![]() This can be accomplished with procedures such as myringotomy, tympanostomy tube placement, and eustachian balloon tuboplasty. 2 Treatments for this condition are aimed at establishing an equal pressure gradient across the tympanic membrane. Over time, retraction of the tympanic membrane can lead to structural changes, resulting in hearing loss even in the absence of effusion. Patients may present to primary care providers or specialists with complaints of hearing loss, fullness/pressure in the ear, otorrhea, or pain. 1 However, dysfunction of the eustachian tube can lead to the development of negative pressure in the middle ear, leading to effusion and tympanic membrane retraction. When functioning properly, the eustachian tube allows for pressure equalization between the middle ear and the surrounding atmosphere. At the root of many middle ear disorders is the eustachian tube. Patients with middle ear disease may present in a variety of ways. ![]() Given the ongoing eustachian tube dysfunction, a pressure equalization tube was placed to prevent recurrent retraction and atelectasis of the eardrum. In the present case, myringoplasty was performed using the CO 2 laser, providing reorganization of collagen fibers and improved compliance of the tympanic membrane. Often, eustachian tube dysfunction causes otitis media, tympanic membrane perforation, or conductive hearing loss. Myringoplasty with tympanostomy tube placement may be performed for patients with a variety of middle ear conditions. ![]()
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