The porous shim plugs the ET while allowing air pressure to equalize through the pores in the material. Although shims and plugs are currently used in the clinic, these devices often migrate and provide only a short-term solution.
The reverse action-stent reduces the cross-sectional area of the ET by hooking into tissue of the ET lumen and exerting radial force inwards. Although the stent decreases its diameter, the ET is constantly open which could cause turbulent airflow and potentially intensify symptoms of autophony.
The cone stent with valve consists of a unidirectional flap valve with two cone-shaped stents extending from either side. The valve-in-stent device is differentiated from this patent because it uses a flexure-based valve system, allows for bidirectional pressure equalization, and is secured within a self-expanding stent.
The muscle-controlled valve is tethered to muscles surrounding the ET and is actuated by muscle contractions near the distended region. This design relies on functional muscle contractions to operate, which may not be observed in many patients.
The neurostimulation approach requires that patients have functional musculature and tissue at the distended region.