đ Recurring Ear Infections? It Might Be Your Nose â Not Your Ear!
- Dr Prashanth R Reddy

- Aug 8
- 2 min read
Updated: Aug 16
If youâve been struggling with chronic middle ear infections and have already had (or been advised) a tympanoplasty or grommet surgery, here's something your ear might be trying to tell you:
đŻ The problem may not be in your ear at all âit might be hiding in your nose!
Yes, really. And if the nasal cause isnât fixed, even the best ear surgery may fail.
â Why Tympanoplasty Keeps Failing in So Many Patients
Have you (or your child) experienced this frustrating cycle?
Recurring ear discharge or pain
Hearing problems despite multiple surgeries
âPatch placed, but didnât heal properlyâ
Grommet falls out, fluid builds up again
Youâre not alone. One of the biggest hidden causes of failed tympanoplasty is an unaddressed nasal problem.
đ The Real Culprit: Your Nose and the Eustachian Tube
The Eustachian tube is a tiny canal connecting your middle ear to the back of your nose. It acts as a pressure valve and drainage system.
If your nose is blocked due to:
Allergies or nasal inflammation
Enlarged adenoids (especially in children)
Chronic sinusitis
Deviated nasal septum (DNS)
Turbinate hypertrophy or nasal polyps
đ Then the Eustachian tube gets blocked too.
Result?
Fluid can't drain from the middle ear
Pressure builds up
Infections recur
Surgical grafts donât heal
And tympanoplasty failsâagain and again
đ âWe Keep Fixing the Ear, But Itâs the Nose That Needs Help!â
At our ENT practice, we've seen this story far too often:
Patients undergo multiple ear surgeries âBut their nose is never evaluated.
đ§ No wonder the infection keeps coming back.
â
What You Actually Need: A Nose-First Approach
Before planning another ear surgery, you need a comprehensive nasal evaluation:
Nasal endoscopy
Allergy assessment
Adenoid check (in kids)
Sinus scan (CT)
Eustachian tube function test
Often, simple nasal procedures can make all the difference:
Endoscopic sinus surgery
Adenoidectomy
Septoplasty
Turbinate reduction
These resolve the root cause, allowing the ear to finally heal.
đ§ A Quick Analogy:
Fixing the ear without addressing the noseis like mopping the floor under a leaking roof.Unless you seal the leak (the nose),the problem (ear infection) keeps coming back.
đ¨ââď¸ A Message from Dr. Prashanth R. Reddy
âMany of my patients come in after 2â3 failed tympanoplasties elsewhere.The moment we correct the nasal block, the ear starts healing âno discharge, no fluid, no repeat surgery.The ear doesnât need a patch; it needs a patent pathway through the nose.â
đ Key Takeaways
â Donât rush into ear surgery without a nasal assessment
â Persistent ear infections often have a nasal root
â Correcting nasal issues dramatically increases tympanoplasty success rates
â Especially in children â adenoids and allergies are common culprits
đ
Book Your NasalâEar Assessment Today
đ¨ââď¸ Dr. Prashanth R. Reddy
ENT & Endoscopic Sinus Surgeon
đ 11:00 AM â 1:00 PM (Weekdays)
đ 1:30 PM â 3:00 PM (Saturday)
đ 5:00 PM â 7:00 PM (MondayâSaturday)
đ 11:00 AM â 1:00 PM (Sunday)

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