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"base:title": "0oo - Post-Infection Near-Ear Drum Eustachian Tube Disorder"
"og:title": "Post-Infection Near-Ear Drum Eustachian Tube Disorder"
"og:description": "**Tentative diagnosis: [Patulous Eustachian tube (PET)](https://en.wikipedia.org/wiki/Patulous_Eustachian_tube) _&quot;PET can occur as a result of liquid residue in the Eustachian tube, after suffering a middle ear infection (otitis media).&quot; ** _NOTE: similar to objective tinnitus, but since I can fully control it, technically not tinnitus, and likely associated with musculus veli palatini instead._ ### Story This happened this spring. My ear infections, which I found out to be a result of [Pseudomonas aeruginosa](https://en.wikipedia.org/wiki/Pseudomonas_aeruginosa) and _[Epstein–Barr virus](https://en.wikipedia.org/wiki/Epstein%E2%80%93Barr_virus)_, and using multiple other agents, including antibiotics. List of agents tried: [Ofloxacin](https://en.wikipedia.org/wiki/Ofloxacin), Garlic, [Phanezone](https://en.wikipedia.org/wiki/Phenazone), [salicylic alcohol](https://en.wikipedia.org/wiki/Salicyl_alcohol), [betadine](https://en.wikipedia.org/wiki/Povidone-iodine), [Baneocin](https://www.npra.gov.my/index.php/en/consumer-medication-information-leaflets-rimup/item/baneocin-ointment.html), [Hydrocortisone](https://en.wikipedia.org/wiki/Hydrocortisone), [olive oil](https://camelia.lt/medprekes/88825-ausu-purskalas-vaxol-10ml.html), [Ciloxan](https://en.wikipedia.org/wiki/Ciprofloxacin) [Tobramycin Dexamethasone](https://www.vaistai.lt/receptinis-vaistas/jutimo-organus-veikiantys-vaistai/vaistai-aki%C5%B3-ligoms-gydyti/tobramycin-dexamethasone-ingen-pharma-3mg-1mg-ml-aki%C5%B3-la%C5%A1ai-suspensija-5ml-n1.html),... &lt;!-- &lt;center&gt; …"
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"item:title": ".:en:Post-Infection Near-Ear Drum Eustachian Tube Disorder.:cn:感染后耳鼓附近咽鼓管疾病.:lt:Poinfekcinis ausies būgnelio srities klausos vamzdžio sutrikimas"
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"item:body": |
    .:en
    **Tentative diagnosis: [Patulous Eustachian tube (PET)](https://en.wikipedia.org/wiki/Patulous_Eustachian_tube) _"PET can occur as a result of liquid residue in the Eustachian tube, after suffering a middle ear infection (otitis media)." ** _NOTE: similar to objective tinnitus, but since I can fully control it, technically not tinnitus, and likely associated with musculus veli palatini instead._
    
    ### Story
    
    This happened this spring. My ear infections, which I found out to be a result of [Pseudomonas aeruginosa](https://en.wikipedia.org/wiki/Pseudomonas_aeruginosa) and _[Epstein–Barr virus](https://en.wikipedia.org/wiki/Epstein%E2%80%93Barr_virus)_, and using multiple other agents, including antibiotics. List of agents tried: [Ofloxacin](https://en.wikipedia.org/wiki/Ofloxacin), Garlic, [Phanezone](https://en.wikipedia.org/wiki/Phenazone),  [salicylic alcohol](https://en.wikipedia.org/wiki/Salicyl_alcohol), [betadine](https://en.wikipedia.org/wiki/Povidone-iodine),  [Baneocin](https://www.npra.gov.my/index.php/en/consumer-medication-information-leaflets-rimup/item/baneocin-ointment.html), [Hydrocortisone](https://en.wikipedia.org/wiki/Hydrocortisone), [olive oil](https://camelia.lt/medprekes/88825-ausu-purskalas-vaxol-10ml.html), [Ciloxan](https://en.wikipedia.org/wiki/Ciprofloxacin) [Tobramycin Dexamethasone](https://www.vaistai.lt/receptinis-vaistas/jutimo-organus-veikiantys-vaistai/vaistai-aki%C5%B3-ligoms-gydyti/tobramycin-dexamethasone-ingen-pharma-3mg-1mg-ml-aki%C5%B3-la%C5%A1ai-suspensija-5ml-n1.html),...
    
