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Eustachian Tube Dysfunction

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A spectrum of disorders involving impairment of the functional valve of the eustachian tube (ET)

  • ETD can be classified as patulous dysfunction, in which the ET is excessively open, or...

DIAGNOSIS

HISTORY

  • Symptoms of ear pain, fullness, “plugging,” hearing loss, tinnitus, popping or snapping noises, and vertigo

    • Unilateral or bilateral. Evaluate adults with persistent unilateral sympto...

TREATMENT

  • Due to limited high-quality evidence, it is difficult to recommend any one treatment option/intervention as superior (3)[C].

  • Use of a “nasal balloon” shown effective for clearing OM with effu...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Monitor pressure equalization tubes every 6 to 8 months in children and every 6 to 12 months in adults.

  • Monitor tympanic membrane retraction pocket for progression...

REFERENCES

1
1 McCoul ED, Anand VK, Christos PJ. Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope.  2012;122(...

ADDITIONAL READING

  • Gluth MB, McDonald DR, Weaver AL, et al. Management of eustachian tube dysfunction with nasal steroid spray: a prospective, randomized, placebo-controlled trial. Arch Otolaryngol He...

SEE ALSO

Algorithm: Ear Pain/Otalgia 

CODES

ICD10

  • H69.90 Unspecified Eustachian tube disorder, unspecified ear

  • H69.00 Patulous Eustachian tube, unspecified ear

  • H68.109 Unspecified obstruction of Eustachian tube, unspecified ear

  • H69.80 Oth dis...

CLINICAL PEARLS

  • ETD can be acute or chronic. Treatment is based on the underlying etiology.

  • Rule out SSNHL (medical emergency) which can be misdiagnosed as ETD, especially in patients with unilateral s...

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