Patient: Severe ear congestion in the left and right ears. The cause was a cold in 1998, and the symptoms have been occurring uninterruptedly since then. Recently, I have not had a cold, nor have I been sick, but my right ear has suddenly become uncomfortable, and recently I have been experiencing the same symptoms of ear congestion in my left ear every day, which can be improved by artificial yawning or swallowing saliva. When I have a cold, the stuffiness in my ear is more prominent, and I can’t even yawn without passing gas. I also get stuffy before my period every month. In 1999, I went to a deafness specialist in Kunming, but there was no exact cause. In June 2009, I was diagnosed with eustachian tube dysfunction in Kunming Yunda Hospital, and after normal treatment, the effect was not good either, and I could not relieve the stuffy ears. I hope the doctor can give me an answer after understanding my situation. Yin Shankai, Department of Otolaryngology, Shanghai Sixth People’s Hospital: Is there any hearing loss in addition to ear stuffiness? Has a CT of the temporal bone been done to clarify whether there is middle ear effusion? Are there any symptoms such as recurrent nasal congestion, pus and headache? Has a sinus CT been done to clarify the presence of chronic sinusitis, nasal polyps, etc.? Patient: I have uploaded the two tests (electroaudiometry and acoustic impedance) that I had done in June 2009 at Kunming Yunda Hospital. As for the symptoms of nasal congestion, I feel some obstruction when I get up from bed, and occasionally during the week. The doctor in Kunming checked that there is no foreign body in the nasal cavity and did not call for sinus CT, what kind of tests should I have in view of my condition? Yin Shankai, Department of Otolaryngology, Shanghai Sixth People’s Hospital: Is there any hearing loss in addition to ear stuffiness? Does the dizziness feel like the head is heavy and cannot be lifted, and the person is weak, or does it feel like the house is spinning? Is a certain position more likely to trigger vertigo? Has a tympanic membrane puncture or temporal bone CT been done, and is there fluid in the middle ear? Are there any enlarged tonsils? Is there any history of chronic tonsillitis such as recurrent sore throat and fever? CT of the temporal bone may be performed to rule out middle ear effusion and CT of the sinuses to rule out sinus inflammation, etc. Please answer each of the above questions.