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    Frequent use earphones, and ear washing with strong water jet while in shower, may have contributed to the condition. I can't remember when exactly (approx. 2020 Spring) this happened, but it feels like its either after the use of salicylic alcohol, or after the use of strong water jet, that I felt this issue. It is perhaps a combined issue of internal damage physical damage and a recurring infection. I suspect a partial detachment of an eardrum muscle from the eardrum.
    
    SYMPTOMS:
    
    - Every morning, I feel like the ear has healed and good.
    - Once I start swallowing saliva, the swallowing triggers the muscle inside the ear to scratch eardrum ([sound](https://wiki.mindey.com/shared/shots/ausies-krebzdesys.mp3)).
    - If I do that more, it feels like something ruptures and fills my right ear canal with pressure or liquid.
    - The pressure then feels up to nasal canal. If I move the muscle more, it just hurts more. If I stop moving it, then it heals, but I can't stop moving it, because it moves automatically when swallowing saliva.
    
    HYPOTHESIS:
    
    - This brings me to think that I would need to find the neural pathway that controls the ear muscle in question, and use long-term local anaesthetic to stop that muscle from responding, until it heals, as that muscle moves automatically, every time I chew or swallow saliva. It seems I had even learned to move it consciously, which I can't for the left ear, so people won't believe that I can move something inside my ear.
        - Potentially related muscles:
            - (UNLIKELY) [Stapedius muscle](https://en.wikipedia.org/wiki/Stapedius_muscle) -- smaller, for short-time protection.
            - (UNLIKELY) [Tensor tympani](https://en.wikipedia.org/wiki/Tensor_tympani_muscle) -- bigger, a [slow-twitch mucle](https://youtu.be/w1MNxQ4v0CY?t=481), therefore it's unlikely that this muscle is an issue.
            - (LIKELY) [Tensor veli palatini](https://en.wikipedia.org/wiki/Tensor_veli_palatini_muscle) -- one that opens up the eustachian tube, to adjust pressure.
     
    
    **Follow-up thoughts:**
    
    - Perhaps need surgical intervention to remove whatever obstructs Eustachian tube?
    
    **2021-01-28** After I stopped using earphones, it had almost healed, but then, after a bit of stronger yawning one evening, it had started be painful again, I guess, the wound opened up again. So, I still wonder, what to do.
    
    
    .:cn
    
    **初步诊断：[足大咽鼓管（PET）](https://en.wikipedia.org/wiki/Patulous_Eustachian_tube) _"PET 遭受中耳感染（中耳炎）后，由于咽鼓管中的液体残留而导致感染."_** 注意：类似于客观耳鸣，但由于我可以完全控制它的肌肉（它不是非自愿肌肉），因此理论上讲，它不是耳鸣，而是可能与 [musculus veli palatini](https://en.wikipedia.org/wiki/Tensor_veli_palatini_muscle) 肌肉有关。
    
    ### 故事
    
    这发生在今年春天。我发现我的耳部感染是由[铜绿假单胞菌](https://en.wikipedia.org/wiki/Pseudomonas_aeruginosa)和[爱泼斯坦-巴尔病毒](https://en.wikipedia.org/wiki/Epstein%E2%80%93Barr_virus)引起的，并使用了多种其他药物，包括抗生素。代理列表尝试：[氧氟沙星](https://en.wikipedia.org/wiki/Ofloxacin)，大蒜，[Phanezone](https://en.wikipedia.org/wiki/Phenazone)，[水杨酸酒精](https://en.wikipedia.org/wiki/Salicyl_alcohol)，[优碘](https://en.wikipedia.org/wiki/Povidone-iodine)，[Baneocin](https://www.npra.gov.my/index.php/en/consumer-medication-information-leaflets-rimup/item/baneocin-ointment.html)，[氢化可的松](https://en.wikipedia.org/wiki/Hydrocortisone)，[橄榄油](https://camelia.lt/medprekes/88825-ausu-purskalas-vaxol-10ml.html)，[Ciloxan](https://en.wikipedia.org/wiki/Ciprofloxacin) [妥布霉素地塞米松](https://www.vaistai.lt/receptinis-vaistas/jutimo-organus-veikiantys-vaistai/vaistai-aki%C5%B3-ligoms-gydyti/tobramycin-dexamethasone-ingen-pharma-3mg-1mg-ml-aki%C5%B3-la%C5%A1ai-suspensija-5ml-n1.html)，...
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    经常使用耳机以及在淋浴时用强力喷水洗耳可能是造成这种情况的原因。我不记得是什么时候发生的，但是感觉就像是在使用水杨醇之后，或者在使用强力喷水之后，我都感觉到了这个问题。这可能是内部损坏。我怀疑鼓膜中的一只肌肉从鼓膜中部分脱离。
    
