A pregnant woman in third trimester complains of hearing her own sounds. Examination of the ear shows movements of tympanic membrane synchronous with respiration and especially exaggerated when nostril on the contralateral side is occluded. Your diagnosis is:
Patulous eustachian tube is an abnormally patent tube seen in the third trimester of pregnancy or in rapid weight loss. Symptoms complained by her are due to autophony. Conductive hearing loss due to otosclerosis, otitis media with effusion and retracted tympanic membrane also conduct body sounds to the ear but her tympanic membrane findings of movement with respiration are typically seen in patulous eustachian tube.
Eustachian tube obstruction
Patulous eustachian tube
Otitis media with effusion
Otosclerosis
Ear