Eustachian Tube Dysfunction and Treatment Options

Questions regarding Eustachian tube treatment?

Hello, Doctor! I apologize for bothering you.
Recently, for the past three weeks, I've been experiencing a feeling of fullness in my ears.
It’s not too noticeable when I wake up in the morning, but as the day goes on, it sometimes affects both ears or just one.
I have visited the clinic four times, and they all said to wait for it to resolve on its own.
They prescribed antihistamines and a nasal spray, and suggested that I swallow frequently, keep my mouth open, or chew gum, but the results have been unsatisfactory.
I still mostly feel a sense of fullness in my ears when I wake up.
They also mentioned that if it persists, I might need to undergo balloon dilation from the nasal cavity or have my eardrum perforated to insert a ventilation tube, or even get checked for nasopharyngeal tumors (which made me quite anxious).

Later, I was referred to a clinic run by a retired teaching hospital director.
Besides changing my medication, the doctor examined my ears with an otoscope and cleaned my ear canal to rule out any issues.
He asked several questions, such as whether I had a cold recently, if I had experienced any sudden weight gain or loss, and whether I snore during sleep.
After that, he used the otoscope again, and there was a tube connected to what looked like a manual air blower.
After pressing it a few times on each side, the fullness sensation significantly decreased.
The doctor explained that it might be due to recent weather changes, my sensitivity, and dysfunction of the Eustachian tube causing pressure imbalance, and confirmed that there was no middle ear effusion.
He changed my medication to pseudoephedrine, and I have felt much better over the past two days; the sensation of fullness has decreased by about 80%.
I would like to ask you, Doctor, does this air-blowing technique have a formal name? The receipt only states "Eustachian tube ventilation procedure," but I found online that this method typically involves entry through the nasal cavity, which is different from what was done yesterday through the ear canal.
Additionally, if I experience fullness again, can I try this technique at home? The device resembles a blower used for cleaning keyboards and cameras.
I apologize for the trouble, and thank you very much!

Yang, 30~39 year old female. Ask Date: 2024/05/28

Dr. Zheng Jueyi reply Otolaryngology

Hello, this technique is used to assess the elasticity of the eardrum and to check for issues such as middle ear effusion.
It is not recommended to attempt this on your own to avoid causing a perforation of the eardrum.

Reply Date: 2024/05/28

More Info

Eustachian tube dysfunction (ETD) is a common condition that can lead to feelings of ear fullness, pressure, or discomfort. The Eustachian tube connects the middle ear to the back of the throat and helps to equalize pressure in the ear. When this tube becomes blocked or does not function properly, it can result in symptoms such as the ones you described: a sensation of fullness or pressure in the ears, particularly upon waking or during changes in altitude.

Your experience of feeling ear fullness that improved after a procedure at the clinic suggests that you were likely experiencing a temporary blockage or dysfunction of the Eustachian tube. The treatment you received, which involved a technique to equalize pressure in the ear, is often referred to as "Eustachian tube balloon dilation" or "Eustachian tube inflation." This procedure can help to open the Eustachian tube and restore normal function, alleviating the pressure and discomfort.

The method you described, where a device was used to deliver air into the ear canal, is known as "aural inflation" or "politzerization." This technique can help to equalize pressure in the middle ear by forcing air through the Eustachian tube, which can be particularly effective in cases of ETD. It is important to note that while this method can provide relief, it should be performed by a trained healthcare professional to avoid potential complications.

In terms of self-treatment at home, there are a few techniques that may help alleviate symptoms of Eustachian tube dysfunction. These include:
1. Swallowing or Yawning: These actions can help open the Eustachian tube and equalize pressure. Chewing gum or sucking on candy can stimulate swallowing.

2. Valsalva Maneuver: This involves taking a deep breath, closing your mouth, pinching your nose shut, and gently blowing as if you are trying to exhale. This can help to force air into the Eustachian tube and equalize pressure. However, it should be done gently to avoid damaging the ear.

3. Toynbee Maneuver: This technique involves swallowing while pinching your nose shut. This can also help to open the Eustachian tube.

4. Nasal Decongestants: If nasal congestion is contributing to your symptoms, over-the-counter decongestants may help reduce swelling in the nasal passages and Eustachian tube.

5. Steam Inhalation: Inhaling steam can help to relieve nasal congestion and may assist in opening the Eustachian tube.

While these methods can be helpful, it is essential to consult with a healthcare provider before attempting any self-treatment, especially if symptoms persist or worsen. If your symptoms return, or if you experience additional symptoms such as pain, hearing loss, or discharge from the ear, it is crucial to seek medical attention.

In summary, Eustachian tube dysfunction can cause significant discomfort, but various treatment options are available. The procedure you underwent was likely effective in relieving your symptoms, and there are self-care techniques you can try at home. However, always prioritize safety and consult with a healthcare professional for guidance tailored to your specific situation.

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