Because the Eustachian tube controls middle ear pressure to maintain t
he best hearing level, we tested the equilibration capacity of the Eus
tachian tube by measuring hearing levels in a soundproof pressure cham
ber. The number of swallows to recover normal hearing after the chambe
r pressure reached -200 mm H2O (an index of equilibration capacity for
the static pressure differences across the eardrum) was less than 9 i
n normal subjects. The worst level of hearing and the time required to
recover normal hearing from the beginning of alteration in the chambe
r pressure to -700 mm H2O (indexes of equilibration capacity for dynam
ic pressure differences across the eardrum) were 0-17 dB and within 12
0 a in normal subjects. It was difficult to determine definitive norma
l ranges of the equilibrium capacity of the Eustachian tube when posit
ive pressure was applied.