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<p>This technical note describes a standardized coaching method that integrates a simple phoneme-based cue into standard EarPopper<sup>®</sup> use, without altering device settings, airflow, or dosing. The technique is intended to facilitate coordination between swallowing and soft-palate elevation during positive nasopharyngeal insufflation, a prerequisite for Eustachian tube (ET) opening. Explicit procedural guidance is provided, including patient selection, contraindications, step-by-step technique, the number of insufflations–swallow cycles per session, clinic onboarding, a clinic-first followed by home-use protocol, troubleshooting, and suggested monitoring tools. This article does not present outcome data or claim clinical efficacy; the technique is proposed as a behavioral coaching adjunct consistent with established concepts of ET physiology and fully compliant with the manufacturer’s Instructions for Use. Clinical effectiveness has not been formally tested in a comparative study; the technique is presented as a proposed coaching adjunct to standard device use.</p>

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Phoneme-cued coaching during standard earpopper® use

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年3月9日

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  • Bulent Mamikoglu,
  • Kristina Piastro,
  • Robert Ward

摘要

This technical note describes a standardized coaching method that integrates a simple phoneme-based cue into standard EarPopper® use, without altering device settings, airflow, or dosing. The technique is intended to facilitate coordination between swallowing and soft-palate elevation during positive nasopharyngeal insufflation, a prerequisite for Eustachian tube (ET) opening. Explicit procedural guidance is provided, including patient selection, contraindications, step-by-step technique, the number of insufflations–swallow cycles per session, clinic onboarding, a clinic-first followed by home-use protocol, troubleshooting, and suggested monitoring tools. This article does not present outcome data or claim clinical efficacy; the technique is proposed as a behavioral coaching adjunct consistent with established concepts of ET physiology and fully compliant with the manufacturer’s Instructions for Use. Clinical effectiveness has not been formally tested in a comparative study; the technique is presented as a proposed coaching adjunct to standard device use.