Eustachian tube dysfunction

Aggressive medical management of allergy and chronic rhinosinusitis has been shown to be modestly beneficial in reducing Eustachian tube dysfunction (ETD).[46]Terris MH. Magit AE. Davidson TM. Otitis media with effusion in infants and children. Primary care concerns addressed from an otolaryngologist's perspective. Postgraduate Med. 1995;97:137-138. http://www.ncbi.nlm.nih.gov/pubmed/7816710?tool=bestpractice.com [47]Bluestone CD. Management of chronic otitis media with effusion. Acta Otorhinolaryngol Belg. 1983;37:44-56. http://www.ncbi.nlm.nih.gov/pubmed/6684382?tool=bestpractice.com [48]Fireman P. Otitis media and Eustachian tube dysfunction: connection to allergic rhinitis. J Allergy Clin Immunol. 1997;99:S787-S797. http://www.ncbi.nlm.nih.gov/pubmed/9042072?tool=bestpractice.com Removal of anatomic obstruction of the Eustachian tube orifice restores function; for example, adenoidectomy in a patient with adenoid hypertrophy.