Patient information on Middle Ear Aeration Techniques
Who is this information for?
This information is for patients, families and carersto who have been advised to use middle ear aeration techniques.
What is the Eustachian tube?
The Eustachian tube connects the middle ear to the back of the nose, and should open and close automatically to allow air to enter the middle ear. If it does not open and close enough it can cause symptoms of Eustachian tube dysfunction such as:
a blocked feeling
reduced hearing,
the sensation of pressure or popping.
Fluid in the middle ear (i.e. Glue ear)
What are middle ear aeration techniques?
Exercises to let air into the middle ear by nasal balloon and/or swallowing techniques.In mild to moderate cases of Eustachian tube dysfunction, the suggested techniques may:
Improve hearing
Avoid the need for the insertion of middle ear ventilation tubes
People with severe Eustachian tube dysfunction may find that none of these techniques succeed.
How do you do the exercises?
Regular vigorous nose blowing and/or yawning/swallowing movements.
Combine nose blowing and swallowing –swallowing tends to open the Eustachian tube which then allows extra pressure to push air into the middle ear:
pinch the nose and continue to blow the nose while swallowing
you may experience mild discomfort but stop if severe pain occu
N.B. Avoid sniffing because this tends to move air from the middle ears down to the Eustachian tubes.
How do I use the nasal balloon?
Follow the instructions on the balloon leaflet.
N.B. MEG do not have any affiliations with any pharmaceutical companies or brands
How do I do the nasal balloon plus swallowing exercise?
When water is swallowed while there is air in the balloon, the eustachian tube is more likely to open and allow extra air up the eustachian tube to the middle ear:
Hold some water in the mouth
Breathe in fully through the nose
Hold one side of the nose closed and blow up the balloon via the nozzle using the other side of the nose
With the balloon still blown up, swallow the water
Wait about 5 seconds then remove the balloon from the nose
How often should the exercises be done?
Try to do the exercises several times throughout the day -different exercises can be done at different times to suit you.
Concerns or questions? You can contact your ENT Specialist at the Melbourne ENT Group (MEG):
Phone: 1300- 952-808
Email: admin@melbentgroup.com.au
Website: www.melbentgroup.com.au
Your GP is also the best contact for ongoing care and concerns.
How do you do the exercises? Regular vigorous nose blowing and/or yawning/swallowing movements. Avoid sniffing because this tends to move air from the middle ears down to the Eustachian
Eustachian
The Eustachian tube (/juːˈsteɪʃən/), also called the auditory tube or pharyngotympanic tube, is a tube that links the nasopharynx to the middle ear, of which it is also a part.
What are middle ear aeration techniques? Exercises to let air into the middle ear by nasal balloon and/or swallowing techniques.In mild to moderate cases of Eustachian tube dysfunction, the suggested techniques may: Improve hearing.
Symptoms of Eustachian tube dysfunction usually go away without treatment. You can do exercises to open up the tubes. This includes swallowing, yawning, or chewing gum. You can help relieve the “full ear” feeling by taking a deep breath, pinching your nostrils closed, and “blowing” with your mouth shut.
Yawn or open your mouth widely as if you were yawning. Eating and drinking may also mobilise the Eustachian tube to allow some air travel through the tube. Valsalva and Toynbee manoeuvres can be done to push some air into middle ear, take a deep breath, pinch your nose and close your mouth, and gently pop your ears.
A myringotomy is a procedure to create a hole in the ear drum to allow fluid that is trapped in the middle ear to drain out. The fluid may be blood, pus and/or water. In many cases, a small tube is inserted into the hole in the ear drum to help maintain drainage.
Middle ear aeration occurs from two pathways mainly: anteriorly via the Eustachian tube and posteriorly via the tympanic isthmus. The large tympanic isthmus between the medial part of the posterior incudal ligament and the tensor tendon mainly gives aeration to the epitympanic compartments.
Swallowing or yawning opens the eustachian tube and allows air to flow into or out of the middle ear. This helps equalize pressure on either side of the ear drum.
Procedures to treat your eustachian tubes include: Tympanostomy (ear tubes): Your surgeon places ear tubes into your eardrums and does a myringotomy. Eustachian tuboplasty (eustachian tube balloon dilation): This treatment involves expanding your eustachian tubes with a balloon.
If your ears are plugged, try swallowing, yawning or chewing sugar-free gum to open your eustachian tubes. If this doesn't work, take a deep breath and try to blow out of your nose gently while pinching your nostrils closed and keeping your mouth shut. If you hear a popping noise, you know you have succeeded.
4 The Muncie technique, developed by Curtis H . Muncie, DO, and its subsequent modified Muncie technique are manipulative treatment options used by osteopathic physicians to relieve eustachian tube dysfunction .
Basic understanding of the ear structure and how fluid usually drains can be helpful. Effective home remedies for safe fluid drainage include jiggling the earlobe, using gravity, creating a vacuum, using a blow dryer, trying ear drops or sprays, trying more water, inhaling steam, and gargling with saltwater.
If you've had ear tubes more than once—and still have pain, muffled hearing, or other symptoms—we can help. Our otolaryngologists offer eustachian tube balloon dilation, which is a safe, effective alternative to ear tubes.
Your health care provider can remove excess wax by using a small, curved tool called a curet or by using suction techniques. Your provider can also flush out the wax using a syringe filled with warm water and saline or diluted hydrogen peroxide.
The vibrations from the eardrum set the ossicles into motion. The ossicles are actually tiny bones — the smallest in the human body. The three bones are named after their shapes: the malleus (hammer), incus (anvil) and stapes (stirrup). The ossicles further amplify the sound.
Air conduction uses the apparatus of the ear (pinna, ear canal, tympanic membrane, and ossicles) to amplify and direct the sound. Bone conduction allows the vibration sound to be transmitted to the inner ear. The ear bones transmit reduced volume audition via the bones of the skull to the other ear.
The inside of the mastoid bone is aerated. This means that it is hollow. It is not like the long bones of the extremities that are solid. It is more like the bones of the face which house the sinuses.
For patients with sudden hearing loss or patients with Meniere's disease with fluctuating hearing and episodes of vertigo, middle ear perfusion or inner ear perfusion is a very useful tool. We will perfuse the ear by placing either steroids or an antibiotic that attacks the inner ear called Gentamycin.
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