Measurements of ET structure under the guidance of the balloon and ROI. (A) Image during dilation at the center of the balloon lumen, representing the center of the longitudinal axis of the ET (Ear 1). The longest luminal length (distance 1), the length from the torus to the end of the widest part of the balloon at the tip (distance 2), and the length from the widest part of the balloon to the tip of the balloon (distance 3). (B) Image after dilation at the center of the longitudinal axis of the ET (Ear 1). NP opening at the torus #4 (width 1), the width at the mid-balloon level #5 (width 2), and the width at the isthmus end of the Eustachian lumen #6 (width 3).