Eustachian tube dysfunction may occur when the mucosal lining of the tube is swollen, or does not open or close properly. If the tube is dysfunctional, symptoms such as muffled hearing, pain, tinnitus, reduced hearing, a feeling of fullness in the ear or problems with balance may occur.
Blocked eustachian tubes often get better on their own. You may be able to open the blocked tubes with a simple exercise. Close your mouth, hold your nose, and gently blow as if you are blowing your nose. Yawning and chewing gum also may help.
Blocked eustachian tubes can cause several symptoms. For example, your ears may hurt or feel full. You may have ringing or popping noises in your ears. Or you may have hearing problems or feel a little dizzy.
Symptoms of Eustachian tube dysfunction usually go away without treatment. You can do exercises to open up the tubes. This includes swallowing, yawning, or chewing gum. You can help relieve the “full ear” feeling by taking a deep breath, pinching your nostrils closed, and “blowing” with your mouth shut.
Your doctor may use a variety of techniques to diagnose patulous Eustachian tube dysfunction while viewing your ear drum (tympanic membrane). Your doctor may ask you to breathe deeply and swallow to see how the ear drum responds. Your doctor may also measure the pressure inside your ear using specialized tools.
If your ears are plugged, try swallowing, yawning or chewing sugar-free gum to open your eustachian tubes. If this doesn't work, take a deep breath and try to blow out of your nose gently while pinching your nostrils closed and keeping your mouth shut. If you hear a popping noise, you know you have succeeded.
The most common reason that the Eustachian tube closes is from inflammation within the tube and secretions that can block the tube from opening. With the tube closed, the middle ear has no way for the air to go in or out.
Eustachian tube problems often clear up on their own or after treating the cause of the blockage. If your tubes continue to be blocked, you may need surgery.
For example, untreated eustachian tube dysfunction can lead to an ear infection, a perforated eardrum, damage to the eardrum or the middle ear, as well as much more serious conditions such as the collapse of the eardrum or Cholesteatoma, a collection of cells that will damage the inside of your ear.
Eustachian tube dysfunction usually resolves in a few days to two weeks without treatment. You can take certain actions to open up the tubes, such as swallowing, yawning, or chewing gum. You can try the Valsalva maneuver at home by taking a deep breath, pinching your nostrils closed, and blowing with your mouth shut.
Chronic eustachian tube dysfunction is the condition where the eustachian tubes are in a seemingly endless state of being blocked. They may be closed for months on end, leading to long-term symptoms of inner-ear pain and hearing difficulty.
Popping your ears can help open the eustachian tube, allowing fluid to drain. The simplest way to pop your ears is to yawn, chew, or swallow. You may also want to try popping your ears using something called the Valsalva maneuver: Take a deep breath and hold it.
Pseudoephedrine is an ingredient found in oral decongestants. Oral decongestants are used in the treatment of eustachian tube dysfunction (ETD) and can help decrease peritubal edema provoked by allergies or URI. Oxymetazoline is an ingredient found in topical decongestants.
An otolaryngologist (ENT) doctor can diagnose eustachian tube dysfunction. Your ENT doctor will be able to diagnose ETD by talking to you about your symptoms and by examining you. Your doctor will examine your ear canals and eardrums, and your nasal passages and the back of your throat.
Afrin (oxymetazoline) and 4-Way (phenylephrine nasal) are among the most common and effective topical decongestants.
Another way to do it is to get you to “pop” your ears on a more regular basis, about 20 times per day, often by closing your nostrils with your hand and blowing gently against that pressure. The pressure should help force the Eustachian tube to open a bit, draining pressure and any fluid that's in that space.
A blockage may be caused by enlarged adenoids, a buildup of earwax, or excess fluid - all conditions that will result in eustachian tube dysfunction. Though rare, a nasopharynx tumor or a tumor behind the eardrum can mimic eustachian tube dysfunction symptoms.
Through this outpatient ENT surgery, we make a small incision in the eardrum and place a pressure equalization tube in it to allow fluid to escape. As a result, it not only resolves chronic earaches, but Eustachian tube problems as well. As the eardrum heals, the tubes eventually fall out on their own.
Allergies, head colds, pregnancy, and air pressure are some common reasons it may feel like your ears are full. Typically, plugged ears settle after a few days. Decongestants and nasal sprays are the best treatment for plugged ears that allergies and head colds cause.
Neurologic disorders that cause muscle atrophy such as stroke, multiple sclerosis, and motor neuron disease have been implicated in some cases of Patulous Eustachian Tube. Other cases may be associated with medications such as oral contraceptives or diuretics.
When your sinuses are blocked, or irritated, your Eustachian tubes can become blocked as well. This is why sinus medication can help you clear your ears. Antihistamines (Chlophenarimine, Entex, ternafdine (Seldane) will help. Also, decongestants as discussed above and nasal steroids can help.
Tympanometry is simple to perform and is repeatable, with a ME pressure below −50daPa highly suggestive of obstructive ETD, and correlating with other more complex ET opening tests.
Decongestant nasal sprays or drops
They may briefly relieve a blocked nose. However, you should not use a decongestant spray or drops for more than 5-7 days at a time. If they are used for longer than this, they may cause a worse rebound congestion in the nose and can damage the lining of your nose.