Introduction Eustachian tube dysfunction (ETD) is a common condition faced by primary care physicians with a variety of available treatments, none of which are particularly efficacious.

Case report A 28 year old male soldier presented with ETD following swimming at depth which did not resolve with initial therapies. His condition resolved rapidly after implementation of the Modified Butyenko Breathing technique.

Discussion The breathing technique offers a series of methods that can be used to treat patients who are refractory to conventional treatments and can add to the range of non-surgical treatments for this common condition.