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Patulous Eustachian tube is a physical disorder. The exact causes may vary depending on the person and are often unknown. [5] Weight loss is a commonly cited cause of the disorder due to the nature of the Eustachian tube itself and is associated with approximately one-third of reported cases. [6]
Eustachian tube dysfunction can be caused by a number of factors. Some common causes include the flu, allergies, a cold, and sinus infections. [6] In patients with chronic ear disease such as cholesteatoma and chronic discharge, studies showed that they have obstructive pathology at the ear side of the Eustachian tube.
Another case, which studies a 74-year-old woman, described her symptoms as music that would play in short verses of patriotic and children's songs. [5] These symptoms would occur when the patient was alone and much more frequently when driving. Researchers suspected her hearing loss as a factor for developing the hallucinations.
Musical ear syndrome (MES) is a condition seen in people who have hearing loss and subsequently develop auditory hallucinations. "MES" has also been associated with musical hallucinations , which is a complex form of auditory hallucinations where an individual may experience music or sounds that are heard without an external source. [ 1 ]
Possible causes are: The "occlusion effect", caused by an object, such as an unvented hearing aid or a plug of ear wax, blocking the ear canal and reflecting sound vibration back towards the eardrum. [1] Serous otitis media; Open or patulous Eustachian tube, allowing vocal or breathing sounds to be conducted into the middle ear
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Cochlear hydrops preferentially affects the apex of the cochlea where low-frequency sounds are interpreted. Due to the fluid imbalance in this area, parts of the cochlea are stretched or under more tension than usual, which can lead to distortions of sound, changes in pitch perception, or hearing loss, all usually in the low frequencies.
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