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3BHow Your Hearing Works The Eustachian Tube Anyone who has ever suffered a head cold knows that the ears are connected to the nose, and this connection occurs in the middle ear through the Eustachian tube. A small tube leads from the middle ear to the Nasopharynx. The tube supplies the counter-pressure of air to the eardrum, making the air pressure on both sides of the small drum equal. It also helps to clear the middle ear of congestion and in doing so, prevents any infection. If you have felt the sensation of popping in your ear, it is the effect of air pressure on the Eustachian tube versus the exterior pressure of the ear canal. When you yawn, chew or swallow, you usually hear a small clicking sound in the ear - this is the pressure equalizing between the Eustachian Tube and the ear canal. If you have flown in a plane, you may have experienced popping and clogging of your ears - maybe you chewed gum or tried to yawn to rid yourself of this annoying sensation. You were letting the interior pressure that is provided by the Eustachian tube through the Nasopharynx to rise to an equal level with the exterior pressure that was passing into the ear canal. If this cannot be achieved, as is the case with a person who flies when he or she has a cold or sinus congestion, it can be very painful and can even cause the eardrum to burst. 201 3 Tinnitus Miracl e – Tho mas Co l eman- Page 35 35