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August 16, 2026Journal of Otorhinolaryngology Hearing and Balance MedicineOpen Access

Contemporary Management of Patulous Eustachian Tube: A Narrative Review of Current Evidence and Future Directions

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Authors

LALaila AldokhailEAEnar Mohammed AlotaibiMAMayar Abdulsalam AlSaqr

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Overview

Narrative review evaluates conservative, medical, and surgical interventions for patulous Eustachian tube, highlighting individualized stepped-care strategies.

Key Points

  • To review the current evidence on conservative, medical, minimally invasive, and surgical treatments for patulous Eustachian tube, particularly cases associated with rapid weight loss.
  • Searched PubMed/MEDLINE, Embase, Web of Science, and the Cochrane Library for relevant clinical literature.
  • Synthesized findings from studies utilizing standardized diagnostic criteria and outcome measures across various treatment modalities.
  • Conservative measures such as hydration, nasal saline instillation, and stopping habitual sniffing offer low-burden initial symptomatic improvement.
  • Silicone Kobayashi plugs, autologous fat injection, and cartilage augmentation demonstrate encouraging symptom reduction in patients with refractory disease.
  • Trans-tympanic ventilation tubes and catheter-based interventions yield variable outcomes, underscoring the need for individualized management.

Cite This Study

Aldokhail et al. (2026) studied this question.

synapsesocial.com/papers/6a8179bcf2fb91fc834ad05fhttps://doi.org/10.3390/ohbm7020031
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Management of patulous Eustachian tube dysfunction following bariatric surgery: a case report2025
  2. 2Optimal Eustachian Tube Plugging Method for Patulous Eustachian Tube Disorder2025
  3. 3Clinical Outcomes of Transcanal Endoscopic Eustachian Tube Plug Insertion2025
  4. 4Preliminary Experience of Combined Endoscopic Tympanic Membrane Reinforcement and Tube Occlusion for Patulous Eustachian Tube2026
  5. 5Assessment of sensitivity of acoustic reflex decay test in diagnosis of patulous eustachian tube2024