Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • inability to 'pop' or 'clear' the ear with changes in barometric pressure
  • normal head and neck examination

Other diagnostic factors

  • aural fullness
  • subjective hearing loss
  • autophony
  • hx of serous otitis media or of chronic otitis media
  • oedema of the Eustachian tube orifice
  • hx of retracted or hypermobile tympanic membrane

Risk factors

  • cleft palate
  • adenoid hypertrophy
  • allergic rhinitis
  • neoplasm of nasopharynx or infratemporal fossa
  • Eustachian tube trauma
  • Eustachian tube infection
  • age <5 years
  • cigarette smoking
  • GORD
  • radiation exposure
  • hx recent weight loss

Diagnostic investigations

1st investigations to order

  • nasal endoscopy
  • tympanometry
Full details

Investigations to consider

  • nasopharyngoscopy
  • CT scan
Full details

Treatment algorithm

ACUTE

Contributors

Authors VIEW ALL

Associate Professor

Department of Otorhinolaryngology

Ochsner Clinical School

University of Queensland School of Medicine

New Orleans

LA

Disclosures

EDM is the author of references cited in this monograph.

Dr Edward D. McCoul would like to gratefully acknowledge Dr Erica R. Thaler, the previous contributor to this monograph. ERT declares that she has no competing interests.

Peer reviewers VIEW ALL

Associate Professor

Otolaryngology: Head and Neck Surgery

Northwestern University Feinberg School of Medicine

Chicago

IL

Disclosures

AGM declares that he has no competing interests.

Consultant

Department of Otorhinolaryngology, Head & Neck Surgery

University Medical Centre

Nijmegen

The Netherlands

Disclosures

NVH declares that he has no competing interests.

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