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Is Eustachian Tube Dilation Surgery Safe Inspite Of Having Post Nasal Drip And Ear Problem?

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Posted on Mon, 16 Jun 2014
Question: Hi there. I have had post-nasal drip for about two years. In the past year, my ears feel full intermittently and I experience popping sounds constantly. I also have some sound sensitivity. No tinnitus or dizziness. I have been using Dymista for about a month, but haven't had much relief. Should I consider tubes or eustachian tube dilation surgery?
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Answered by Dr. Sumit Bhatti (29 minutes later)
Brief Answer:
As below:

Detailed Answer:
Hi,

Thank you for your query.

1. The decision should be based on the results of your eardrum examination, Pure Tone Audiometry (PTA) and an Impedance Audiometry (I/A).

2. if these tests are normal, no intervention is necessary. If these tests are abnormal, consider medication first (anti-allergic mucolytic, Dymista and steam inhalation) then ventilation tubes and finally Eustachian tube dilatation (in this order).

3. The popping sounds are due to the movement of the Eustachian tube and its muscles. These are normal.

4. Rule out sinusitis which may be the source of the post nasal drip with a Sinus CT Scan.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Is Eustachian Tube Dilation Surgery Safe Inspite Of Having Post Nasal Drip And Ear Problem?

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. The decision should be based on the results of your eardrum examination, Pure Tone Audiometry (PTA) and an Impedance Audiometry (I/A). 2. if these tests are normal, no intervention is necessary. If these tests are abnormal, consider medication first (anti-allergic mucolytic, Dymista and steam inhalation) then ventilation tubes and finally Eustachian tube dilatation (in this order). 3. The popping sounds are due to the movement of the Eustachian tube and its muscles. These are normal. 4. Rule out sinusitis which may be the source of the post nasal drip with a Sinus CT Scan. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.