There are many different types of treatments for Patulous Eustachian Tube. The treatments below have had varying success for different pople. The treatmnets are seperated into surgical and non-surgical categories. The teatments start with the least invasive following through to the most. I have no medical training and the treatments are suggestions only.
Added 20th September 2009
It has been reported tha there is a strong link between PET and Laryngopharyngeal Reflux – LPR. Although this is not detailed in recent research papers it has been discussed as the possible cause for several patients. The treatment is listed within the link above.
Non surgical treatment
> Do not agressively suck in/blow out when holding your nose to correct the pressure in the tube. This can create worse problems and affect the functioning of the tube. It is much better to lean forward and allow the tubes to close.
> Do not lean on your hand with your chin when sitting. This is bad for TMJ and can upset the jaw joint. TMJ and PET have been connected in reasearch. Please see the Link/Read page for details.
> Avoid caffiene, coffee/tea, chocolate and alcohol. Reduce salt intake.
> Eat more foods with Vitamin A, e.g. liver, spinnach.
> The following suppliments have been reported to help with tinnitus and TMJ:
Multivitamins, Optima Lecithin, Glucosamine and Chondrotin, Maganese Ascorbate, Ginko Biloba Leaf Extract, Alpha Lipoic Acid, 5 htp, Olive Leaf Extract.
> Jia Wei Gui Pi Tang is a chinese herbal tea. It has calming effects on the nervous system. A study in Japan found physical evidence that this tea decrease PET and its symptoms. It can be purchsed from any good chinese remedy shop – they will probably need to import it. Please see Link/Read for a link to the details/breakdown of this tea.
> Patul End is a nasal drop created by an ENT specialist in America. It aims to plump up the opening of the ET over time. Please see the Link/Read page for a link to the web page/ording form of this product.
> NST Therapy. NST therapy is a form of massage that affects the spine relieving pressure and allowing the body to realine. Again please see the Link page for details.
> Yoga. Yoga has the ability to loosen muscles and stretch the entire body. In some cases it is the muscles that surround and control the ET that do not function correctly this type of exercise could help.
> Decrease intense exercise. Intense exercise tends to open the ET. The more the ET is open the harder it is to close it. A lighter exercise might be advised. Also after exercise give your self time to lye down and allow the ET to close.
> There ae certain facial exercises that are recommended by physio therapists for TMJ. Please see the Links/Read page for a book that has all of these exercises.
> Sound Therapy.This involves listening to certain frequencies and has helped some people. Again please see the links for details.
> Accupuncture. Accupuncture can bring blood to a tired/tense area of the body. This may help particularly if you have only had symptoms for a short period of time.
> Food testing. It is worth being checked for intolerances and allergies. Also if you suffer with acid indigestion this has also been suspected as a cause.
Please consult you doctor regarding these treatments.
> Collegen injection into the bottom of the ET. The aim is to plump up the opening to the ET. Many report that top up treatments are needed.
> A Graft Treatment. During this treatment a graft is taken from the nose/ear and used to plump up the tube. This is being referred to as PETR in the literature.
> ET obliteration and grommet/catheter. In this procedure the ET is filled and an alterantive vent is fitted. This is the most extreme treatment.
The ENT surgeon has two option to get to the eustachian tube. The first is through the nose and mouth and the second through the ear canal. Going through the ear canal involves lifting the eardrum. Although this is still used it is seen by most surgeons as safer to operate through the nose and mouth; ruducing the risk of hearing loss.
All of treatments are in development and have had varying success. It seems that the severity of PET and the way that the ET functions has an affect on the success of the treatment. These issues ae discussed by the group. Please see the contact page for details.