An eardrum rupture or perforation is a little gap or tear in your eardrum and the tympanic membrane. The tympanic membrane is a thin tissue that partitions the canal of the middle ear and outer ear. This layer vibrates when sound waves enter your ear. The vibration proceeds through the bones of the center ear. Since this vibration allows you to listen, your hearing can be affected if your eardrum is harmed. A ruptured eardrum is additionally called a perforated eardrum. Permanent hearing loss could be an end result in some cases.

A ruptured eardrum, similar to thunder; can happen all of a sudden. You may feel a sharp pain in your ear, or an ear infection that you've had for some time all of a sudden leaves. In some cases, the person may not feel any signs of the rupture.

Some of the causes for such a perforation are:

Infection: Ear infections are a major reason for eardrum rupture, particularly in children. Liquids tend to deposit behind the eardrum in such cases.
Exercises: Exercising can bring about pressure changes in the ear and lead to a punctured eardrum. This is known as barotrauma, and takes place when the pressure outside the ear is not the same as the pressure inside the ear. Activities that can bring about barotrauma include scuba diving or flying on plane.
Other activities: Wounds can likewise burst your eardrum. Any injury to the ear or side of the head can bring about a crack.
Diagnosis: Your specialist can use a few approaches to find out whether you have a ruptured eardrum:

A liquid test in which your specialist tests liquids that might spill from your ear from infection.
An otoscope exam in which a specific gadget with a light is used to investigate your ear channel
An audiology exam, in which your specialist tests your listening to range and eardrum limit
Tympanometry, in which your specialist uses a tympanometer to test the pressure changes in your ear.
Treatment: The treatments are as follows:

Patching: In the event that your ear does not recuperate by itself, your specialist may fix the eardrum. Fixing includes setting a sedated paper patch over the tear in the film.
Antibiotics: Anti-toxins can clear up contaminations that may have prompted your eardrum break. They additionally shield you from growing new diseases from the aperture. Your specialist may endorse oral antibiotics or eardrops.
Surgery: In uncommon cases, surgery might be required to fix the gap in the eardrum. A surgical repair of a punctured eardrum is called tympanoplasty.
A cracked eardrum generally recuperates without any invasive measures. Many patients with cracked eardrums encounter just transitory listening problems.

Eardrum Rupture - Causes, Symptoms & Treatments

Our ears are small in size, but  big  in the work they do. Not only do they help us hear, but also help us maintain our body s balance. They thus help us stand, walk, drive you just name it.

Ears are also much bigger in size than they actually are. The part of the ear that we see on our head is only the external ear, there is a middle ear and an inner ear too, silently carrying out complex functions related to hearing and balance. The middle ear that lies behind your ear drum is the seat of balance. And this part is hit hard at the time of an ear infection.

Ear infections cause the Eustachian tubes   small tubes that connect the middle ear to the back of your throat   to become swollen and blocked due to excess mucus. As a result of this, fluid builds up and inflammation takes root in the middle ear, thereby causing pain.

Ear infections can be acute or chronic. Acute infections clear up in a few days, but chronic ones reoccur frequently. If not managed, chronic ear infections can cause permanent damage to the middle and inner ear.

Causes of Eustachian tube blockage are as follows:

Allergies
Sinus infection
Cold
Extreme production of mucus
Smoking
Infected adenoid, which is a tissue near your tonsils that traps harmful bacteria and viruses
There are a few risk factors associated with ear infections. It can be said that young children are more susceptible to these infections. This is because their Eustachian tubes are short and narrow. It has also been seen that infants who are bottle-fed have a higher incidence of ear infections than breastfed babies.

Other risk factors are:

Changes in altitude
Changes in climate
Exposure to tobacco smoke
Use of pacifiers
Symptoms of ear infections:

Pain or discomfort inside the ear
A prolonged feeling of pressure inside the ear
Pus-like ear drainage
Hearing loss
What is also important to know is that the symptoms of an ear infection come and go. 

Symptoms can also occur in one or both ears. Chronic ear infection symptoms can be less noticeable than those of acute ear infections.

Hence, fever and ear ache should spur you to see a doctor. You should be extremely careful with babies younger than six months who have fever or ear infection symptoms.

