Eustachian tube dysfunction (ETD) means that the Eustachian tube is blocked or does not open properly. Air cannot then get into the middle ear. Therefore, the air pressure on the outer side of the eardrum becomes greater than the air pressure on the inner side of the eardrum.

IF YOU HAVE EUSTACHIAN TUBE DYSFUNCTION:

• Your ears may feel plugged or full.

• Sounds may seem muffled.

• You may feel a popping or clicking sensation.

• You may have pain in one or both ears.

• You may hear ringing in your ears (called tinnitus).

• You may sometimes have trouble keeping your balance.

• Your symptoms may get worse when you are flying (because of altitude changes). Riding in elevators, driving through mountains or diving may also make your symptoms worse.

ETD is considered persistent when symptoms have continued more than 12 weeks despite medical management.

If balloon dilation is right for you, the procedure can be done right in your doctor’s office. The balloon can be placed in the Eustachian tube by going through your nose. So your doctor will first give you anesthesia to numb the inside of your nose. Then, he will insert and gently inflate the balloon to dilate the treatment area. The balloon dilation expands the Eustachian tube to restore its open pathway. After 2 minutes of dilation, the balloon is deflated and removed.

How is Eustachian tube dysfunction treated?

What is Eustachian tube dysfunction?

• Eustachian tube exercises, such as swallowing, yawning or chewing gum, can help open the Eustachian tubes.

• Using a decongestant to reduce the swelling of the lining of the tubes.

• Taking an antihistamine or using a steroid nasal spray

• Implanting pressure equalization tubes (PETs)

• Making a tiny incision in the eardrum and suctioning out the fluid in the middle ear.

• Balloon dilation of the Eustachian tube

Balloon is inflated to expand the

tube area

Insert device through nose

How does balloon dilation work?

The most common causes of Eustachian tube dysfunction are excessive mucus and inflammation of the tube caused by a cold, the flu, a sinus infection or allergies.1

Are you ready to stop suffering from ETD?

Balloon dilation provides a safe, effective, and minimally invasive treatment option for your Eustachian tube dysfunction (ETD). So you can stop suffering and start thriving.

1 April 2017. www.familydoctor.org/conditions/eustachian-tube-dysfunction.

2 Data on File. Entellus Medical, Inc. ETD Study preliminary results. Press Release. 4.12.2017

XprESS may be used to treat certain conditions affecting the sinuses above your eyebrows and behind your cheeks and eyes and the Eustachian tubes that connect you ears to the back of your throat. Your physician will need to determine if your condition is one that may benefit from XprESS. Possible side effects include but are not limited to post-operative bleeding; pain and swelling; allergic reaction to anesthesia or other medications administered during the procedure; or infection. Your condition may not respond to this treatment. To learn more about this procedure and the potential risks, ask your physician.

Indications for Use: To access and treat the maxillary ostia/ethmoid infundibula in patients 2 years and older, and frontal ostia/recesses and sphenoid sinus ostia in patients 12 years and older using a transnasal approach. The bony sinus outflow tracts are remodeled by balloon displacement of adjacent bone and paranasal sinus structures.

To dilate the cartilaginous portion of the Eustachian tube for treating persistent Eustachian tube dysfunction in patients 18 years and older using a transnasal approach.

Please see Instructions for Use (IFU) for a complete listing of warnings, precautions, and adverse events.

ENTELLUS and XPRESS are trademarks of Entellus Medical, Inc.

1956-104 rA 04/2017

Balloon dilation has become a standard of care for the treatment of sinusitis over the last decade, with several clinical studies proving its safety and effectiveness. A recent randomized clinical trial comparing balloon dilation to medical therapy in patients with persistent ETD found that balloon dilation was superior to medical therapy for symptom improvement. In addition, it was determined to be a safe procedure, with a 0% complication rate.2

Is balloon dilation safe and effective?