Eustachian tube dysfunction can cause obstructive eustachian tube dysfunction (OETD) and patulous eustachian tube (PET). These two different pathologic dysfunctions have the same symptoms which makes difficulty to diagnose. Herein, we report a case of a patient who had eustachian tube dysfunction with different pathologies simultaneously. A 34-year-old female patient complaints with both ear fullness. After diagnosis of right OETD and left PET, right balloon eustachian tuboplasty with trans-tympanic eustachian tube silicone plug insertion on the left side were performed. To our knowledge, there has been no report of one patient who had different pathologies of eustachian tube dysfunction simultaneously.
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