Your doctor will diagnose an ear infection by checking if there is a draining of fluid from the middle ear, perforation in the eardrum or a collapsed eardrum.

Sometimes, ear infections can lead to the following serious complications:

Hearing loss
Speech or language delay in children
An infection in a skull bone called mastoiditis
Meningitis
Ruptured ear drum

Causes And Symptoms Of Ear Infections

Most people listen to music or their favourite videos while on the move, and they spend a considerable amount of time plugging in the headphones or earphones. If you are concerned about the pros and cons of the headphones and earphones, or rather which one is better, you will have to consider various aspects. These include noise isolation, frequency response, noise cancellation and comfort of wearing.

Earphones are devices which are worn on the pinna or the internal part of the ear. This device is also referred to as earbuds, in-ears, canal phones, buds, in-ear headphones, IEMs.

Headphones are equipment worn on or around the ear. These are not considered as handy as the earphones and are also known as ear speakers. Let s evaluate the pros and cons of these two devices and choose the one that is better.

Frequency response curve: This helps in assessing how much distortion is brought about by the devices which relate to the clarity. They should be able to respond equally well to all the pitches without transmitting any frequency more loudly than another. This suggests that the frequency you are receiving should be exactly similar to what has been fed in regardless of the frequency ranges. Typically, the earphones have bad frequency response while the headphones tend to have better frequency response. If you are primarily concerned about the noise distortion, then you should opt for headphones.
Noise isolation: By this, it is understood how well does the gear help in isolating other noises than what you are trying to listen. Generally, higher noise isolation is preferred unless you are willing to hear the sounds of the ambience. Better isolation also ensures that your audio would not bother others surrounding you. A rightly fitted pair of earphones would be able to give you the best noise isolation whereas good over-ear headphones would not be able to seal the sound from going out.
Noise cancellation: Noise cancellation is entirely different from the noise isolation. In the process of noise isolation, the atmospheric sounds which intrude in are reproduced and inverted. This is an excellent feature especially when you are travelling through public transportation or walking down the street. When it comes to earphones, the noise cancellation feature is are not as effective as headphones unless you buy any of the high end pieces. But the headphones are far better in cancelling the noises that are constantly playing in the backdrop.
Judging from all these aspects, the headphones tend to be a better purchase than the earphones, and they are also much more comfortable. Still, it boils down to personal preference at the end. If you wish to discuss about any specific problem, you can consult a general physician.

Earphones Vs Headphones - Which Is Better?

BAHA Implant
Bone Anchored Hearing Aid (BAHA) is a device surgically implanted to help people suffering from a loss of hearing. Most conventional hearing aids transmit sound through air conduction. The BAHA device is suitable for conductive or mild-moderate mixed hearing loss.

Problems with hearing in the middle or outer ears can be helped with the BAHA device. The sound waves received by the BAHA device bypass the middle ear and get delivered straight to the functioning cochlea in both ears.

A BAHA device comprises of two parts:
a) The processor 
b) A fixture which is surgically implanted behind the ear in the bone.

The implant is embedded in the bone. The processor, which remains outside, is attached to the implant. There is a microphone on the processor that picks up sounds. The sounds are passed on to the implant. The implant vibrates which triggers the Cochlear. You can consider wearing a BAHA implant if other conventional hearing aids do not work for you. BAHA implants are also given to people with collapsed or irritated ear canals.

Cochlear Implant Surgery

A complex, small electronic device that helps hearing in people with severe hearing loss or deafness is used in the Cochlear Implant Surgery. The cochlear implant comprises of an external piece behind the ear and another piece that is surgically implanted under the skin. A cochlear implant comprises of four parts:
1. A microphone which picks up sounds from the surroundings
2. A speech processor which chooses and arranges the sounds the microphone picks up
3. A receiver/stimulator and transmitter that picks up signals from the speech processor and changes them into electric impulses
4. An electrode ray, a bunch of electrodes, receives impulses the stimulator sends and transmits them to different areas of the auditory nerves.
The implant does not cure deafness; it only gives you a useful portrayal of sounds in the environment and considerable aid in understanding speech.

