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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Suggest treatment for severe ear congestion

Answered by
Dr.
Dr. Sumit Bhatti

ENT Specialist

Practicing since :1991

Answered : 2589 Questions

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Posted on Fri, 14 Apr 2017 in Ear, Nose and Throat Problems
Question: I have frequent blockage of my left ear. I can hear breathing sound in my left ear. I can’t also hear properly. I have consulted ear specialists who did the audiology test and found everything normal. I have hearing aids for both ears but use them only selectively. When I keep the jaw opened I don’t hear breathing sound. Is there something I can do ? Any ear drops? XXXXXXX XXXX
doctor
Answered by Dr. Sumit Bhatti 2 hours later
Brief Answer:
Patulous Eustachian Tube, Autophony.

Detailed Answer:
Hi,

Thank you for your query.

1. The most likely reason for these symptoms is a Patulous Eustachian Tube. The normally collapsed Eustachian Tube remains open leading to Autophony.

2. A Tympanogram (Impedance Audiogram) and a nasal endoscopy is required to make a diagnosis.

3. The possible causes linked to this rare condition are repeated upper respiratory tract or ear infections, weight loss, dehydration, exertion, excess of stimulants such as caffeine, hormonal imbalance and ear or nasal surgeries in the past. Loss of the Ostmann's pad of fat near and around the Eustachian tube opening is thought to be the major cause.

4. An extremely rare condition known as Superior Semicircular Canal Dehiscence (SSCD) can also cause Autophony. A plain HRCT Temporal Bones should be done.

5. Please upload these test results for discussing treatment options.

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

Regards.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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