    .:lt
    
    **Preliminari diagnozė: [Atviras klausomasis vamzdis (AKV)](https://en.wikipedia.org/wiki/Patulous_Eustachian_tube) _"AKV gali atsirasti dėl skysčio likučių Eustachijaus vamzdelyje, patyrus vidurinės ausies infekciją."_** PASTABA: panašus į objektyvų tinitą, bet kadangi aš galiu tą raumenį sąmoningai kontroliuoti, tai nėra tinitas ir nesusijęs su lygiaisiais raumenimis, todėl greičiausiai susijęs su musculus veli palatini, kuris varsto klausomąjį vamzdį.
    
    ### Istorija
    
    Tai įvyko šį pavasarį. Mano ausų infekcijos, kurios, kaip išisaiškinau, buvo sukeltos _[Pseudomonas aeruginosa](https://en.wikipedia.org/wiki/Pseudomonas_aeruginosa)_ bakterijos ir _[Epstein–Barr](https://en.wikipedia.org/wiki/Epstein%E2%80%93Barr_virus)_ viruso, bei daugelio vaistų naudijimas, įskaitant antibiotikus. Sąrašas vaistų: [ofloxacinas](https://en.wikipedia.org/wiki/Ofloxacin), česnakas, [fanezonas](https://en.wikipedia.org/wiki/Phenazone),  [salicilo spiritas](https://en.wikipedia.org/wiki/Salicyl_alcohol), [betadinas](https://en.wikipedia.org/wiki/Povidone-iodine),  [baneocinas](https://www.npra.gov.my/index.php/en/consumer-medication-information-leaflets-rimup/item/baneocin-ointment.html), [hydrokortizonas](https://en.wikipedia.org/wiki/Hydrocortisone), [medicininis alyvų aliejus](https://camelia.lt/medprekes/88825-ausu-purskalas-vaxol-10ml.html), [ciloxanas](https://en.wikipedia.org/wiki/Ciprofloxacin) [tobramycin dexamethasone](https://www.vaistai.lt/receptinis-vaistas/jutimo-organus-veikiantys-vaistai/vaistai-aki%C5%B3-ligoms-gydyti/tobramycin-dexamethasone-ingen-pharma-3mg-1mg-ml-aki%C5%B3-la%C5%A1ai-suspensija-5ml-n1.html),...
    
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    Prie būklės galėjo prisidėti dažnas ausinių naudojimas ir ausų plovimas stipria dušo srove. Neatsimenu, kada tiksliai (apie 2020 m. pavasarį, gal kovo mėn.) tai įvyko, bet manau, kad tai pajutau po salicilo spirito arba stiprios vandens srovės panaudojimo, kad pajutau šią problemą. Tai galbūt yra fizinės žalos ir pasikartojančių infekcijų rezultatas. **Įtariu dalinį būgnelio raumens atsiskyrimą nuo audinių susijusių būgnelio judėjimu ar įtempimu, arba neišėjusį krešulį Eustachijaus vamzdelyje šalia būgnelio.**
    
    SIMPTOMAI
    
    - Kiekvieną rytą jaučiu, kad ausis sugijo ir gerai.
    - Pradėjus ryti seiles, rijimas sukelia ausies viduje esantį raumenį treškinti (kaip aliuminio foliją) ausies būgnelį ([garso įrašas](https://wiki.mindey.com/shared/shots/ausies-krebzdesys.mp3)).
    - Jei darau tai daugiau, atrodo, kad kažkas plyšta ir užpildo dešinįjį ausies kanalą slėgiu ar skysčiu.
    - Tada slėgis jaučiamas iki nosies kanalo. Jei labiau judinu raumenį, jis tiesiog skauda labiau. Jei nustoju jį judinti, tada jis užgyja, bet negaliu nustoti jo judinti, nes ryjant seiles jis juda automatiškai.
    
