SinuSonic for ETD and Facial Pain: Acoustic Vibration + Oscillating Expiratory Pressure

Exclusion Criteria

• •Sinonasal or ear surgery within last 3 months (including balloon ET dilation)
• •Any ENT condition that may impact upper airway to include sinusitis, otitis, or allergies
• •Upper respiratory illness within last 2 weeks
• •Topical decongestant use in last week
• •Current nasal crusting or ulceration on rhinoscopy
• •History of severe nose bleeding within last 3 months
• •Known pregnancy
• •Allergic sensitivity to silicone or any other component of device
• •Inability to read and understand English
• •Inability to perform treatment due to underlying medical condition
• •AIM 2
• •Inclusion:
• •Adults 18 years or older with diagnosis of ETD by an otolaryngologist
• •≥6 months of symptoms duration
• •≥3 ETD symptoms (ear pressure, feeling that ears are clogged, cracking/popping of ears, muffled hearing, tinnitus)
• •ETDQ-7 score ≥ 3
• •Audiogram within the last year
• •Exclusion:
• •Sinonasal or ear surgery within last 3 months (including balloon ET dilation)
• •Indwelling ear tubes
• •Tympanic membrane perforation
• •Hx of cholesteatoma, mastoidectomy, tympanoplasty, or ossicular chain reconstruction
• •Patulous ET
• •Hx of Meniere's disease
• •Moderate or severe nasal valve collapse
• •Grade 3-4 polyps
• •Upper respiratory illness within last 2 weeks
• •Topical decongestant use in last week
• •Current nasal crusting or ulceration on rhinoscopy
• •History of severe nose bleeding within last 3 months
• •Known pregnancy
• •Allergic sensitivity to silicone or any other component of device
• •Inability to read and understand English
• •Inability to perform treatment due to underlying medical condition
• •AIM 3
• •Inclusion:
• •Adults 18 years or older who complain of facial pain or pressure
• •≥3 months of symptoms duration (can be intermittent)
• •Pain/pressure VAS score ≥ 5
• •Exclusion:
• •Sinonasal surgery within the last 3 months
• •Grade 3-4 polyps
• •Upper respiratory illness within last 2 weeks
• •Topical decongestant use in last week
• •Current nasal crusting or ulceration on rhinoscopy
• •History of severe nose bleeding within last 3 months
• •Known pregnancy
• •Allergic sensitivity to silicone or any other component of device
• •Inability to read and understand English
• •Inability to perform treatment due to underlying medical condition