The surgery is done in the following way:
i. The area around the site of the implant is shaved or cleaned
ii. The patient's vital signs are monitored through cables, patches and monitors attached to him or her
iii. General anaesthesia is administered through IV or through a face mask
iv. After the device is implanted, the patient is taken to the recovery room for the anaesthesia effect to lessen.

BAHA Implant and Cochlear Implant Surgery

Common ear infections: What you should know about them

The most common ear infections happen because of bacterial or viral growth in the middle ear, the part which lies just behind the ear drum. Middle-ear infections can be very painful and children are most commonly reported in children. Most of these infections are caused by the blockage of the Eustachian tube, which connects the ear and the throat, causing the build-up of fluids and swelling. Here is a guide to the most common forms of ear infections and their symptoms, ranging from the acute to the chronic.

Acute infections have intense symptoms but can be cured with time and treatment. They generally last for shorter durations.

In Chronic cases of infections, the patient complains of recurrent symptoms multiple times. Chronic ear infections have the potential of causing permanent damage to the ear.

Symptoms reported by most patients with Ear infections:

1. Pain in the ear (Mild to severe):

This is caused due to increased pressure owing to the blockage of the Eustachian tube. Collection of fluid inside the ear would increase the intensity of pain in most cases. Children will keep tugging at their ear and most likely be cranky.

2. Redness and swelling:

Both of these are inevitable accompanying symptoms in case of any infection in the body.

3. Oozing of the fluids:

The blockage leads to the fluid being released from the ear which can be watery, thick yellow or mixed with blood depending on the severity and type of infection.

4. Fever

5. Difficulty in sleeping.

6. In some cases when the infection spreads, difficulty in balancing the body is experienced as body balance is maintained by ears.

7. The patient might also experience increased irritability.

8. Ear infections can also cause a hearing problem if the condition continues to go untreated.

Ear infections should be promptly dealt with to prevent long-term damages. So here is what should be done when you have ear pain symptoms.

1. Consult an ENT who will prescribe pain medication as the first line of treatment.

2. After the necessary tests are done, antibiotics are prescribed in most cases by the doctor. Other medications for palliative treatment (to ease the symptoms) are administered. However in a few rare cases, the infection might be because of non-bacterial causes in which antibiotics might not cure the state.

3. In case the problem keeps recurring, one must visit the doctor again and get further tests and treatment done.

As prevention is always better than cure, care should be taken to avoid all chances of carrying the infection to your ear. Maintain cleanliness in and around, especially in the case of children.

For further queries; we'd be happy to help!

Common ear infections: What you should know about them

Having a foreign object stuck inside a child s ear or nose is an issue many parents encounter, especially while their child is a toddler. At the early developmental stages, it s natural for children to be curious and attempt such things. It is also quite common for children as well as adults to get insects caught inside their nose or ear. In situations such as this, it s best not to worry, as people tend to aggravate the situation when they panic.
The first thing you should try if you have any foreign object stuck inside your nose is to blow your nose. Be careful not to push too hard so as to not risk injury. Often children will be able to expel foreign objects from their nose only when asked to blow their nose.

If the foreign object in question is not stuck up the nose, but up the ear, or if blowing your nose has not helped, you should try and remove the object with a pair of clean tweezers. Do not try to use household items other than tweezers, as they might push the object further up the cavity. Do keep in mind to have someone help you while removing foreign objects from your own ear as well as to keep in mind to be extra careful not to be too harsh as you might puncture your ear drum. If the foreign object is stuck up your child s nose or ear and they refuse to keep still, it s best to take them to a professional.

What can an ENT specialist do?
If you have a foreign object stuck in your nose or ear and can t get it out easily, it s safest to go to the doctor rather than risk hurting yourself or your child. An Ear-Nose-Throat Specialist can use a local anesthetic to numb the area and use their expertise to better navigate the cavity and remove the object from the ear or nose. If the object is too far up the nose to reach, the ENT Specialist can administer medication to induce a nosebleed which will naturally dislodge the object from the cavity without having to insert anything into it.

When faced with problems such as a foreign object stuck in the ear or nasal cavity, it s best to consult a professional as soon as possible instead of leaving the problem untouched for a long duration of time, as activities such as sniffing or scratching may further aggravate the issue.

Foreign Body Inside Ear, Nose Or Throat - What To Do And What Not To?

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