    HIPOTEZĖ
    
    - Tai priverčia mane pagalvoti, kad turėčiau rasti nervą, kuris kontroliuoja tą ausies raumenį, ir kažkuriam laikui jį anestezuoti, kad tas raumuo nejudėtų tol, kol audiniai ten sugis, nes tas raumuo taip pat ir automatiškai kramtant arba ryjant seiles. Jau išmokau net išmokau sąmoningai jį judinti, ko negaliu kairioje ausyje, todėl sunku paaiškinti gydytojam, kad galiu kažką ausies viduje judinti, ir kad su tuo yra susijusi problema, nors klausa veikia puikiai.
        - Potencialiai susiję raumenys:
            - (NETIKĖTINA) [Stapediaus raumuo](https://en.wikipedia.org/wiki/Stapedius_muscle) - mažiausias, skirtas trumpalaikei apsaugai.
            - (NETIKĖTINA) [Tensor timpanai](https://en.wikipedia.org/wiki/Tensor_tympani_muscle) - didesnis, lėtai trūkčiojantis raumuo, todėl mažai tikėtina, kad šis raumuo yra problema.
            - (TIKĖTINA) [Tensor veli palatini](https://en.wikipedia.org/wiki/Tensor_veli_palatini_muscle) - tas raumuo, kuris atveria eustachijos vamzdelį, kad sureguliuotų slėgį.
    
    **Tolesnės mintys:**
    
    - Galbūt reikalinga chirurginė intervencija, kad išvalyti tai, kas trukdo Eustachijaus vamzdelyje šalia būgnelio?
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"item:comment:items":
  - "id": "r-251"
    "text": |
        Apparently, the issue was that [Tensor veli palatini](https://en.wikipedia.org/wiki/Tensor_veli_palatini_muscle) -- muscle that opens up the Eustachian tube, was a bit over-depressed by earphones, that prevented it from healing at the border of Eustachian tube and tympanic membrane. Simply not using earphones until it heals internally seem to work, but not entirely: it heals, but the clot after healing seem to remain in the Eustachian tube, and not go out. Consciously moving that muscle trying trying to move out what feels like a foreign body in Eustachian tube near eardrum, it scratches the eardrum, producing this kind of sound: **<a href="https://wiki.mindey.com/shared/shots/ausies-krebzdesys.mp3" target="_blank">[audio]</a>** (the right ear emits such a sound recorded with a microphone).
    "owner": "Mindey"
    "ownerlink": "/user/147/Mindey"
    "permalink": "/intent/1352/?l=en#r-251"
    "created": "2021-01-30T22:43:42.194863"
    "vote": ""
  - "id": "r-258"
    "mtrans": |

        Also, sometimes when swallowing saliva it feels like the right drum is flipping - slipping like a sail when the wind direction changes to the opposite - can’t it be that the desire to move the muscle inside is due to the Eustachian tube not closing because something is preventing it from closing?
        
        Perhaps the body sometimes swallows saliva, trying to protect the eardrums from unnecessary pressure, trying to close the cavity between the inner ear and the Eustachian tube, but can’t do it because something is interfering there, that would explain the irritation, and my perceived need to move it.

    "text": |
        Be to, kartais ryjant seiles jaučiasi, kad dešinys būgnelis išsiverčia -- sušlama kaip burė pasikeitus vėjo krypčiai į priešingą -- ar negali būti, kad noras judinti viduje raumenėlį atsiranda dėl to, kad neužsidaro Eustachijaus vamzdelis, nes kažkas jam trukdo užsidaryti?
        
        Galbūt organizmas kartais ryjant seiles, stengiantis apsaugoti ausų būgnelius nuo nereikalingų slėgių susidarymo, bando uždaryti ertmę tarp vidinės ausies ir Eustachijaus vamzdelio, bet negali to padaryti, nes kažkas ten trukdo, tai paaiškintų dirginimą, ir mano jaučiamą poreikį jį judinti.
    "owner": "Mindey"
    "ownerlink": "/user/147/Mindey"
    "permalink": "/intent/1352/?l=en#r-258"
    "created": "2021-02-08T10:22:14.002360"
    "vote": ""
  - "id": "r-260"
    "mtrans": |

        Objectively:
        
        - There is a sound when you consciously move the muscle inside the ear.
        - It appears to be an asymmetrical foreign body, or a sticky surface.
        - It seems that something is swelling inside, an inflammatory reaction is taking place.
        
