Ear-Nose Connection: Symptoms and Healing Insights - Otolaryngology

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The ear and nose are connected?


Hello doctor, I have a habit of using cotton swabs to clean my ears, but I just noticed that my ear seems to be connected to my nose.
When I pinch my nose and try to exhale, I feel a warm sensation in my ear, and when I try to inhale, it feels cold.
Will this condition heal on its own?

Xiao Wu, 10~19 year old female. Ask Date: 2017/02/04

Dr. Zheng Jueyi reply Otolaryngology


Hello: The middle ear and the nasopharynx behind the nose are normally connected through the Eustachian tube, so this is a normal phenomenon.
You can observe it for now, but if you are still concerned, you may seek medical examination for a definitive diagnosis.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/04

More Info


The connection between the ears and the nose is primarily facilitated by the Eustachian tubes, which help equalize pressure in the middle ear and drain fluid. When you experience sensations in your ears related to your nasal actions, such as feeling warmth or coolness in your ears when pinching your nose, it may indicate that your Eustachian tubes are functioning, albeit possibly not optimally.
Using cotton swabs to clean your ears can sometimes lead to complications, including the risk of pushing earwax deeper into the ear canal or even causing injury to the ear canal or eardrum. This could potentially lead to inflammation or infection, which might explain the sensations you are experiencing.
The sensations of warmth and coolness in your ears when you manipulate your nose could be due to changes in air pressure or temperature in the Eustachian tubes. When you pinch your nose and try to exhale, you are increasing the pressure in your nasal passages, which can affect the pressure in your middle ear. If the Eustachian tubes are functioning properly, they should equalize this pressure, allowing you to feel a sense of balance. However, if there is dysfunction, you might experience discomfort or unusual sensations.

In terms of healing, many mild cases of Eustachian tube dysfunction can resolve on their own, especially if they are related to temporary conditions such as allergies, colds, or sinus infections. However, if you are experiencing persistent symptoms, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination to determine if there is any underlying issue, such as fluid accumulation, infection, or structural problems.

Treatment options may include decongestants, nasal corticosteroids, or antihistamines if allergies are a contributing factor. In some cases, a procedure to equalize ear pressure may be recommended. If you have a history of frequent ear or sinus issues, it may be beneficial to consult an ear, nose, and throat (ENT) specialist for a more comprehensive evaluation.

In summary, while your symptoms may resolve on their own, it is crucial to monitor them closely. If you notice any worsening or if new symptoms arise, such as pain, hearing loss, or persistent discomfort, do not hesitate to seek medical advice. Proper diagnosis and treatment can help prevent complications and ensure your ear and nasal health.

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