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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 . . . [Full Text of this Article] |
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