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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is ABR Test Sufficient For Blocked Nostril?

Unable to afford an MRI, my doctor has ordered an ABR test, and I m concerned we re on the wrong track. My right nostril has always felt more blocked than my other. And now my right ear feels blocked since January. A recent visit to my ENT discovered that a 25 decibel hearing drop in my right ear. (Last hearing test 2 years ago.) This is my tinitus ear (since 1997) and I feel like the Doctor ignores anything I have to say because of that fact. (He didn t examine my nose.) In my teens I had a nose job , but no accidents or injuries to my nose. Could a deviated septum be causing my ear to feel blocked?
Mon, 20 Jul 2020
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General Surgeon 's  Response
Hi,

Noted your history well and understood the concerns.
ABR tests is Auditory Brain Stem Response and done for deaf and dumb children hence nothing to do with blocked nostril.
Yes, MRI is costly and not needed in every patient if not affordable.
Your problem of right sided nose block and reduced hearing in right ear can be due to the following reasons:
Deviated nasal septum, particularly in posterior part can cause cause Eustachian Tube dysfunction caused ear drum to get sucked in and cause Air conduction deafness as seen on Audiometry report, which you have not mentioned in details.
I would advise you the following in such a situation:
Consult an ENT Surgeon.
Insist for nasal and ear Endoscopy.
X-ray of nose and sinuses can guide to find the cause and further CT or MRI only if the X-ray and Endoscopy is suggestive of.
Deviated nasal Septum needs corrective surgery in indicates patient and you may need one if there is blockage of Eustachian tube related to it.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT & General Surgeon
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Is ABR Test Sufficient For Blocked Nostril?

Hi, Noted your history well and understood the concerns. ABR tests is Auditory Brain Stem Response and done for deaf and dumb children hence nothing to do with blocked nostril. Yes, MRI is costly and not needed in every patient if not affordable. Your problem of right sided nose block and reduced hearing in right ear can be due to the following reasons: Deviated nasal septum, particularly in posterior part can cause cause Eustachian Tube dysfunction caused ear drum to get sucked in and cause Air conduction deafness as seen on Audiometry report, which you have not mentioned in details. I would advise you the following in such a situation: Consult an ENT Surgeon. Insist for nasal and ear Endoscopy. X-ray of nose and sinuses can guide to find the cause and further CT or MRI only if the X-ray and Endoscopy is suggestive of. Deviated nasal Septum needs corrective surgery in indicates patient and you may need one if there is blockage of Eustachian tube related to it. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon