Hello I have a couple of questions first can a sinus X-ray show if your Eustachian tube are closed or not. Or do the ent have to go up your nose to find out. I had a sinus infection and nasal drip my ears are clogged I went to my doctor he said I had fluid and an ear infection and sent me to a ent and he said I didn’t have fluid then why is my ears still clogged after a month and have pressure. I have a septal deviations on my right side 1mm can that be the reason
Before I explain and answer your questions, I will take a little of your time to explain what has probably happend in your case.
The eustachian tube basically ventilates the nose and the ear. In a situation where it does not function, a negative pressure develops in the side of the ear leading to feeling of vaccum, ringing sounds, feeling of fluid in the ear and sometimes decreased hearing as well.
Most common causes out there would be allergy or underlying sinusitis which can block up the tubes and there by cause its effects.
Now getting to your question.
1. A sinus x Ray cannot show if the eustachian tubes are closed or not. A sinus x Ray just gives information about the status of the sinuses, septum and other bony prominence.
2. Yes we do a nasal endoscopy to see what is the status of the nasal mucosa, Sinus drainage pathway, details of the nasopharyngeal area and definitely see if the tubal opening is anatomically patent or not.
In most circumstances, we can pick up any functional eustachian tube block by 2 methods
You mentioned about the confusion regarding fluid accumulation in the ear
If you feel that your ears are still clogged, then you can consider the treatment mentioned below
This might take around 15 to 20 days for things to completely come down but chiefly depends on how manage to follow the precautionary advice mentioned above.
I hope I have answered your query in detail. Warm regards
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