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Patulous Eustachian tube is a physical disorder. The exact causes may vary depending on the person and are often unknown. [5] Weight loss is a commonly cited cause of the disorder due to the nature of the Eustachian tube itself and is associated with approximately one-third of reported cases. [6]
Eustachian tube dysfunction can be caused by a number of factors. Some common causes include the flu, allergies, a cold, and sinus infections. [6] In patients with chronic ear disease such as cholesteatoma and chronic discharge, studies showed that they have obstructive pathology at the ear side of the Eustachian tube.
For example, very curvy ear canals, narrow ear canals, or surgical ears are more prone to earwax buildup. When wax builds up, it causes muffled hearing, tinnitus, or aural fullness (plugged-up ...
Where the ear canal is actually blocked by this condition, water and wax can become trapped and give rise to infection. The condition is so named due to its high prevalence among cold water surfers, although it can occur in any water temperature due to the evaporative cooling caused by wind and the presence of water in the ear canal.
Endolymphatic hydrops may occur as a result of trauma such as a blow to the head, infection, degeneration of the inner ear, allergies, dehydration and loss of electrolytes or in extremely rare circumstances a benign tumor such as an endolymphatic sac tumor. [2] In many cases, it is not clear what causes the disorder.
Middle ear causes of pulsatile tinnitus include patulous eustachian tube, otosclerosis, or middle ear myoclonus (e.g., stapedial or tensor tympani myoclonus). The most common inner ear cause of pulsatile tinnitus is superior semicircular canal dehiscence. [58] Pulsatile tinnitus may also indicate idiopathic intracranial hypertension. [59]
A blockage of the external auditory canal is also a common cause of inner ear barotrauma. Caloric vertigo: A normal response to a temperature difference reaching the semicircular canals, by way of ambient water flooding the external auditory canals unevenly. Also usually transient, but has rarely been known to persist for no obvious reason.
Whilst hearing loss is a common symptom in many diseases of the ear, for example in otosclerosis (abnormal bone growth in the ear), [3] the white, chalky patches on the tympanic membrane are fairly characteristic of tympanosclerosis. Cholesteatoma is similar in appearance but the whiteness is behind the tympanic membrane, rather than inside.