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Anatomic obstruction within the proximal cartilaginous eustachian tube. [5] Dilatory Eustachian tube dysfunction: Functional, dynamic (muscle failure), or anatomical obstruction of the Eustachian tube; Baro-challenge induced Eustachian tube dysfunction: Eustachian tube dysfunction which generally features a normal otoscopy and normal tympanometry
The Eustachian tube (/ j uː ˈ s t eɪ ʃ ən /), also called the auditory tube or pharyngotympanic tube, [1] is a tube that links the nasopharynx to the middle ear, of which it is also a part. In adult humans, the Eustachian tube is approximately 35 mm (1.4 in) long and 3 mm (0.12 in) in diameter. [ 2 ]
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]
The tympanic nerve (Jacobson's nerve) is a branch of the glossopharyngeal nerve passing through the petrous part of the temporal bone to reach the middle ear.It provides sensory innervation for the middle ear, the Eustachian tube, the parotid gland, and mastoid cells.
The symptoms are occipital headache, cough, middle ear effusion, cervical myalgia, and halitosis, i.e. bad breath. When there is an enlargement of the cyst, it causes symptoms like nasal obstruction, post-nasal discharge with foul-smelling odour, blockage of the Eustachian tube causing otalgia and secretory otitis media, retro-orbital pain.
If the mucus backs up through the Eustachian tube, it may result in ear pain or an ear infection. Excess mucus accumulating in the throat or back of the nose may cause a post-nasal drip, resulting in a sore throat or coughing. [6] Additional symptoms include sneezing, nosebleeds, and nasal discharge. [7]
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