Trainee
A 38-year-old with ear fullness and a flying history
A 38-year-old frequent flyer reports recurring ear fullness and a sense that the ear 'won't clear', worse on descent. Hearing is only mildly affected. Otoscopy shows a retracted but intact drum.
Investigations
Audiogram
Tympanogram
Peak shifted markedly negative with otherwise normal amplitude. Mild low-frequency air-bone gap. Reflexes present.