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Eardrum Rupture Health Feed

I am having a small hole in my right ear due to this my hearing level is gradually decreasing I am worried about this situation kindly help me.

I am having a small hole in my right ear due to this my hearing level is gradually decreasing I am worried about this...
Ear infections are a common cause of eardrum rupture, especially in children. During an ear infection, fluids accumulate behind the eardrum. The pressure from the fluid buildup can cause the tympanic membrane to break or rupture. Pain is the main symptom of eardrum rupture. For some, the pain may be severe. It can remain steady throughout the day, or it can increase or decrease in intensity. You may have some temporary hearing loss or a reduction in hearing in the affected ear hence you should seek an immediate consultation for effective treatment.
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I have problem in ear, I think there is hole in eardrum so please recommend possible remedy without operated it.

I have problem in ear, I think there is hole in eardrum so please recommend possible remedy without operated it.
Ear infections are a common cause of eardrum rupture, especially in children. During an ear infection, fluids accumulate behind the eardrum. The pressure from the fluid buildup can cause the tympanic membrane to break or rupture. Pain is the main symptom of eardrum rupture. For some, the pain may be severe. It can remain steady throughout the day, or it can increase or decrease in intensity. You may have some temporary hearing loss or a reduction in hearing in the affected ear hence you should seek an immediate consultation for effective treatment.
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I am feeling some sensitivity to certain noise with my right ear from last 1 to 2 months, will it go automatically?

I am feeling some sensitivity to certain noise with my right ear from last 1 to 2 months, will it go automatically?
You seem to have auditory acoustic issues and possibly hallucination with sounds and it will become alright
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Tympanoplasty - Know Forms Of It!

Tympanoplasty - Know Forms Of It!

Tympanoplasty is a surgical operation for reconstruction or repairing of a perforated eardrum (tympanic membrane) and/or the middle ear bones (ossicles). The purpose is to also improve or restore hearing at the same time. It can be performed under general or local anesthesia. Eardrum might get perforated from chronic infection or from trauma to the eardrum.

Types of Tympanoplasty:

These are the following types of Tympanoplasty:

  1. Type I Tympanoplasty (Myringoplasty): It involves the restoration of perforated eardrums by grafting with materials like Gelfilm, AlloDerm, Gelfoam, fat, and cigarette paper.

  2. Type II Tympanoplasty: It is used for tympanic perforations with malleus erosion and involves grafting onto the incus or remains of malleus.

  3. Type III Tympanoplasty: It involves placing a graft onto stapes on the destruction of two ossicles and providing protection for the assembly.

  4. Type IV Tympanoplasty: Used for ossicular destruction, it involves placing a graft around or onto a stapes footplate.

  5. Type V Tympanoplasty: It is used when a footplate of stapes is fixed.

Diagnosis:

A complete physical test is performed along with an audiogram and a history of hearing loss, keeping into consideration of facial weakness or vertigo. Otoscopy assesses the mobility of the tympanic membrane and malleus. A fistula test is recommended in case of dizziness or marginal perforation of the eardrum.

Procedure:

The surgeon must consider the location and size of the perforation when Tympanoplasty is considered.

  1. In Type I Tympanoplasty when perforation is small, an incision is made into an ear canal to elevate away and lift the remaining eardrum forward from the bony ear canal, using an operating microscope to see into the ear. If a perforation is large or if it is far forward, away from the surgeon’s view, an incision might be performed behind the ear to elevate the outer ear forward, which helps in providing access to perforation.

  2. When the perforation is exposed, the remnant is forwardly rotated and the bones are inspected. Scar tissue, if present, is removed with laser or micro hooks.

  3. Tissues are taken from the back of the ear, the tragus, or from a vein, then dried and thinned.

  4. The graft is supported by placing an absorbable gelatin sponge under the eardrum, then inserted underneath the eardrum remnant, and folded back onto the perforation to provide closure. The sheet is also then placed against the graft which helps to prevent it from sliding out.

