PatulEND® -The Path Less Traveled

Left ear

Right ear


A closed, healthy Eustachian tube


An open, patulous Eustachian tube

A Word from Joseph Di Bartolomeo, M.D. FACS

As Clinical Professor in the Department of Head and Neck Surgery at UCLA, may I share some exciting news about our development of a safe treatment for the Patulous Eustachian Tube (PET)? When I became a Patulous Eustachian Tube patient myself, I decided to find a safe treatment and applied for an Investigational New Drug (IND) Clinical Trials study.

By referrals from NIH and NORD, and voluntary support groups on the International Social Media Medical Forums, we have identified previously undiagnosed PET patients. Many have used PatulEND® with excellent results, with over 14,000 bottles shipped throughout the world. Allow me to share the results and unsolicited testimonials from some of the patients.

We receive inquiries every day, from all over the world. People hear about us in many ways: doctor referrals, the Internet, chat rooms/support groups, friends in Scotland, or family members who may have heard about The Ear Foundation. I hope the following details might be helpful to you:

During my career in the field of Otology, I began to suffer from the symptoms of autophony, amphoria, and crackling of the ears. The cause was discovered to be an anomalously open or "patulous" Eustachian tube.

Like so many others, I was also told there was no treatment, and I would "have to learn to live with it." Finding no satisfactory treatment, I undertook the task of researching the cause with the goal of finding an effective and safe remedy.

After compiling and comparing similar symptoms and conditions, a solution was formulated. I directed an initial 10-year FDA study on over 200 participants using nose drops developed to treat the symptoms of a Patulous Eustachian Tube (PET).

The information and results enabled us to refine the original formula, US Patent protected, with the proprietary formula, PatulEND®. It is now a drug-free product, available without a prescription. It is safer and more effective than the original pharmaceutical form.

The ingredients were replaced with nutrient, vitamin metabolites, and antioxidants, which are referenced in the Generally Regarded As Safe (GRAS) publication of the FDA. It is to be taken daily and repeated again if needed.

The topical nasal solution is a drug-free proprietary nutrient composition with optimized antioxidant properties formulated to hydrate the tissues and stimulate closure of the Eustachian tube lumen to interrupt the adventitious transmission of our breath sounds.

If you have an established diagnosis of PET or believe that you may have PET symptoms, you may be interested in PatulEND®. Signs that you may be affected include:

- If you hear your own breathing (autophony) by the ear, it may be PET.
- If your symptoms disappear when you lie down, it is most probably, at least, PET.

Results may take longer if the tissues have received radiation or been treated surgically.

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