|If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below.|
||Thread Tools||Display Modes|
If you hear a flapping noise in your ear...
IF YOU HEAR A FLAPPING NOISE IN YOUR EAR...
The fellow described in the case report below heard a flapping noise.
I guess not all patulous eustachian tubes create a flapping noise, but...
"A patulous eustachian tube is associated with pregnancy..."
From the New England Journal of Medicine Volume 353:e5 August 11, 2005
Patulous Eustachian Tube
A healthy 26-year-old man reported a three-month history of aural fullness
and a flapping noise in his right ear. Otoscopy revealed inward-and-outward
movements of his right tympanic membrane in time with his nasal respiration
(Video Clip 1). Both the symptoms and the motion in his eardrum were greatly
reduced when he lay down. We diagnosed a patulous eustachian tube,
signifying abnormal patency of the tube. This anomaly permits the movement
of air into and out of the middle ear by means of the eustachian tube during
nasal breathing. The tympanic membrane moved outward when the patient
exhaled, owing to the transmission of positive nasopharyngeal air pressure
(relative to the atmospheric pressure) to the middle ear. When the patient
inhaled, the tympanic membrane moved inward because of the opposite
mechanism. Adopting a recumbent position relieved the symptoms because of
increased venous stasis and passive compression of the eustachian tube.
A patulous eustachian tube is associated with pregnancy, rapid weight loss,
mucosal atrophy (e.g., that due to atrophic rhinitis or occurring after
radiotherapy), or muscular dysfunction. In many instances, however, a
satisfactory explanation cannot be found, as was the case with this patient.
The patient was treated with the insertion of a grommet into the right
tympanic membrane, which led to the resolution of his symptoms.
Siu Kwan Ng, F.R.C.S.Ed.
Charles Andrew van Hasselt, M.M.E.D.
Prince of Wales Hospital
Shatin NT, Hong Kong
END NEJM Patulous Eustachian Tube case report
That's one ear thing I've never had. The closest thing I've had was
hearing my pulse when I had excessive ear wax. The only time my
eustachian tube speaks to me is when I purposly flex something in my
head. I think it's my brain muscle.
|Thread||Thread Starter||Forum||Replies||Last Post|
|Review: White Noise (1/2)||Steve Rhodes||General||0||January 7th 05 11:55 PM|
|'I could hear Todd Gastaldo in my head'||Todd Gastaldo||Pregnancy||0||May 12th 04 05:18 PM|
|Mississippi Supreme Court to decide whether to hear child support case||Dusty||Child Support||3||May 8th 04 01:10 PM|
|Unborn Children Hear "Melody" of Speech||melizabeth||Pregnancy||4||February 24th 04 11:36 PM|
|Full Helmet Noise Damping||wrestleantares||General||0||January 21st 04 06:28 PM|