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Eustachian Tube Dysfunction

Reviewed 06/2020
 


BASICS

The eustachian tube (ET), also known as the auditory or pharyngotympanic tube, is a 35 mm × 3 mm structure that connects the posterior nasopharynx to the middle ear. The proximal 2/3 of the ET ...

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 symptoms...

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
McCoul ED, Anand VK, Christos PJ. Validating the clinical assessment of eustachian tube dysfunction: the Eustachian Tube Dysfunction Questionnaire (ETDQ-7). Laryngoscope.  2012;122(5)...

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...

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 ...

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