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Writer's pictureLeanne Ma

Delving into the Auditory World: Understanding Eustachian Tube Dysfunction, and Treatment Options

Updated: Dec 11

The Eustachian tube is a vital but often overlooked part of our auditory system, playing a crucial role in maintaining ear health. This small but essential passage connects the middle ear to the back of the nose, ensuring our ears function seamlessly. While it usually remains closed, it opens during everyday actions like swallowing, sneezing, or yawning. Each of us has two Eustachian tubes, one for each ear.


This blog explores the essential functions of the Eustachian tube, the challenges posed by Eustachian Tube Dysfunction, and the treatment options available. Whether you’re looking to understand your symptoms or seeking guidance for relief, this guide offers insights into managing Eustachian Tube Dysfunction effectively.



Diagram of the Eustachian Tube.
Image from Cleveland Clinic.


Understanding the Eustachian Tube

The Eustachian tube serves as a bridge between your middle ear and the back of your nose. It remains closed most of the time, opening briefly during specific activities to perform critical functions for ear health.



What does the Eustachian tube do?

The Eustachian tube has two primary roles:

  1. Ventilation and Pressure Regulation

    It equalises air pressure on both sides of the eardrum, allowing the eardrum to vibrate optimally. Without this balance, discomfort, hearing difficulties, and even damage to the eardrum can occur.

  2. Drainage and Protection

    It provides a pathway for mucus to drain from the middle ear into the back of the nose, preventing fluid build-up and reducing the risk of infection caused by bacteria or pathogens.

What signs indicate a blocked or malfunctioning Eustachian tube?

When the Eustachian tube isn’t functioning correctly, it can lead to Eustachian Tube Dysfunction . This condition can occur when the tubes are inflamed, blocked, or fail to open properly, disrupting the balance and drainage of the middle ear.



What is the main cause of Eustachian Tube Dysfunction?

Some of the main causes of Eustachian Tube Dysfunction are:


● A blocked or full sensation in the ear(s), which may be constant or intermittent ● Muffled hearing or difficulties hearing clearly ● Amplified perception of your own voice (autophony) ● Popping, clicking, or squelching sensations in the ear(s) ● Ear pain or discomfort ● Ringing in the ear(s) (tinnitus) ● A sense of imbalance or dizziness


What Causes Eustachian Tube Dysfunction?

Eustachian Tube Dysfunction can stem from a variety of causes, ranging from temporary issues to chronic conditions:

  • Allergies Allergic reactions can lead to inflammation, blocking the Eustachian tube

  • Infections Upper respiratory tract infections, colds, and flu can cause swelling and mucus build-up.

  • Sinusitis Inflammation of the sinuses can obstruct the tube’s normal functioning.

  • Muscular Issues Malfunction of the muscles responsible for opening the Eustachian tube can impair its function.

  • Structural Factors Enlarged or inflamed adenoids, acid reflux, or compression from nearby structures can obstruct the tube.

  • Environmental or Lifestyle Factors Tobacco smoke, radiation exposure, and even rapid changes in air pressure (e.g., during flights) can exacerbate Eustachian Tube Dysfunction.


Chronic Eustachian Tube Dysfunction Symptoms and Treatment Options

Professional Assessment at Family Hearing Audiology Centre

Eustachian tube dysfunction (ETD) assessment at Family Hearing Centre
Chatu Nelumdeniya, Senior Audiologist at Family Hearing Centre

At Family Hearing Centre, our team of senior audiologists can help determine whether your symptoms are due to Eustachian Tube Dysfunction or other issues, such as earwax build-up. Using advanced diagnostic tools, we evaluate:

●     The health of your ear canal

●     Eardrum movement and functionality

●     Middle ear pressure and drainage

This comprehensive audiology assessment helps identify the underlying cause of your discomfort and guides appropriate treatment.



Eustachian Tube Dysfunction treatment at home

For mild or temporary cases of Eustachian Tube Dysfunction, the following at-home methods may help alleviate symptoms:

●     Nasal Sprays Properly applied saline or decongestant nasal sprays can reduce inflammation and improve drainage.

●     Hydration and Rest Staying hydrated and getting adequate rest supports your body’s recovery from colds or allergies.

●     Clearing the Ears Techniques such as swallowing, chewing, or performing the Valsalva manoeuvre (gentle exhalation against a closed nose and mouth) may help equalise pressure in the middle ear.

●     Blowing Your Nose When recovering from a cold, gently blowing your nose rather than sniffing can aid mucus clearance.

When to Seek Professional Help

If symptoms persist, recur frequently, or become severe, professional intervention may be necessary. Audiologists at Family Hearing Centre may refer you to an Ear, Nose, and Throat (ENT) specialist for advanced care, such as:

●     Medications to address chronic inflammation or allergies.

●     Surgical interventions for structural abnormalities or persistent fluid build-up.

●     Specialised procedures like balloon dilation of the Eustachian tube.


Take Charge of Your Ear Health

If you’re experiencing blocked ears, discomfort, or other symptoms of Eustachian Tube Dysfunction, don’t hesitate to seek help. At Family Hearing Centre, our experienced audiologists provide thorough assessments and tailored solutions to restore your ear health.

Call us on 09 217 6944 or book an appointment online today to start your journey towards relief and better hearing.

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