        The doctor recommended:
        
        Exercise, massages, drinking plenty of fluids, electrolytes, sea water, meditation with alpha waves that change muscle tone and vibration, and not paying much attention to it (psychologically) require relaxation exercises. Lots of sleep. Tilt your head down to run more blood.
        
        Tells the doctor to read about:
        
        - Musculus tensor tympani
        - Musculus stapedius tympani
        
        But it seems to me that there is actually a problem with:
        
        - Tensor brother palatine
        
        Because those other muscles are deliberately out of control, and this one is deliberately controlled. Hence, the problem is not the lack of electrolytes. So the really relevant tips are:
        
        - Exercise, massages, plenty of fluids to drink, sea water.
        - Lots of sleep. Tilt your head down to run more blood.
        
        And what else could be done? You want to take it, immerse it in that Eustachian tube, and clean up what’s in it there and what makes you feel uncomfortable and an inflammatory reaction.

    "text": |
        Objektyviai:
        
        - Sąmoningai judinant ausies vidaus raumenį, yra garsas. 
        - Atrodo, kad nesimetriškas svetimkūnis, arba lipnus paviršius.
        - Atrodo, kad viduj kažkas tinsta, vyksta uždegiminė reakcija.
        
        Gydytoja rekomendavo:
        
        Mankštos, masažai, daug skysčių gerti, elektrolitus mineralus, jūros vandens, meditacijos su alpha waves kad pakeisti raumens tonusą ir vibraciją, ir nekreipti daug dėmesio į tai (psichologiškai), reikia atpalaidavimo pratimų. Daug miego. Galvos palenkimai į apačią, kad pribėgtų daugiau kraujo.
        
        Sako gydytoja paskaityti apie:
        
        - Musculus tensor tympani
        - Musculus stapedius tympani
        
        Bet man atrodo, kad realiai yra problema su:
        
        - Tensor veli palatini
        
        Nes tie kiti raumenys yra sąmoningai nekontroliuojami, o šitas yra sąmoningai kontroliuojamas. Vadinasi, problema nėra elektrolitų trūkume. Vadinasi, realiai susiję patarimai:
        
        - Mankštos, masažai, daug skysčių gerti, jūros vandens.
        - Daug miego. Galvos palenkimai į apačią, kad pribėgtų daugiau kraujo.
        
        O ką galima būtų daryti dar? Norisi imt, įlysk į tą Eustachijaus vamzdelį, ir išvalyt, kas jame ten yra, ir dėl ko jaučiasi nepatogumas ir uždegiminė reakcija.
    "owner": "Mindey"
    "ownerlink": "/user/147/Mindey"
    "permalink": "/intent/1352/?l=en#r-260"
    "created": "2021-02-12T11:34:42.654913"
    "vote": ""
  - "id": "r-261"
    "mtrans": |

        Still, it seems to be an internal infection - because it sometimes manages to tear that inner discomfort in the ear under pressure, and then it gives the impression that it spills into the lymphatic system - the neck and right hand. Probably that’s why eating garlic helps. Usually, after that, the immune system and lymphatic system recover, and the inner ear heals, the condition improves. Probably, this disorder of the eustachian tube is only a sign of a deeper problem - a completely incurable infection / inflammation of the inner ear.

    "text": |
        Visgi, atrodo, kad tai yra vidinis užkrėtimas -- nes kartais pavyksta tą vidinį ausyje nepatogumą spaudžiant sudraskyti, ir tuomet susidaro įspūdis, kad jis išsilieja į limfotakos sistemą -- į kaklą ir dešinę ranką. Tikriausiai todėl česnakų pavalgymas padeda. Paprastai, po to imuninė sistema ir limfinė sistema sutvarko, ir vidinė ausis sugyja, būsena pagerėja. Tikriausiai šis eustachijaus vamzdelio sutrikimas yra tik požymis gilesnės problemos -- iki galo neišgyjančio vidinės ausies užkrėtimo / uždegimo.
    "owner": "Mindey"
    "ownerlink": "/user/147/Mindey"
    "permalink": "/intent/1352/?l=en#r-261"
    "created": "2021-02-14T03:01:52.656990"
    "vote": ""
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