Ear Problems and Hearing Loss: A Patient's Journey

Ear problems and hearing?

Dr.
Li: After being diagnosed on October 31 last year, I experienced a recurrence of nasal allergies and a feeling of fullness in my right ear.
As a child, I had recurrent otitis media in both ears, which led to the placement of ventilation tubes and a stapedectomy.
After November 22, I suddenly lost hearing in my right ear and could only hear by bringing sounds close to my ear.
After giving birth in January this year, around the Lunar New Year, I used the Valsalva maneuver to restore some hearing, but my right ear still feels blocked, and I hear a popping sound in my eardrum, along with a noticeable sound of my own breathing.
On February 11, I visited the Veterans General Hospital in Pingtung, where the doctor diagnosed me with Eustachian tube dysfunction accompanied by tympanic membrane retraction.
He recommended Eustachian tube balloon dilation.
At that time, I lacked the funds, so I delayed the procedure until today.
I feel that my hearing has significantly decreased daily, and I can now only hear sounds at about 50 to 70 decibels.
My eardrum is making a clicking sound.
Dr.
Li, what could be the cause of this?

A Yi, 20~29 year old female. Ask Date: 2023/04/10

Dr. Li Jiaxuan reply Otolaryngology

A detailed examination of the ossicles (otoscopy) and the function of the Eustachian tube may be necessary to determine the cause.
It is recommended to seek treatment as soon as possible.
Wishing you good health.

Reply Date: 2023/04/10

More Info

Hello, thank you for sharing your journey regarding your ear problems and hearing loss. It sounds like you have been through quite a lot, and I appreciate your detailed description of your symptoms and medical history. Based on the information you've provided, it seems that you are experiencing a combination of issues related to your ear, particularly with the Eustachian tube and possibly the middle ear.

From your description, it appears that you have a history of middle ear infections (otitis media) and have undergone surgeries in the past, including the placement of ventilation tubes and ossicular reconstruction. These conditions can lead to long-term changes in the ear's anatomy and function, which may predispose you to further issues, such as Eustachian tube dysfunction (ETD). ETD occurs when the Eustachian tube, which connects the middle ear to the back of the throat, fails to open properly, leading to a feeling of fullness or pressure in the ear, muffled hearing, and sometimes even ear pain.

The symptoms you describe, such as the "popping" sounds and the sensation of hearing your own breathing, are often associated with Eustachian tube dysfunction. When the Eustachian tube is not functioning correctly, it can lead to negative pressure in the middle ear, which may cause the eardrum to retract and create a sensation of fullness or blockage. This can also explain the fluctuating hearing loss you are experiencing, as changes in pressure can affect how sound is transmitted through the ear.

Your recent diagnosis of Eustachian tube dysfunction with associated tympanic membrane (eardrum) retraction is concerning, especially given your history. The recommendation for Eustachian tube balloon dilation is a common and effective treatment for persistent ETD. This procedure involves inserting a small balloon into the Eustachian tube and inflating it to help open the tube and restore normal function. Many patients report significant improvement in their symptoms following this procedure.

It's important to address your hearing loss, especially since you mentioned that your hearing has decreased to a level where you can only hear sounds at 50-70 decibels. This level of hearing loss can significantly impact your quality of life and communication abilities. If you have not already done so, I strongly recommend that you pursue the balloon dilation procedure as soon as possible, as delaying treatment may lead to further complications, including chronic ear issues or even permanent hearing loss.

In addition to the balloon dilation, it may be beneficial to explore other treatment options, such as nasal corticosteroids or decongestants, to help manage any underlying nasal congestion or allergies that could be contributing to your Eustachian tube dysfunction. Regular follow-up with an ear, nose, and throat (ENT) specialist is crucial to monitor your condition and make any necessary adjustments to your treatment plan.

Lastly, if you continue to experience significant hearing loss or if your symptoms worsen, further evaluation, including audiometric testing and possibly imaging studies, may be warranted to rule out other potential causes of your symptoms.

In summary, your symptoms are likely related to Eustachian tube dysfunction and the history of middle ear issues. The recommended balloon dilation procedure could provide relief and improve your hearing. Please consult with your ENT specialist to discuss your treatment options and ensure that you receive the care you need. Wishing you the best on your journey to recovery!

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