Why does stretching the muscles in the upper face relieve Eustachian (auditory) tube obstruction, leading to mucus drainage?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: March 24, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

Stretching the muscles in your upper face can help relieve Eustachian tube obstruction by creating movement and pressure changes that facilitate drainage of mucus, as evidenced by the connection between facial anatomy and eustachian tube function 1. When you stretch facial muscles, particularly those around your eyes, cheeks, and forehead, you indirectly manipulate the tissues connected to your eustachian tubes, which run from your middle ear to your throat. This stretching can help open the tubes that have become blocked due to congestion, allowing trapped fluid and mucus to flow out. The eustachian tubes are closely connected to your facial anatomy through a network of muscles and connective tissues, particularly the tensor veli palatini muscle, which helps regulate tube opening, as described in a study on eustachian tube dysfunction 2. Some key points to consider:

  • The eustachian tube plays a crucial role in protecting against secretion, germs, and sound pressure from the nasopharynx, and its dysfunction can lead to various symptoms 2.
  • Facial movements can stimulate the production of saliva, which may trigger swallowing reflexes that naturally open the eustachian tubes.
  • For maximum effectiveness, try combining facial stretches with gentle jaw movements, yawning, or the Valsalva maneuver (pinching your nose closed while gently blowing air through it with your mouth closed).
  • If you experience persistent eustachian tube dysfunction, consider using a saline nasal spray to reduce congestion, as nasal decongestants may not be effective in improving eustachian tube function 3. It is essential to note that the evidence on the effectiveness of interventions for eustachian tube dysfunction is limited, and further research is needed to address the lack of consensus on several issues, including the definition of eustachian tube dysfunction in adults and its relation to broader middle ear ventilation problems 4.

References

Research

Can nasal decongestants improve eustachian tube function?

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2015

Research

Interventions for adult Eustachian tube dysfunction: a systematic review.

Health technology assessment (Winchester, England), 2014

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.