Eustachian tube dysfunction: blocked tube

Problems with ventilation of the ears, also known as Eustachian tube ventilation disorders, can cause various symptoms such as a feeling of pressure, rushing sounds, ear pain and crackling or clicking noises. A blocked tube, in which the Eustachian tube is restricted, can be caused by various factors such as swelling in the nose.

Diagnosis

Diagnosis requires a thorough examination by an ENT specialist. Microscopic examinations of the ear canal and eardrum, endoscopic examinations of the nose and nasopharynx, and various hearing tests and ventilation measurements are carried out.

Treatment options

Treatment: Treatment depends on the cause and severity of the ventilation problems. Conservative approaches such as Eustachian tube exercises and nasal irrigation are recommended. In more severe cases, balloon dilatation of the Eustachian tube may be a minimally invasive surgical option. A catheter is inserted through the nose and inflated to stretch the cartilaginous part of the Eustachian tube.

Surgery: Balloon dilatation aims to widen the Eustachian tube and is performed as an outpatient procedure under a brief general anaesthetic.

After the procedure

After the operation, it is important to take care, particularly by observing the prohibition on nose-blowing and equalising pressure gently from the second day onwards.