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Eustachian Tube Dysfunction since last March
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alanmurray790 posted:
Since March last year, I've been having problems with ear fullness and tinnitus, have tried a decongestant sprays such as Nasontex and Avamys, which do help, but have been unsuccessful in fixing the problem. Was referred to an ENT specialist back in June who did test and confirmed that I have septum deviation, his words were that "it was twisted and needed straightened, but couldn't offer a guarantee that it would solve the problem" Could devation of the septum cause problems with the Eustachian Tube ?

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Rod Moser, PA, PhD responded:
No....a deviated septum should not be the cause of your Eustachian tube dysfunction, and you are wise to question if nasal septum surgery will fix it. Doctors will not refund your money if they are wrong....

Get a second opinion from a different ENT.
 
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alanmurray790 replied to Rod Moser, PA, PhD's response:
Think I might do that, the ENT I went to see did a quick evaluation, but did confirm that I had some congestion on the side of the bad ear, would that contribute to ETD ?

Another thing I have is an intolerance to wheat, and a lot of my friends are smokers, having read that passive smoking can interfere with the function of the Eustachian Tube, could that be contributing to my ear problems ?
 
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alanmurray790 replied to alanmurray790's response:
Update! Have been to see my local GP who had a look on the database and confirmed that it was Septoplasty and sinus drainage that I'm supposed to get, would a blocked sinus interfere with the function of the Eustachian tube ?
 
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Rod Moser, PA, PhD replied to alanmurray790's response:
Keep in mind that this is a general response, and may not be patient-specific (since I do not know your case)...

Sinus problems can definitely contribute to ETD (from the post-nasal drainage)
Smoking, first or second-hand, can contribute to ETD
Allergies (not specificaly wheat intolerance) is also a contributing factor.
 
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Tarangau replied to Rod Moser, PA, PhD's response:
I am responding to your reply that a deviated septum should not be the cause of eustrachian tube disfunction.
For the last 2 years I have had a blocked left eustachian tube. Yesterday the nose specialist informed me that the condition was caused by a deflected septum. The deflection was severe enough that he had trouble inserting his fiberoptic scope to examine me. He stated that the condition would get worse and I should ignore it as long as possible and then have a grommet inserted. He staed that although correction surgery could be done there is always a risk to the procedure.
 
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Rod Moser, PA, PhD replied to Tarangau's response:
It has to be more to it than just a deviated septum. The septum is in the NOSE, the Eustachian tubes are anatomically located in an entirely different area. The pharyngeal opening of the tubes is closer to your uvula, so I am not sure of your doctor's rationale. I have not found that deviated septums are a direct cause of eustachian tube problems, so you may have more than one issue.
 
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aikon101 replied to Rod Moser, PA, PhD's response:
I too have been told by my ENT that my deviated septum could be a factor in my ETD. His explanation seems to be that I have developed compensatory hypertrophy on my left side, which seems to be causing swelling in my sinuses, which is contributing to the ETD in my left side (my right side seems ok). Does this sound right? They also found polyps/cysts in both my maxillary sinus cavities, which he said also could be a factor. My deviation is moderate to severe, so I will probably have the surgery regardless of it's effect on my ETD, but I also would love a glimmer of hope that my ETD could be addressed by the septoplasty and clearing the polyps from my sinus'.
 
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Rod Moser, PA, PhD replied to aikon101's response:
Well, only your post-surgical response will provide that answer. Clearly, you have more than just a deviated septum, so hopefully, you will see improvement. With delving into your case, I can't say that the ENTs explanation is not possible. You would need to see another ENT for an official "second opinion" if you have any doubts before heading to the operating room.


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