The audiologist will do a tympanogram test to determine if there is an abnormal amount of negative pressure in your middle ear space. They may also want to conduct a hearing test to determine if there is any hearing loss associated with the eustachian tube dysfunction.
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 .
CT and MRI are best suited to identifying features associated with obstructive or patulous Eustachian tube dysfunction, though true assessments of function have only been achieved with contrast enhanced radiographs and scintigraphy
Surgical treatment for eustachian tube dysfunction
Surgery can restore hearing, relieve pressure sensation in the ear and reduce the tendency for middle ear infections . Types of surgery include: Myringotomy - We make a tiny incision in the eardrum and suction out any fluid in the middle ear.
A sinus X-ray cannot show eustachian tube . It gives information about the status of the sinus, septum, and other bony prominences. You need to do a nasal endoscopy to know the status of the nasal mucosa, sinus drainage pathway, details of the nasopharyngeal area and a tubal opening that is anatomically patent or no
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 throa
ETD can be diagnosed through a thorough head and neck examination . The physician will look in the ears to see the eardrum and into the nasal cavity. On many occasion, a good history can diagnose the condition as well.
Sometimes your doctor may also make a small cut in the eardrum and let the fluid drain out . If you have a deviated septum or a cleft palate that affects your eustachian tubes, they may want to do surgeries to correct these and relieve your symptoms.
A common course of treatment for Eustachian tube dysfunction is the use of decongestants or antihistamines . In some cases, this treatment may make the condition worse. If decongestants or antihistamines do not provide relief, contact your doctor. You may need to see an ear, nose and throat specialist for treatment.
See your doctor if your symptoms are severe or last more than two weeks . Children are more likely to see a doctor for eustachian tube dysfunction. This is because they are at an overall higher risk of getting ear infections. The pain from ETD can mimic the pain from an ear infection.
Blocked eustachian tubes can be relieved by nasal sprays and antihistamine tablets , which reduce inflammation and congestion. Recurrent eustachian tube dysfunction requires the surgical placement of tubes in the eardrum, which allows pressure to equalize in the middle ea