Ear Ringing: Is Nasopharyngeal Cancer a Concern? - Otolaryngology

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Examination issues


Hello doctor, I recently noticed that my right ear has been ringing.
I visited an ENT clinic, and the doctor said my ear looked fine.
I inquired whether it could be a nasopharyngeal issue, and he used a metal ring attached to a handle on a machine to perform a test after asking me to open my mouth and move it around.
He concluded that there was no problem with my nasopharynx.
Can this method really detect any issues? I'm a bit worried it might be nasopharyngeal cancer.
Thank you, doctor.

Mr. Huang, 20~29 year old female. Ask Date: 2019/10/17

Dr. Zheng Jueyi reply Otolaryngology


Hello, in traditional otolaryngology, the nasopharynx is observed using a nasopharyngoscope.
If there are concerns, an endoscopic examination may be performed.
It is advisable to monitor the situation, and if you have worries, you may seek a second opinion at another clinic.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/10/17

More Info


When it comes to concerns about ear ringing (tinnitus) and the potential link to nasopharyngeal cancer, it's essential to understand the diagnostic process and the various factors that could contribute to your symptoms. Based on your description, it seems you've already consulted an ENT specialist who performed an examination of your nasopharynx. However, let's delve deeper into the diagnostic methods and the possible implications of your symptoms.

Firstly, the examination you underwent, which involved the use of a flexible endoscope, is a common procedure used by ENT specialists to visualize the nasal passages and nasopharynx. This method allows the doctor to look for abnormalities such as tumors, inflammation, or other issues that could be causing your symptoms. If the doctor indicated that everything appeared normal during this examination, it is a positive sign, as it suggests that there are no visible lesions or growths in the nasopharyngeal area.

However, it is important to note that while a negative endoscopic examination is reassuring, it does not completely rule out the possibility of nasopharyngeal cancer. In some cases, tumors can be small or located in areas that are difficult to visualize. Therefore, if there is a strong clinical suspicion based on your symptoms or history, further diagnostic tests may be warranted. These could include imaging studies such as a CT scan or MRI, which provide more detailed views of the nasopharynx and surrounding structures. Additionally, a biopsy may be necessary if any suspicious lesions are found during these imaging studies.

Regarding your symptoms of ear ringing, it is crucial to consider other potential causes. Tinnitus can arise from various factors, including earwax buildup, middle ear infections, Eustachian tube dysfunction, or even stress and anxiety. Given that your ENT specialist did not find any abnormalities in your ear, it may be worthwhile to explore these other possibilities. Sometimes, tinnitus can be a result of changes in the auditory system or even related to neck or jaw issues, such as temporomandibular joint (TMJ) disorders.

If your symptoms persist or worsen, it is advisable to follow up with your ENT specialist. They may recommend additional tests or refer you to other specialists, such as an audiologist for hearing tests or a neurologist if there are concerns about neurological causes of your symptoms.

In summary, while the examination you received is a critical step in assessing your concerns about nasopharyngeal cancer, it is essential to remain vigilant about your symptoms. If you continue to experience ear ringing or any other concerning symptoms, do not hesitate to seek further evaluation. Early detection and diagnosis are key in managing any potential health issues effectively. Remember, your health and peace of mind are paramount, so advocating for yourself in the medical system is always a wise approach.

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