Causes of Patulous Eustachian Tube
PET occurs when the Eustachian tube, which connects the middle ear to the back of the nose and throat, remains abnormally open.
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Rapid weight loss can affect the fatty tissue around the Eustachian tube.
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Eustachian tube function can be affected by hormonal changes during pregnancy.
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Eustachian tube mucous membrane thickness can be altered by dehydration.
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It is possible for middle ear infections to lead to temporary or chronic PET.
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Diuretics and nasal decongestants can sometimes cause PET as a side effect.
Symptoms of Patulous Eustachian Tube
The following symptoms are often present:
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Autophony is the sensation of hearing one's own voice or breathing louder than usual.
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A feeling of pressure or fullness in the ear.
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Fluctuations in hearing sensitivity, especially to low-frequency sounds.
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Tinnitus pulsatile: Hearing rhythmic pulsing or ringing noises in the ear.
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Changes in pressure can cause discomfort in the ear.
Diagnosis of Patulous Eustachian Tube
Diagnosis involves:
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Assessing symptoms and potential risk factors based on medical history and physical examination.
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The purpose of tympanometry is to measure the pressure in the middle ear and the function of the Eustachian tube.
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Using a flexible scope, nasal endoscopy examines the nasal passages and Eustachian tube.
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An imaging test to evaluate the structure and condition of the Eustachian tube and middle ear is a CT scan or an MRI.
Treatment of Patulous Eustachian Tube
Treatment options include:
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A conservative approach involves hydration, avoiding triggers like caffeine or alcohol, and using nasal saline sprays to manage symptoms.
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Exercises to regulate Eustachian tube function, sometimes taught by a specialist.
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Symptoms can be controlled with nasal sprays or oral medications.
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Interventions such as Eustachian tube obstruction or fat grafting may be considered in severe cases.
Prevention of Patulous Eustachian Tube
Preventive measures include:
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Drinking adequate amounts of water every day is essential to maintaining hydration.
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Under medical supervision, weight loss or gain should be gradual.
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Be aware of potential side effects related to Eustachian tube function when taking medications.
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The use of earplugs in noisy environments is a good way to protect your ears from loud noises.
Eustachian tube patulous can disrupt daily life due to auditory symptoms and ear discomfort. Understanding causes, recognizing symptoms early, and seeking appropriate medical evaluation can lead to effective relief and management. An ear, nose, and throat specialist (ENT) should be consulted for an accurate diagnosis and treatment plan.
