Talk to Ent Specialist on Dear Otolaryngologists! What Is The Solution Of This

The patient presents with a bilateral functional audiovestibular disorder driven by an intense mucosal and fluid-pressure regulation issue (Secondary Endolymphatic Hydrops). While a severe 2020 vertigo phase has successfully been resolved via neurovascular pressure stabilization, the patient suffers from chronic, environment-dependent auditory blockages affecting both ears. The left ear has sustained permanent, stabilized moderate hearing loss, but both ears experience severe speech distortion and occlusion during worse phases, with the right ear dynamically recovering back to baseline. This bilateral condition is highly reactive to cold AC drafts, dust, and thermal/fermented dietary items (cold water, yogurt, lemon), pointing to Severe Neurogenic Gustatory and Vasomotor Rhinitis causing instant mucosal swelling at the Eustachian tube orifices. Sound conduction and clarity restore instantly and objectively in both ears during forward lumbar flexion (the Rukoo position), proving a positional and hydrostatic fluid shift rather than a fixed mass. Combined with a distinct Arnold’s Ear-Cough Reflex (vagal hypersensitivity) and increased ear blockage immediately following daily bowel movements (Valsalva pressure shifts), the clinical picture strongly points to Bilateral Allergy-Induced / Neurogenic Eustachian Tube Dysfunction, requiring senior Neurotological intervention