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Sunday, May 5, 2024

Dallas doctor: Many ear problems ‘can be improved with improving sinus health’

Webp dr. monty trimble

Dr. Monty Trimble | Dallas Breathe Free Sinus & Allergy Centers

Dr. Monty Trimble | Dallas Breathe Free Sinus & Allergy Centers

  • Symptoms of eustachian tube dysfunction (ETD) include fullness in the ears, feeling like your ears are plugged, changes in hearing, tinnitus, and pain. 
  • Some people are at a higher risk for ETD, including those struggling with obesity, smokers, and people with allergies. 
  • If left untreated, the symptoms of ETD are likely to recur.
Eustachian tube dysfunction is a disorder in which passageways in the ears are plugged up and cause uncomfortable symptoms. According to Dr. Monty Trimble of Dallas Breathe Free Sinus & Allergy Centers, ETD is tied heavily to sinus health. 

"Eustachian tube dysfunction is what happens when the eustachian tube that connects the back of the throat to the middle ear space doesn't work properly," Dr. Trimble told the East Central Texas News. "So, if patients with significant sinus issues get sick, upper respiratory infections can adversely affect the way the eustachian tube functions, and that's often why people may get fluid in their middle ear space or they may get an ear infection. I always tell patients the interesting thing about ear problems is that most of those things that people complain about can be improved with improving sinus health."

According to Healthline, eustachian tubes are small tubes that run between your middle ears and the upper throat. They are responsible for equalizing ear pressure and draining fluid from the middle ear, the part of the ear behind the eardrum. The eustachian tubes are typically closed except during chewing, swallowing, or yawning. 

These passageways are small in size and can become plugged due to a variety of reasons, according to Healthline. Blocked eustachian tubes can cause symptoms, including pain, hearing difficulties, and a feeling of fullness in the ears, which is referred to as eustachian tube dysfunction (ETD). Depending on the cause, it may resolve on its own or through simple at-home treatment measures. ETD is a relatively common condition, though severe or recurring cases may require a visit to the doctor.

ETD can be caused by allergies, a common cold, the flu, or chronic acid reflux, according to the Cleveland Clinic. ETD frequently resolves on its own, but patients are advised to consult a physician if symptoms persist for more than two weeks. At-home remedies to address ETD include chewing gum, yawning, swallowing, or saline nasal sprays. People with ETD due to allergies can treat their symptoms with an antihistamine or other over-the-counter medications.

If at-home remedies or medications are ineffective, a doctor might recommend surgical treatment. According to the Cleveland Clinic, one option is eustachian tuboplasty, also known as eustachian tube balloon dilation. The procedure is relatively new and involves 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 being deflated and removed. Recovery time is minimal, and patients typically recover within 24 hours.

According to Dallas Breathe Free's website, Dr. Monty Trimble is certified in otolaryngology. He obtained a bachelor's degree in biochemistry from Texas A&M University and pursued his medical education at the University of Texas Health Science Center in San Antonio. Dr. Trimble completed his residency training in otolaryngology at the University of Missouri Hospital and Clinics.

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