  5. If it is open from the back, the ears are stitched together with sutures being buried under the skin. A sterile patch is placed outside the ear canal.

Results:

Ninety percent of the time, Tympanoplasty is successful. This surgery relieves pain and removes infection symptoms entirely. Hearing loss is extremely minor or not at all there after it.

Post-Operative Care:

  1. It is common to have a discharge from an external ear for a few days after surgery. But if this problem continues, the doctor should be consulted.

  2. Don’t touch or remove the packing in the ear canal.

  3. Keep the ears dry until it heals completely.

  4. Don’t lift heavy weights until it heals completely.

  5. Avoid flying for a few weeks post-surgery to protect tympanums against fluctuating air pressure.

  6. Avoid coughing, straining, blowing nose, and sneezing to avoid dislodging of graft.

Postoperative care is required on the part of the patient as mostly it is a daycare or maximum one-day stay procedure. But the complete healing takes minimum one and a half to two months time.

Take Away:

Tympanoplasty is performed to repair the eardrum and middle ear. It also improves hearing. Most of the time, the procedure is successful, relieving pain and eliminating infections completely. However, consulting a doctor is always advisable.

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Dear sir/madam my mother is suffering from right eardrum ruptured. She also suffering from asthma so the doctor advised to not to have ear surgery because of its risky. Is there any other way to heal a raptured eardrum without surgery.

Dear sir/madam my mother is suffering from right eardrum ruptured. She also suffering from asthma so the doctor advis...
Your mother has a perforated eardrum and needs a tympanoplasty surgery by an ent surgeon. Medicines cannot correct the eardrum perforation.
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Why my ear drum rapture again and again, how to cure and what are the steps to avoid future issues related rapture of ear drum.

Why my ear drum rapture again and again, how to cure and what are the steps to avoid future issues related rapture of...
You have a recurrent perforation of eardrums and need surgery namely tympanoplasty to close the perforation.
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Tympanoplasty - Know The Types & Procedure Of It!

Tympanoplasty - Know The Types & Procedure Of It!

Tympanoplasty is a surgical operation for reconstruction or repairing of a perforated eardrum (tympanic membrane) and/or the middle ear bones (ossicles). The purpose is to also improve or restore hearing at the same time. It can be performed under general or local anesthesia. Eardrum might get perforated from chronic infection or from trauma to eardrum.

Types of Tympanoplasty:

These are the following types of Tympanoplasty:

  1. Type I Tympanoplasty (Myringoplasty): It involves the restoration of perforated eardrums by grafting with materials like Gelfilm, AlloDerm, Gelfoam, fat, and cigarette paper.

  2. Type II Tympanoplasty: It is used for tympanic perforations with malleus erosion and involves grafting onto the incus or remains of malleus.

  3. Type III Tympanoplasty: It involves placing a graft onto stapes on destruction of two ossicles and providing protection for the assembly.

  4. Type IV Tympanoplasty: Used for ossicular destruction, it involves placing a graft around or onto a stapes footplate.

  5. Type V Tympanoplasty: It is used when a footplate of stapes is fixed.

Diagnosis:

A complete physical test is performed along with an audiogram and a history of hearing loss, keeping into consideration of facial weakness or vertigo. Otoscopy assesses the mobility of the tympanic membrane and malleus. A fistula test is recommended in case of dizziness or marginal perforation of the eardrum.

Procedure:

The surgeon must consider the location and size of the perforation when Tympanoplasty is considered.

  1. In Type I Tympanoplasty when perforation is small, an incision is made into an ear canal to elevate away and lift the remaining eardrum forward  from the bony ear canal, using an operating microscope to see into the ear. If perforation is large or if it is far forward, away from the surgeon’s view, an incision might be performed behind the ear to elevate the outer ear forward, which helps in providing access to perforation.

  2. When the perforation is exposed, the remnant is forwardly rotated and the bones are inspected. Scar tissue, if present, is removed with laser or micro hooks.

