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Opening pressure has been proposed as a method for preoperative and intraoperative evaluation of any obstructive process within the Eustachian tube. [3] As well, Valsalva CT scanning using advanced 64 slice or higher machines has been proposed as a way of diagnosing and localizing anatomic obstruction within the Eustachian tube.
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]
In humans and other tetrapods, both the middle ear and the ear canal are normally filled with air. Unlike the air of the ear canal, however, the air of the middle ear is not in direct contact with the atmosphere outside the body; thus, a pressure difference can develop between the atmospheric pressure of the ear canal and the middle ear.
Middle ear barotrauma (MEBT), also known to underwater divers as ear squeeze and reverse ear squeeze, is an injury caused by a difference in pressure between the external ear canal and the middle ear. It is common in underwater divers and usually occurs when the diver does not equalise sufficiently during descent or, less commonly, on ascent.
Variations of the maneuver can be used either in medical examination as a test of cardiac function and autonomic nervous control of the heart, or to clear the ears and sinuses (that is, to equalize pressure between them) when ambient pressure changes, as in scuba diving, hyperbaric oxygen therapy, or air travel.
Diver clearing ears Section of the human ear, the Eustachian tube is shown in colour. Ear clearing, clearing the ears or equalization is any of various maneuvers to equalize the pressure in the middle ear with the outside pressure, by letting air enter along the Eustachian tubes, as this does not always happen automatically when the pressure in the middle ear is lower than the outside pressure.
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The auricular branch of the vagus nerve is often termed the Alderman's nerve ("a reference to the old Aldermen of the City of London and their practice of using rosewater bowls at ceremonial banquets, where attendees were encouraged to place a napkin moistened with rosewater behind their ears in the belief that this would aid digestion") or Arnold's nerve (an eponym for Friedrich Arnold).
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