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The endonasal technique can offer significant relief from earaches without the use of antibiotics. The middle ear drains through the Eustachian tube to the back of the throat. When the Eustachian tube becomes plugged or isn't able to drain the fluid quickly enough (which can occur when an infection starts), the fluid builds up in the middle ear and causes pain.

The Eustachian tube parallels the soft palate at the top of the throat. The endonasal technique removes the fluid from the middle ear by reaching back to the software palate and manually draining the Eustachian tube. Proper training for this technique is required.

Since the fluid is removed from the middle ear, pain is typically reduced or removed immediately. The fluid environment for infection growth is also removed.

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