  3. Tissues are taken from the back of the ear, the tragus, or from a vein, then dried and thinned.

  4. The graft is supported by placing an absorbable gelatin sponge under the eardrum, then inserted underneath the eardrum remnant, and folded back onto the perforation to provide closure. The sheet is also then placed against the graft which helps to prevent it from sliding out.

  5. If it is open from the back, the ears are stitched together with sutures being buried under the skin. A sterile patch is placed outside the ear canal.

Results:

Ninety percent of the time, Tympanoplasty is successful. This surgery relieves pain and removes infection symptoms entirely. Hearing loss is extremely minor or not at all there after it.

Post-Operative Care:

  1. It is common to have a discharge from an external ear for a few days after surgery. But if this problem continues, the doctor should be consulted.

  2. Don’t touch or remove packing in the ear canal.

  3. Keep the ears dry until it heals completely.

  4. Don’t lift heavy weights until it heals completely.

  5. Avoid flying for a few weeks post-surgery to protect tympanums against fluctuating air pressure.

  6. Avoid coughing, straining, blowing nose, and sneezing to avoid dislodging of graft.

Take Away:

Tympanoplasty is performed to repair the eardrum and middle ear. It also improves hearing. Most of the time, the procedure is successful, relieving pain and eliminating infections completely. However, consulting a doctor is always advisable.

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Eardrum Rupture - Everything You Should Know About It!

Eardrum Rupture - Everything You Should Know About It!

Tympanic Membrane, commonly known as eardrum, divides external parts of the ear (consisting of Pinna or Auricle and External Auditory Cavity) and the middle ear (Tympanic cavity).  The function of the Tympanic Membrane is to transmit the sound of air via ossicles of the middle ear to the oval window in the cochlea. It converts and amplifies vibration in air to the vibration in fluid.

An eardrum rupture is a small hole or tear in the thin tissue which divides the external ear canal and middle ear. A person with a ruptured eardrum may feel a clap of thunder or earache. This may also lead to hearing loss. An eardrum rupture is also known as a perforated eardrum or punctured eardrum.

Causes of Rupture Eardrum:

There are many causes of ruptured eardrums, and some of the most common causes are listed below:

Ear Infection:

Infections are one of the most common causes of ruptured eardrums. During an ear infection, the fluid accumulates in the ear, which builds pressure causing a tear of Tympanic Membrane.

Change in Pressure:

Activities that cause pressure changes in the ear may lead to a rupture in the eardrum. It is called  Barotrauma. This mainly happens when the pressure of the external ear is drastically different from the inner ear.

Activities which may cause Barotrauma are:

  1. Flying in an airplane

  2. Scuba diving

  3. Shock waves

  4. Driving at high altitudes

  5. Forceful  and direct impact to the ear

Ear Injury:

Ear injuries may also perforate the eardrums. Any ear injury or head injury on the side of the ear may break the Tympanic Membrane and lead to ruptured eardrums. Injuries that may harm eardrums are:

  1. Getting hit in the ear

  2. Injuries in which a person falls on his/her ears

  3. Ear injuries during sports

  4. Car accidents

Acoustic Trauma:

Damage to the ear due to noise or loud sounds can also rupture the eardrum. However,  the evidence of this is yet to be found.

Other causes include skull fractures, foreign objects, and severe head trauma.

Symptoms of Rupture Eardrum:

  1. Earache

  2. Pus or blood released from the ear

  3. Tinnitus

  4. Vertigo

  5. Nausea

  6. Hearing loss

  7. Vomiting or dizziness

Diagnosis for Eardrum Rupture:

Diagnosis entails:

  1. Fluid Sample Test: If an eardrum rupture is caused by infection, doctors perform fluid tests. In this type of test, doctors take a sample of fluid that leaks from the ear and send it to the laboratory.

  2. Otoscope Exam: In this type of examination, doctors use specialised instruments with light to see the ear canal.

  3. Audiology Exam: In this type of examination, doctors test the hearing range and capacity of the person.

  4. Tympanometry: In this type of test, doctors insert a tympanometer into the eardrum to check the ear responses on pressure change.

