How Do I Treat a Blocked Eustachian Tube?

When the eustachian tube is blocked, the eustachian tube cartilage segment is anatomically normal, but its function is impaired, that is, the eustachian tube's pharyngeal opening is passive and cannot be actively opened. Different from general pharyngeal obstruction caused by inflammatory edema.

Basic Information

English name
eustachiantubeobstruction
Visiting department
Otorhinolaryngology
Common symptoms
Stuffiness in the ears, feeling blocked, tinnitus
Contagious
no

Causes of Eustachian tube obstruction

1. Some experts believe that it is caused by softening of the eustachian cartilage. The cause of eustachian cartilage softening is unknown.
2. The weakness of the sphincter muscle or the paralysis of the pharyngeal nerve prevents the pharyngeal opening from being actively opened.

Clinical manifestations of eustachian tube obstruction

The patient felt stuffy in the ears, felt blocking, and sustained tinnitus with bass. Sometimes the effusion in the tympanic chamber can cause conductive deafness, which is similar to secretory otitis media and is easily misdiagnosed as an inflammatory obstruction of the eustachian tube.

Eustachian tube obstruction

Otoscope examination of the tympanic membrane is cloudy, invaded, and sometimes fluid in the tympanic chamber. An acoustic impedance check should be performed.

Eustachian tube obstruction diagnosis

According to medical history and signs, Valsalva ventilation method is usually used for this disease. It is best to perform an acoustic impedance check. The tympanic pressure does not change during swallowing and yawning, and gas enters the tympanic when pinching the nasal air.

Differential diagnosis of eustachian tube obstruction

This disease is similar to secretory otitis media and needs to be identified. The disease is easily misdiagnosed as an inflammatory obstruction of the eustachian tube, and tympanostomy or intubation is performed.

Eustachian tube obstruction complications

Conductive deafness can occur.

Eustachian tube obstruction treatment

1. In the past, the middle ear negative pressure treatment method, such as puncture and puncture drainage, can only obtain short-term effects, and cannot achieve long-term cure. Squall shortening technique is used to relieve symptoms.
2. Eustachian tube bloating method is used to treat eustachian tube obstruction, secretory otitis media, eustachian tube dysfunction and other middle ear pressure-related ear diseases.
3. The future development direction is to replace the middle ear necrotic cells.

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