Why is the middle ear getting sick?
The human ear is sensitive, the middle ear space is tiny. At the same time, the ear can only function if this middle ear space is well ventilated and the middle ear pressure matches the surrounding air pressure. Ventilation of the middle ear is possible only through the Eustachian tube, a muscle tube that runs between the nasopharynx and the middle ear.
Unfortunately, the Eustachian tube is a bottleneck that often does not work both in childhood and adulthood. The resulting negative pressure leads to the vast majority of diseases of the middle ear. Subdued hearing (aeration of the tubal tube, middle ear effusion), conductive hearing loss, damage to the tiny auditory ossicles (arrosion) and inflammation of the mucous membrane and the surrounding bone (otitis media chronica and cholesteatoma) are the consequences.
How can you treat the Eustachian tube?
In most cases, a blunt extension of the region just behind the entrance to the Eustachian tube is sufficient. For this purpose, a microinstrument can be introduced under endoscopic control. The procedure does not require a cut. Instead, a well-defined pressure is exerted on the muscle sheath of the Eustachian tube in order to release adhesions at bottlenecks. For this purpose, the instrument is placed over the nose under visual control in the entrance of the Eustachian tube. After a few days, the Eustachian can work better again. In some cases, a two- to threefold repetition of the procedure makes sense.
In the case of probing via the middle ear, a microsurgical opening via access through the eardrum is first required. Thereafter, the surgeon will insert a special probe into the Eustachian tube, through which he can make an enlargement, a rinse as well as bring in medication.
Why does the patient have to pay for this treatment?
Although the method of tube dilatation has been proven effective for more than 5 years in several thousand cases, is far superior to surgical procedures and can save costs, the vast majority of statutory health insurance companies refuse to cover the cost of an outpatient treatment, because the procedure has not yet completed the lengthy process for inclusion in the service catalog of the EBM.
The procedure developed by ACQUA Klinik allows the controlled expansion of the Eustachian tube without injury to the environment. As a result, permanent ear pressure, tinnitus and deafness can be treated. By May 2017,> 300 patients had been successfully treated.