Treatment of  Rupture Eardrum:

There are many treatment options available for rupture eardrum. Doctors advise these treatments depending upon the severity and condition to provide relief from pain, eliminate infection, and prevent hearing loss in future. Some of the treatments are listed below:

Antibiotics:

If the condition is not critical, doctors usually prescribe medicines to the patient. These medicines help to clear up the infection and protect a person from developing a perforated eardrum. Doctors may also prescribe some ear drops along with medication.

Patching:

In this type of treatment, doctors place a medicated patch on the eardrum. This patch encourages tears to heal and grow back together.

Surgery:

Ruptured eardrum can be easily cured with these two methods of treatment. However, in rare cases, doctors recommend surgery to patch the tear. This type of surgery is known as Tympanoplasty. In this method, the surgeon takes a part of tissue and grafts it over the tear of the eardrum.

Conclusion:

Above are some of the common methods of treating ruptured eardrums. However, it is always advisable to consult a doctor before reaching any conclusion. Also, taking some preventive measures like keeping ears dry, clean, infection free, etc. can help a person protect his/her ears from being punctured or ruptured. Do not insert anything inside the ear canal in an attempt to clean ear wax.

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Ear Drum Perforations - How To Handle Them?

Ear Drum Perforations - How To Handle Them?

Eardrum perforation is a condition that is more common in young children, though it can affect people across all age groups. A rupture or a hole in the thin membrane separating the ear canal from the middle ear results in eardrum perforation.

Here is a brief account that will help you further understand the symptoms so as to seek treatment at the right time before the condition causes any complication.

Signs and symptoms:
A person with a perforated eardrum may have symptoms that include,

  1. Sharp pain that subsides quickly
  2. Ear fluid release
  3. Ringing sound in the ear (tinnitus)
  4. Partial or complete hearing loss
  5. Occasionally, fever

Causes of Eardrum Perforation:
The causes of eardrum hole may stem from an infection, injury or chronic disorders related to Eustachian tube. A perforated eardrum from trauma may occur when there is a skull fracture or after a sudden explosion or if the ear is struck directly. In patients with chronic problems with Eustachian tube, the eardrum can become weak and open up. Eardrum perforations may also be caused due to rapid pressure changes such as during air travel.

Treating Eardrum Perforations:
A perforated eardrum caused by infections or pressure changes usually cures in weeks without treatment, however, when the condition does not improve for a significant period of time, medical intervention is required.
Before attempting to correct any eardrum perforation, a hearing test is required to be performed. Then the treatment process would be initiated to close the perforation. This is done due to the advantages it provides including preventing water from entering the middle ear while taking a bath or swimming or showering and also improved hearing. It also prevents the development of cholesteatoma which may cause chronic infection as well as the destruction of the internal ear structures.

When the perforation is too small, a patient may be advised to observe the problem and check whether it is healing on its own. The hearing is generally improved with the closure of the eardrum. An ENT specialist may determine whether a paper patch will be able to provide an adequate closure of the hole in the eardrum and in case it doesn't help, surgery may be required to help the condition.

There are many treatment options, but most of them involve placement of the new patch across the perforation for allowing it to heal. This process is medically termed as tympanoplasty, and the surgery is quite useful in repairing the perforation which helps in bringing back the lost sense of hearing.

Eardrum perforation is a serious health condition that needs to be treated without further delay. It is essential to consult with an ENT specialist to get it treated before any complications arise.

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I had my eardrum burst about 3 days ago. I'm on ciprodex and amox-clav. I still feel extreme pressure on my eardrum and I can't hear out of it. Is this normal or should I go back to the Dr. Thank you so much!

I had my eardrum burst about 3 days ago. I'm on ciprodex and amox-clav. I still feel extreme pressure on my eardrum a...
A eardrum burst due to trauma takes about 4-6 weeks to heal. Avoid entry of water in your ear while having bath. And keep the ear completely dry.
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