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Columbia Standard

Tuesday, November 5, 2024

Lexington doctor: 'We have a simple one-and-done office procedure called eustachian tube balloon dilation'

Wells

Dr. Andy Wells, otolaryngologist | Columbia Breathe Free Sinus & Allergy Centers

Dr. Andy Wells, otolaryngologist | Columbia Breathe Free Sinus & Allergy Centers

• Eustachian tubes are responsible for regulating ear pressure and draining fluid from the middle ear.
• Eustachian tube dysfunction (ETD) occurs when the tubes are obstructed, resulting in pain, hearing problems and a feeling of fullness in the ears
• Severe cases of ETD require treatment from a medical professional.

ETD can lead to uncomfortable pressure in the ears. Dr. Andy Wells of Columbia Breathe Free Sinus & Allergy Centers said patients who struggle with ETD can receive minimally invasive treatment with easy recovery.

"We have a simple and quick one-and-done office procedure called eustachian tube balloon dilation," Wells told Columbia Standard. "It's based on the same small balloon catheter concept as treating the sinuses. By dilating the eustachian tube with this tiny balloon, it relieves any stenosis, which is a word for narrowing, allowing it to open freely and easily adjust to any of those altitude and pressure changes. The treatment takes about 15 minutes in the office, and patients are back to normal activities that same day."

According to Healthline, eustachian tubes are narrow passageways connecting the middle ears to the upper throat. Their primary role is to regulate ear pressure and facilitate the drainage of fluid from the middle ear, which is situated behind the eardrum. Typically, these tubes remain closed, except when you engage in actions like chewing, swallowing or yawning.

These passageways have a relatively small diameter and can become obstructed due to several factors. If the tubes become blocked, it can lead to hearing problems, ringing in the ears, balance issues, discomfort similar to an ear infection or a feeling of fullness in the ears, according to Cleveland Clinic. ETD can be caused by sinus issues like allergies, a common cold, the flu or chronic acid reflux. The symptoms could get worse with altitude changes, such as flying on an airplane or while scuba diving.

ETD is a condition that occurs quite frequently, according to Healthline. Depending on its underlying cause, it may resolve naturally or with straightforward home remedies. However, in more severe or recurrent instances, it is recommend to seek medical attention from a doctor.

If at-home remedies or medications do not resolve ETD, a doctor might recommend another treatment. One option is eustachian tuboplasty, also known as eustachian tube balloon dilation. According to Cleveland Clinic, this procedure is relatively new. It involves a doctor inserting a small balloon through the nasal passage into the eustachian tube and then inflating the balloon. The balloon remains inflated for about two minutes before the doctor deflates and removes it. Patients typically recover from this surgery within a couple of days.

To see if you might be affected by ETD, take this Sinus Self-Assessment Quiz.

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