Brief Answer:
ETD needs management,

Detailed Answer:
Thank you for asking

Eustachian tube dysfunction with or with out otitis media is a very common cause these days.

1)Medical conservative management of the ETD

I want you to know that Eustachian tube dysfunction (ETD) can be treated primarily with a combination of time, autoinsufflation (eg, an Otovent), and oral and nasal steroids (budesonide, mometasone, prednisone, methylprednisolone). The results of one study suggest that intranasal steroid sprays alone do not help eustachian tube dysfunction.

Decongestants (eg, pseudoephedrine, oxymetazoline, phenylephrine) are also helpful, but not as useful for chronic eustachian tube dysfunction (ETD). Consider the cardiovascular effects of oral decongestants and the early development of tachyphylaxis observed with the use of nasal decongestants; limit the use of the decongestant to short-term symptomatic relief (ie, no more than 3-5 d).

Nasal and oral antihistamines can also be beneficialand specially if associated with allergic rhinitis. Leukotriene antagonists (eg, montelukast sodium [Singulair]) are helpful in some patients when oral steroids are not an option. Adequate control of laryngeal pharyngeal reflux helps to resolve eustachian tube dysfunction (ETD) in patients with an associated peritubal inflammation from reflux. Proton pump inhibitors (esomeprazole magnesium [Nexium], rabeprazole [Aciphex], omeprazole [Prilosec]) administered twice a day are often used. Myringotomy with tube insertion is reserved for the refractory patient with debilitating symptoms.

2) Surgical Options
If medications are not helping, and there are complications like mastoid or tonsils or adenoids involvement then surgical options are considered like myringotomy, adenoidectomy, Mastoidectomy both canal wall up and down and ear ventilation tubes for minimum 8 to 12 weeks.

be careful when flying or diving because of the risk of barotrauma. Always use oral and topical decongestants 30 minutes before landing.

Nutshell, You ill be fine. Seek an otorhinolaryngologist nearby and let them sort out the best course of treatment here. Surgical options can be considered in your case.

I hope it helps. Take good care of yourself. Dont forget to close the discussion please.

may the odds be ever in your favour.
Regards
Khan

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