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[Eustachian tube dysfunction misdiagnosed: a case report].

Qingchuan Duan, Yali Du

    Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
    |December 10, 2015
    PubMed
    Summary
    This summary is machine-generated.

    This study highlights Eustachian tube dysfunction (ETD) as a cause of persistent ear fullness, often misdiagnosed. Effective treatment with nasal decongestants, corticosteroids, and myrtol relieved symptoms in a patient previously diagnosed with psychogenic ear fullness.

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    Area of Science:

    • Otolaryngology
    • Audiology
    • Diagnostic Medicine

    Background:

    • Persistent ear fullness following air travel can be a challenging clinical presentation.
    • Previous diagnoses of psychogenic ear fullness and ineffective treatments highlight the need for accurate diagnostic methods.
    • Standard audiological evaluations, including pure tone audiometry and acoustic immitance, may not identify the underlying cause.

    Observation:

    • A patient presented with a 5-year history of right ear fullness after a flight.
    • Initial examinations revealed normal hearing and type A tympanograms, leading to a psychogenic diagnosis.
    • Despite various treatments, including medication and psychotherapy, symptoms persisted.

    Findings:

    • Advanced testing, including Tubomanometry (TMM) and the Eustachian Tube Score (ETS-7), identified Eustachian tube dysfunction (ETD) in the affected ear.
    • TMM revealed an elevated R value (over 50mBar) and an ETS-7 score of zero, indicative of significant ETD.
    • Treatment with nasal decongestants, intranasal corticosteroids, and myrtol resulted in symptom relief and improved TMM and ETS-7 scores.

    Implications:

    • This case underscores the importance of considering ETD in patients with unexplained ear fullness, even after negative initial audiological assessments.
    • Accurate diagnosis of ETD using specialized tests like TMM and ETS-7 is crucial for effective management.
    • Pharmacological interventions targeting ETD can successfully resolve persistent ear fullness, improving patient quality of life.