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Ear Exam

Eustachian Tube Dysfunction

Eustachian Tube Dysfunction


Eustachian tube dysfunction (ETD) is a condition in which the Eustachian tube, a narrow passage that connects the middle ear to the throat, does not open and close properly. This can lead to a buildup of fluid or mucus in the middle ear, which can cause ear pain, pressure, hearing loss, and dizziness.


ETD is a common condition, especially in children. It can be caused by a number of factors, including:

  • Allergies, learn more here

  • Sinus infections

  • Colds

  • Enlarged adenoids

  • Changes in altitude

  • Smoking

  • Tumors in the nose or throat

ETD can also be caused by certain medical conditions, such as cleft palate, Down syndrome, and cerebral palsy.


Symptoms of ETD can vary from person to person. Some common symptoms include:

  • Ear pain

  • Ear pressure

  • Hearing loss, learn more here

  • Dizziness

  • Ringing in the ears or tinnitus, learn more here

  • A feeling of fullness in the ears

  • Popping or clicking sounds in the ears

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ETD is usually diagnosed based on a physical examination and the patient's medical history. The doctor may also perform certain tests, such as tympanometry or an audiogram (learn more here), to assess the hearing and the middle ear function.


In most cases, ETD resolves itself within a few weeks without treatment. However, if your symptoms are severe or persistent, treatment may be necessary. 

Treatment options include:

  • Over-the-counter pain relievers and decongestants

  • Nasal sprays

  • Antibiotics (if an infection is present)

  • Allergy medications (if allergies are a trigger)

  • Eustachian tube dilation

Eustachian Tube Dilaton

Eustachian Tube Dilation

Eustachian tube dilation, also known as Eustachian tube balloon dilation, is a medical procedure used to treat a condition known as Eustachian tube dysfunction (ETD). The Eustachian tubes are small passages that connect the middle ear to the back of the throat. Their primary function is to equalize air pressure on both sides of the eardrum and drain fluids from the middle ear.


Eustachian tube dilation may be a good option for people with chronic ETD who have not responded to other treatments. It may also be a good option for people with ETD who experience frequent pain, pressure, or hearing loss.

Here are some of the benefits of ETD:

  • It is a minimally invasive procedure.

  • It is generally safe and effective.

  • It can provide long-lasting relief from ETD symptoms.


Eustachian tube dilation is performed as a minimally invasive procedure to help relieve the symptoms of eustachian tube dysfunction (ETD)

  • Anesthesia. The procedure is usually performed on an outpatient basis and can be done under local or general anesthesia. Local anesthesia numbs the throat and nose area to reduce discomfort.

  • Balloon Catheter Insertion. A small, flexible balloon catheter is inserted through the nostril and guided into the Eustachian tube opening in the back of the throat. The catheter is then positioned at the Eustachian tube's narrowest part.

  • Balloon Inflation. Once the catheter is in place, the balloon is inflated gently. The inflation of the balloon opens up and widens the Eustachian tube's passage, allowing better airflow and drainage.

  • Balloon Deflation and Removal. After a short period of time (typically a few minutes), the balloon is deflated and removed, leaving the Eustachian tube in a more open state.

Eustachian tube dilation is considered a relatively safe and effective treatment option for Eustachian tube dysfunction. However, it's important to consult with an ear, nose, and throat (ENT) specialist to determine whether you are a suitable candidate for the procedure and to discuss the potential risks and benefits based on your specific condition.

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