, diving, and ascending mountains, where techniques such as pinching the nose and inhaling can help adjust the pressure in the Eustachian tube.
If you have concerns regarding this matter, it is advisable to seek medical evaluation.
Wishing you safety and good health.

Sincerely,
Dr.
Chi Chao-Yun,
Director of the Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/12/15

More Info


The Eustachian tube, a crucial component of the ear's anatomy, plays a significant role in equalizing pressure between the middle ear and the external environment. It connects the middle ear to the nasopharynx and is typically opened and closed through various actions, such as swallowing, yawning, or chewing. However, some individuals report being able to control the opening and closing of their Eustachian tubes through voluntary muscle movements, which can be a fascinating phenomenon.

From your description, it seems that you have developed a unique ability to manipulate your Eustachian tube using the muscles at the back of your jaw. This is not entirely uncommon; some people can indeed exert a degree of control over their Eustachian tube, allowing them to feel the pressure changes and hear sounds associated with the movement of air in and out of the middle ear. The sounds you describe, such as the "pop" or the sensation of air moving, are typically associated with the Eustachian tube opening and closing, which can happen without the typical actions of yawning or swallowing.

Your method of controlling the Eustachian tube by inhaling through your nose while pinching it is a recognized technique known as the Valsalva maneuver. This maneuver can help equalize pressure in the ears, especially during changes in altitude, such as during flights or diving. However, it's essential to perform this maneuver gently to avoid potential damage to the ear structures or causing barotrauma, which is injury caused by pressure differences.

Regarding your concern about the impact of this technique on lung pressure, it's generally safe to perform the Valsalva maneuver as long as you do it carefully and do not exert excessive force. The pressure changes primarily affect the ears and should not significantly impact your lungs if performed correctly. However, if you experience discomfort, pain, or any unusual symptoms, it would be wise to consult a healthcare professional.

It's also worth noting that the ability to control the Eustachian tube can vary significantly from person to person. While some individuals may find it easy to manipulate their Eustachian tube, others may not have the same level of control. This variability can be attributed to differences in anatomy, muscle control, and even psychological factors.

If you find yourself frequently trying to induce the "pop" sound or feeling the need to manipulate your Eustachian tube, it may be beneficial to explore why this urge exists. Sometimes, it can be a psychological habit or a response to discomfort in the ears. If you notice any adverse effects, such as dryness in the mouth or throat, it may be a sign that you are over-exerting those muscles, and it would be advisable to take breaks from this activity.

In conclusion, while it is indeed possible for some individuals to control their Eustachian tube to a certain extent, it is essential to do so with caution. If you have any ongoing concerns about your ear health or the sensations you are experiencing, seeking a consultation with an ear, nose, and throat (ENT) specialist would be a prudent step. They can provide a thorough examination and offer personalized advice based on your specific situation.

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