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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Clicking Noise Behind Nose In Center Of Head. Damage?

Hi Doctor, (Can I just say first of all that I ve recently done MRI and CT scans for an unrelated issue and they come up with a big polyp in the left maxillary sinus ). About five years ago, when I was still in high school, I got into a habit of doing this clicking thing at a spot around behind my nose towards the center of my head. I did this very frequently during class and throughout the day just out of habit. After doing this clicking for some time, I got a strange feeling like there was an inflated bubble in the center of my head. Also, I started hearing crunching noises and like little clicking noises spontaneously in my head. I went to a doctor and neurologist , and after describing what i did, they prescribed it as sinus problems, gave my sprays and medicine and I went on my way. I didn t think about it too much at the time, but now I m worried that I could negatively affected important structural parts. I still get the crunching and the clicking noises, and a feeling like a built up of fluid that pops, especially first thing in the morning when I wake up. Is it possible that that clicking habit I was doing could have possibly damaged something? Or can it be the sinus polyp causing the symptoms? If so, do you know what exactly I was clicking or doing? I ve tried and am not able to do the clicking thing anymore. I know this is long, so thanks very much for your help.
Mon, 8 Oct 2012
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Otolaryngologist / ENT Specialist 's  Response
Hi,

1. The inner ends of the Eustachian Tubes lie just below the eyes and behind the nose. The outer end of the Eustachian Tube in the middle ear is bony and does not have any moving part. The inner end is made up of cartilage and muscles which are also attached to the muscles of the palate.

2. Opening an closing of the Eustachian Tubes can give rise to clicking sounds in the center of the
face. So can contractions of the muscles forming the soft palate. Myoclonus is involuntary muscle spasms which may also cause clicking sounds in the same region.

3. The nasal skeleton (framework) is made up of multiple cartilages and can also give rise to crackling sounds. Mucosal contact and release, shifting secretions and blocked sinuses can also cause passive sounds.

4. I would also like to know the following:
1. Did clenching your jaw induce or reduce the clicking noise?
2. Have you ever noticed your soft palate twitching if you open your mouth while looking at a mirror?
3, Does steam inhalation make you uncomfortable and leave you feeling stuffy?
4. Is it possible for me to review your CT/MRI images? This will help to give an accurate assessment of the Lt. Maxillary Sinus Polyp.

I must emphasize that these clicking noises are a normal phenomenon and not a cause for worry.

Regards.
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General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi welcome to Health care magic forum. You must be having the polyp since child hood or teen age. Due to that only you might be habituated to such noise making. the polyp is obstructing the passage of air so making accumulation of secretions in the night, and so more in the early morning. It is not due to the habit that polyp is formed but due to polyp the habit is started.
The complications due to polyp are sinusitis, frequent cold, middle ear infection, mastoiditis etc. Un less polyp is removed these complication may repeat frequently.
Besides i advise you some diet recomendations as Avoid taking more of ice water, ice cream, cool drinks, brinjal, fish, fruits, and juices, and the things allergic to you. These things may cause cold, which in turn may produce the above complications.
Take more of green leafy vegetables, pulses, sprouts, egg, milk, meat, chicken,
and dry fruits. which improve blood, general health, resistance to such infections, and stamina to lead good life. Wishing for a quick recovery and thanks for calling.
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Clicking Noise Behind Nose In Center Of Head. Damage?

Hi, 1. The inner ends of the Eustachian Tubes lie just below the eyes and behind the nose. The outer end of the Eustachian Tube in the middle ear is bony and does not have any moving part. The inner end is made up of cartilage and muscles which are also attached to the muscles of the palate. 2. Opening an closing of the Eustachian Tubes can give rise to clicking sounds in the center of the face. So can contractions of the muscles forming the soft palate. Myoclonus is involuntary muscle spasms which may also cause clicking sounds in the same region. 3. The nasal skeleton (framework) is made up of multiple cartilages and can also give rise to crackling sounds. Mucosal contact and release, shifting secretions and blocked sinuses can also cause passive sounds. 4. I would also like to know the following: 1. Did clenching your jaw induce or reduce the clicking noise? 2. Have you ever noticed your soft palate twitching if you open your mouth while looking at a mirror? 3, Does steam inhalation make you uncomfortable and leave you feeling stuffy? 4. Is it possible for me to review your CT/MRI images? This will help to give an accurate assessment of the Lt. Maxillary Sinus Polyp. I must emphasize that these clicking noises are a normal phenomenon and not a cause for worry. Regards.