The Eustachian tube, forming a connection between the middle ear and the back of the nose, aids in equalizing pressure within the ear. In the case of MEM, the abnormal contractions of the tensor tympani and stapedius muscles can induce alterations in the pressure within the middle ear, leading to symptoms such as a sensation of fullness in the ear, tinnitus, or even hearing loss. Additionally, the relentless contractions can interfere with the standard transmission of sound waves, impacting the overall auditory system.