Extrinsic cartilagenous obstruction of Eustachian tube digital illustration

Extrinsic cartilagenous obstruction of Eustachian tube Save


ICD-10 code: H68.13

Chapter: Diseases of the ear and mastoid process

Extrinsic Cartilagenous Obstruction of Eustachian Tube: Causes, Symptoms, and Treatment

The Eustachian tube is a vital part of the ear that connects the middle ear to the back of the nose. It is responsible for maintaining the air pressure balance and draining fluids from the middle ear. However, sometimes, this tube can become obstructed, leading to a condition known as extrinsic cartilagenous obstruction of the Eustachian tube (ECO).

ECO occurs when the cartilage surrounding the Eustachian tube becomes compressed, limiting the tube's ability to open and close. This type of obstruction can be caused by various factors, including:

  1. Enlarged adenoids or tonsils
  2. Nasal polyps
  3. Tumors in the nose or throat
  4. Chronic sinusitis
  5. Facial trauma

The symptoms of ECO can vary from person to person, but some common signs include:

  • Ear pain or pressure
  • Muffled hearing
  • Ringing in the ear (tinnitus)
  • Dizziness
  • Difficulty equalizing ear pressure

If you experience any of these symptoms, it's important to see a doctor for an accurate diagnosis. The doctor will perform a physical examination and may also order imaging tests, such as a CT scan or MRI, to confirm the diagnosis.

Treatment for ECO depends on the underlying cause of the obstruction. In some cases, the condition may resolve on its own, especially if it's caused by a temporary condition, such as a cold or allergy. However, if the obstruction is due to a more serious condition, such as a tumor, surgery may be necessary to remove the obstruction.

Other treatment options may include nasal sprays, decongestants, or allergy medication, depending on the underlying cause of the obstruction. In some cases, a small tube may be placed in the ear to help equalize pressure and drain fluids from the middle ear.

In conclusion, ECO is a condition that can cause discomfort and affect hearing. If you're experiencing symptoms of ECO, it's important to see a doctor for an accurate diagnosis and appropriate treatment. With the right treatment, most people can recover from ECO and return to their normal activities.