Brief Answer:
Dysfunction of the middle ear cleft or temporomandibular joint...

Detailed Answer:
Hi

Thanks for posting the query. I do understand your concern; I'll try my best to help you with this problem.

After going through the history I do understand that you could be suffering from two different problems, dysfunctional middle ear cleft and temporo-mandibular joint related issues.

Fluid in the mastoid indicates a dysfunctional middle ear cleft. Middle ear cleft is a combination of Eustachain tube (the tube connecting nose and he ear), middle ear per se and mastoid group of cells. Presence of fluid or pressure in the middle ear can cause an impact on the inner ear leading to dizziness.

Also, temporomandibular joint dysfunction behaves in a similar way as that of the middle ear effusion. When there is stretching of the joint capsule, excruciating pain is felt which may or may not be associated with dizziness, fullness in the ear, noise in the ear, difficulty in chewing and pain while resting on the affected side.

You will require a complete re-examination of the ear, nose and the affected temporomandibular joint. Meanwhile, try using saline and steroid nasal spray to reduce the nasal and middle ear congestion. Steam inhalation is also beneficial in opening up the Eustachian tube block. OTC pain relievers such as ibuprofen or diclofenac is beneficial in reducing the pain. Drink lots of warm water. Avoid chilled food and beverages, smoking, alcohol if any.

Hope with the above measures you should be alright; revert back to me if you have any follow up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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