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Suggest Treatment To Cure Eustachian Tube Dysfunction.

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Posted on Wed, 30 Apr 2014
Question: An ENT question.... I have ETD - Eustachian Tube Dysfunction. where my ET gets blocked. My ENT Dr is not helping me at all w this. I really need some advise. Had to go get BTE Hearing Aids because my hearing has gotten so bad. I do the Val Salva Manuever about 30 times a day. A lot of popping in the ears the rest of the day. You can tell there is liquid or glue behind the eardrum. So my alarm which used to be about 20 feet away is now about 1 foot and many mornings I still do not hear it. I am on Fluticasone Spray but only helps a little. As the day goes my hearing gets better from the morning rise but still not good. Popping continues during the day. Yes I do have allergies. Yes Hay fever, Yes - Sinus. Have had a Rhino-plasty and a Septo-plasty. 20 years and 10 years ago respectively. Can you help me?
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Answered by Dr. Sumit Bhatti (27 minutes later)
Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. Get a Tympanogram (Impedance Audiogram) done. If it is normal, then medication will help. If it is abnormal, a Myringotomy with grommet insertion will help. 2. Get a plain CT PNS (Para Nasal Sinuses) done. It will show the changes following the previous surgeries and the current health of the nose and sinuses which may be the cause of the ETD. 3. The Valsalva Maneuver creates pressures far in excess of the normal pressures. Hence do not use it so often. A Toynbee or Frenzel's Maneuver is better. 4. Get a nasal endoscopy with Mueller's Maneuver done. If there is a problem, one of the newer options is balloon dilatation of the ET. 5. If you can share these reports, a Pure Tone Audiogram (PTA) and your clinical (ear) examination reports, I will be able to help you better. If you have any further questions, I will be available to answer them. Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Suggest Treatment To Cure Eustachian Tube Dysfunction.

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. Get a Tympanogram (Impedance Audiogram) done. If it is normal, then medication will help. If it is abnormal, a Myringotomy with grommet insertion will help. 2. Get a plain CT PNS (Para Nasal Sinuses) done. It will show the changes following the previous surgeries and the current health of the nose and sinuses which may be the cause of the ETD. 3. The Valsalva Maneuver creates pressures far in excess of the normal pressures. Hence do not use it so often. A Toynbee or Frenzel's Maneuver is better. 4. Get a nasal endoscopy with Mueller's Maneuver done. If there is a problem, one of the newer options is balloon dilatation of the ET. 5. If you can share these reports, a Pure Tone Audiogram (PTA) and your clinical (ear) examination reports, I will be able to help you better. If you have any further questions, I will be available to answer them. Regards.