Is Your Own Voice Too Loud? Unraveling the Mystery of Autophony
Published: Apr 22, 2024
Ever feel like your own voice is booming inside your head? This strange sensation, known as autophony, can be more than just annoying – it might signal a condition called patulous Eustachian tube.
Contents
What is Autophony?
Autophony is the unusually loud perception of your own voice, breathing, or even heartbeat. It's as if these sounds are echoing inside your head. While everyone experiences their own voice differently than others hear it, autophony takes this to an extreme. It can be disorienting and distressing for those who experience it.
The Culprit: Patulous Eustachian Tube
Often, autophony is caused by a condition called patulous Eustachian tube. Normally, the Eustachian tube opens briefly to equalize pressure and then closes. In patulous Eustachian tube, it remains abnormally open. This creates an open channel between your throat and middle ear, amplifying internal sounds.

Beyond the Noise: Other Symptoms
Autophony is often the most noticeable symptom, but patulous Eustachian tube can cause other issues. Some people experience a feeling of fullness in the ear, discomfort with altitude changes, or even dizziness. Interestingly, lying down often provides temporary relief as this position can help close the Eustachian tube.
Finding Relief
Treatment for autophony depends on its underlying cause. For patulous Eustachian tube, options range from simple hydration and lifestyle changes to medical treatments or, in severe cases, surgical interventions. Some find relief with saline nasal sprays or specific head positions. It's important to consult with an ear, nose, and throat specialist for proper diagnosis and treatment.
Frequently Asked Questions
Stress can exacerbate symptoms, but isn't typically the root cause.
No, other conditions like superior canal dehiscence can cause similar symptoms.
Sometimes, especially if it's related to temporary factors like weight loss.
It can make hearing external sounds difficult due to internal noise amplification.
Staying hydrated and avoiding caffeine may help some people.
Turning Down the Volume
While autophony can be distressing, understanding its cause is the first step towards finding effective relief and restoring peace and quiet.
References
- Poe DS. Diagnosis and management of the patulous eustachian tube. Otol Neurotol 2007; 28:668.
- O'Connor AF, Shea JJ. Autophony and the patulous eustachian tube. Laryngoscope 1981; 91:1427.
- Ward BK, Ashry Y, Poe DS. Patulous Eustachian Tube Dysfunction: Patient Demographics and Comorbidities. Otol Neurotol 2017; 38:1362.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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