The answer is "Sarah's eustachian tube has radically changed its orientation, which in turn can lead to earaches".
Irregular or impeded eustachian tube capacities may cause obsessive changes in the center ear. This thus can prompt hearing misfortune and different difficulties of otitis media. Intense otitis media happens when a cold, hypersensitivity, or upper respiratory disease, and the nearness of microscopic organisms or infections prompt the collection of discharge and bodily fluid behind the eardrum, hindering or blocking the Eustachian tube. This leads to earache.
