Vibrations in Nose and Head While Speaking: Causes and Concerns

Feeling vibrations in the nose and head while speaking?

Hello doctor, I recently underwent an examination and was diagnosed with otitis media due to hearing loss.
I have been receiving treatment at the hospital and am currently on medication.
However, after a period of treatment, I suddenly feel vibrations in my nose corresponding to the frequency of speech.
Sometimes, I even feel vibrations in my brain with the sound frequency, which is quite pronounced.
The sounds I hear become louder, making me reluctant to speak.
I would like to ask if this phenomenon is caused by otitis media, or could it possibly be related to Eustachian tube dysfunction? However, I do not experience any abnormal sensations with external sounds.
Could it be another condition?

Mr. Wang, 20~29 year old female. Ask Date: 2023/07/17

Dr. Zheng Jueyi reply Otolaryngology

Hello, you may have dysfunction of the Eustachian tube due to otitis media.
If there is no improvement, it is recommended to continue follow-up visits with an otolaryngologist for further evaluation.

Reply Date: 2023/07/17

More Info

The symptoms you are experiencing, particularly the vibrations in your nose and head while speaking, can indeed be linked to your recent diagnosis of otitis media (middle ear infection). This condition can lead to various auditory sensations and changes in how sound is perceived, which may explain the vibrations you feel.
Otitis media often causes fluid accumulation in the middle ear, which can affect the way sound waves travel through the ear. This can lead to a sensation of fullness or pressure in the ear, and in some cases, it may also cause a phenomenon known as "autophony," where one's own voice sounds louder or different than usual. This could explain why you feel vibrations in your nose and head when you speak, as the sound waves may be transmitted differently due to the fluid in your ear.

Additionally, the Eustachian tube, which connects the middle ear to the back of the throat, plays a crucial role in equalizing pressure and draining fluid. If the Eustachian tube is not functioning properly, it can lead to a sensation of pressure and may contribute to the vibrations you are experiencing. Conditions such as Eustachian tube dysfunction or patulous Eustachian tube (where the tube remains open when it should be closed) could also be factors in your symptoms. However, you mentioned that you do not perceive any abnormal external sounds, which may suggest that the issue is more localized to the middle ear rather than a broader auditory dysfunction.

It is also important to consider that the vibrations you feel could be related to muscle tension or anxiety, particularly if you are feeling stressed about your hearing loss or the ongoing treatment. Stress can lead to muscle tightness in the neck and jaw, which can contribute to sensations in the head and face.

Given your situation, it is advisable to continue your treatment for otitis media and follow up with your healthcare provider. They may recommend further evaluation, such as a hearing test or imaging studies, to assess the condition of your middle ear and Eustachian tube. If your symptoms persist or worsen, it may be beneficial to consult an ear, nose, and throat (ENT) specialist who can provide a more comprehensive assessment and tailored treatment options.

In the meantime, consider practicing relaxation techniques to help manage any anxiety you may be experiencing. Gentle neck and jaw stretches may also help alleviate muscle tension that could be contributing to your symptoms. Staying hydrated and avoiding irritants such as smoke or allergens can also support your recovery.

In summary, while your symptoms may be related to your recent middle ear infection, it is essential to monitor your condition and seek further evaluation if necessary. Your healthcare provider will be able to guide you through the next steps in your treatment and help address any concerns you may have.

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