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welcome everyone dr mandela here theres a lot of viruses bacterium pollen in the ear when it comes to congested sinus pain in your sinus region as well as that old stuffy nose here is something thats going to make huge changes within seconds were going to be focusing with the paranasal sinuses as well as a reflex from the brain to get that instant drainage and open up that stuffy nose if you look here the pyranasal sinuses is made up of four sinuses you have the ethmoidal sinus the sphenoidal sinus the frontal sinus as well as the maxillary sinus and they are all interconnected but the majority of sinus conditions that we have are generally behind the cheekbones and up in the frontal sinus well were going to be stimulating the zygomatic bone which is our cheekbone as well as pulling on our ears to open up the eustachian tubes those eustachian tubes are connected from the back of the nasal region to the middle ear but when those eustachian tubes become congested we can experience lo