Some time ago, I received a short message from a patient, “No more problems with my left ear, thank you so much, my right ear is too uncomfortable now, I really regret that I didn’t do the surgery on my right ear at the same time”. This was a short message from a patient with abnormal opening of the eustachian tube whom I operated on in Shenzhen a year ago and who has now gone to work in Beijing. At that time, this patient was received by an outpatient doctor by mistake. At that time, his description was that he felt stuffy and uncomfortable in his ears, and when he spoke, he felt that he heard a loud sound in his ears, as if someone was talking loudly into his ears, but it was not clear, and he could hear the sound of his own breathing very clearly. I could hear the sound of my own breathing very clearly. After I sucked my nose hard, I felt that the symptoms would be relieved. At that time, that doctor thought it was a narrowing of the eustachian tube, which was affected by the too large inferior turbinate of the nose, and suggested that the patient be hospitalized for nose surgery. In fact, this is a typical symptom of abnormal opening of the eustachian tube. The middle ear cavity of our ear is connected to the nasopharyngeal cavity at the back of the nose through the eustachian tube, thus communicating with the outside world. This duct is the only passage from the middle ear cavity to the outside world. The eustachian tube is divided into two segments, the medial segment being the cartilaginous segment, which is normally closed due to the elasticity of the cartilage. When we swallow or yawn, the cartilage segment will open due to the pull of the muscles, so that outside gas can enter the middle ear cavity and maintain the normal function of our middle ear. However, in patients with abnormal opening of the eustachian tube, for many reasons, the eustachian tube is also open under normal circumstances, so when breathing, the airflow can easily enter the middle ear cavity directly from the open eustachian tube, resulting in the symptoms of ear stuffiness. This is a symptom called “self-hearing enhancement”. However, when the nose is pinched and inhaled, the mucous membrane inside forms a flap to block the lumen, and the symptom will be reduced or disappear. In most patients, the symptoms occur only intermittently and do not require special treatment, but can be relieved by pinching and inhaling during the attack. In some patients, however, these symptoms are so severe that they interfere with daily life and require surgical treatment. There are many traditional textbook methods, including boric acid, or laser cautery of the eustachian tube, and release of the palatine sail muscle, which have been largely abandoned in clinical practice because of very poor clinical results. The method we use now is a method invented by an American professor, which is pharyngotomy. Since abnormal opening of the eustachian tube is caused by excessive opening of the eustachian tube, we cut through the nasopharynx and separate the mucosa from the surface of the eustachian tube cartilage, then insert pieces of cartilage from other parts of the body, suture them together, and the operation is finished. There are no visible scars on the head and face. The result of the surgery was very satisfactory. That patient had only the left side of the surgery with the idea of trying it out, and after the surgery, the contrast was very obvious. The symptoms on the operated side disappeared completely, while the symptoms on the non-operated side remained the same. We have made an appointment to return for the other side of the ear surgery when our work in Beijing is over.