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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.
A healthy middle ear is filled with air, not fluid. Having fluid in there can be uncomfortable, serve as a breeding ground for infection, and not to mention cause a lot of pressure and pain in the ...
Normally, the air pressure in the ear canal is the same as ambient pressure. Also, under normal conditions, the air pressure in the middle ear is approximately the same as ambient pressure since the eustachian tube opens periodically to ventilate the middle ear and equalize pressure. In a healthy individual, the maximum sound is transmitted ...
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.
If medical management fails, myringotomy, which is a surgical procedure in which an incision is made in the eardrum to drain pus from the middle ear or to relieve pressure caused by a large buildup of fluid, is indicated, and usually accompanied by the insertion of a tympanostomy tube.
The individual is asked to perform a swallowing maneuver. During this time, the nasal fossae and the nasopharynx are occluded by the velum. A tympanometry earplug is inserted into the external ear of the studied side to avoid fluctuations in ear pressure due to atmospheric conditions.
The Frenzel Maneuver is named after Hermann Frenzel (German ear, nose and throat physician and Luftwaffe commander). The maneuver was developed in 1938 and originally was taught to dive bomber pilots during World War II. The maneuver is used to equalize pressure in the middle ear.
The middle ear is an air-filled space between the external and inner ears. it is separated from the outer ear canal by the eardrum, and connected to the nose and throat cavity by the Eustachian tube. Pressure in the middle ear should match the ambient pressure for normal functioning of hearing.
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