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Perinatal examination of the tympanic membrane is executed to identify the tube’s patency and, possibly, feature. A normal-appearing tympanic membrane typically recommends a normal-functioning Eustachian tube, although this does not dismiss the capacity of a patulous tube. Otoscopic proof of tympanic membrane retraction or fluid in the middle ear indicates a Eustachian tube breakdown but can not differentiate it from mechanical blockage of television. Regular eardrum motion during pneumatic otoscopy (Siegalisation) shows that the Eustachian tube remains in good condition. The center ear is a hollow tooth cavity full of air that transforms sound waves to vibrations as well as sends them to the internal ear. The eardrum or tympanic membrane separates the internal ear from the external ear.