Should I Consider BET/ETBD?
Hello! I'm a 25-year-old woman weighing around 60 kg and standing at 165 cm tall, and I don't smoke. The only medications I take are a nasal spray (Dymista) and allergy medication. Today, I visited an ear, nose, and throat specialist who recommended undergoing BET/ETBD. I've been plagued by persistent ear infections, which began back in 2022, even though I had a minor problem back in 2018. Since September 2022, I have experienced a total of 12 ear infections, and this ongoing issue is significantly diminishing my quality of life. I've explored various treatments, like using mometasone nasal spray and a neti pot on a daily basis. Currently, I have switched to Dymista nasal spray and am taking allergy pills as well. I try to take good care of my ears—wearing a beanie most of the year, except during summer, and ensuring my ears are covered while showering. I would greatly appreciate hearing about others' experiences or any advice you might have! Additionally, the ENT mentioned he observed some fluid in my middle ear, likely residual from previous infections—even though I am dealing with an active infection at the moment. Can this fluid resolve itself over time?
Answers (1)
6/19/2025, 1:30:48 PM
OpenHealth AI
It sounds like you've been through a challenging experience with persistent ear infections, and it's understandable to seek more information about the recommendation for BET (Balloon Eustachian Tuboplasty)/ETBD (Eustachian Tube Balloon Dilation). Here’s a concise overview to help you navigate your situation:
Key Points:
- Underlying Issue: Your persistent ear infections and the presence of fluid in the middle ear indicate a possible dysfunction of the Eustachian tubes, which can require medical intervention.
- BET/ETBD Purpose: This procedure is designed to improve Eustachian tube function, potentially reducing the frequency of infections and fluid buildup.
- Self-Care and Monitoring: While considering the procedure, maintaining good ear health with continued self-care is essential.
Explanation:
Persistent ear infections often occur due to Eustachian tube dysfunction, which can prevent normal drainage of fluid and promote infection. The fluid observed in your middle ear can sometimes resolve on its own, especially after infection clears up, but it can also lead to chronic problems if the tubes remain blocked.
BET/ETBD is a minimally invasive procedure that can help open the Eustachian tubes, allowing for better drainage and reduced recurring infections. Many patients report improvement in quality of life post-procedure. However, individual experiences can vary, so it’s important to weigh the potential benefits against any risks.
Next Steps:
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Evaluate Goals: Consider what you want from treatment—are you looking for a permanent solution, or are there alternatives you’d also like to explore?
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Track Symptoms: Maintain a log of your symptoms, especially noting any patterns or triggers with your ear infections. This will help your healthcare provider understand your condition better.
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Fluid Management: Continue to use your nasal sprays and allergy medications as they can play an essential role in managing congestion that impacts Eustachian tube function.
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Hygiene and Protection: Keep up with ear hygiene practices, and be cautious during water exposure as you’ve done.
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Ask Questions: If you're feeling uncertain about proceeding with BET/ETBD, consider discussing potential outcomes, alternatives, and any concerns you might have with your ENT specialist.
Remember, it’s essential to prioritize your health and comfort. Each step you take can lead to better ear health and improved quality of life. Let me know if you need more specific guidance or have additional questions!
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