Extrinsic cartilagenous obstruction of Eustachian tube, bilateral
ICD-10 H68.133 is a billable code used to indicate a diagnosis of extrinsic cartilagenous obstruction of eustachian tube, bilateral.
Extrinsic cartilagenous obstruction of the Eustachian tube, bilateral, refers to a condition where the Eustachian tubes, which connect the middle ear to the nasopharynx, are obstructed due to external factors affecting the cartilaginous structure. This obstruction can lead to a variety of complications, including fluid accumulation in the middle ear, increased risk of otitis media, and potential hearing loss. Patients may present with symptoms such as ear fullness, discomfort, hearing impairment, and recurrent ear infections. Diagnosis typically involves a thorough clinical examination, audiometric testing, and possibly imaging studies to assess the patency of the Eustachian tubes. Management may include medical therapies such as decongestants, nasal corticosteroids, or surgical interventions like balloon Eustachian tuboplasty to relieve the obstruction. Understanding the underlying causes, which may include allergies, anatomical variations, or inflammatory conditions, is crucial for effective treatment.
Detailed history of ear symptoms, audiometric results, and treatment plans.
Patients presenting with recurrent otitis media, hearing loss, or chronic ear discomfort.
Ensure documentation reflects the bilateral nature of the obstruction and any surgical interventions performed.
History of allergic conditions, response to allergy treatments, and any related nasal symptoms.
Patients with allergies contributing to Eustachian tube dysfunction.
Documenting the relationship between allergic reactions and Eustachian tube obstruction is critical.
Used in cases of persistent Eustachian tube obstruction after medical management fails.
Document indication for surgery, pre-operative assessments, and post-operative outcomes.
Otolaryngologists should ensure that the surgical necessity is well-documented.
Common symptoms include ear fullness, discomfort, hearing loss, and recurrent ear infections. Patients may also experience pressure changes in the ear, especially during altitude changes.
