What should I do if my eardrum is perforated? Is it just otitis media?

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  • Source:Jabra Hearing Aids
We often see patients with various types of tympanic membrane perforations. Some cases of acute otitis media and perforation due to colds, or accidental ear digging; some infants and young children suffer from ear pus discharge after vomiting due to improper breastfeeding; some even have their ears hit by balls or hands when playing ball, being slapped in the face during an argument, and having firecrackers jar their ears. It can also cause perforation of the eardrum; occasionally, insects can enter the ear and cause perforation of the eardrum...


What to do if the eardrum is perforated , is it just otitis media?

The relationship between tympanic membrane perforation and otitis media: If the patient suffers trauma and the tympanic membrane is perforated, otitis media will occur if the tympanic membrane is infected. In addition, tympanic membrane perforation combined with upper respiratory tract infection can also cause otitis media; otitis media leads to tympanic membrane perforation. Children are at high risk for acute otitis media. If not controlled in time, they can easily cause tympanic membrane perforation. Therefore, otitis media and tympanic membrane perforation are causally related to each other.


Patients with tympanic membrane perforation should go to the ear, nose and throat specialist of the hospital to check the location, scope and cause of the tympanic membrane perforation. If necessary, electrical audiometry and bilateral mastoid photos and other examinations must be performed. If there is bone ulcer type or cholesteatoma type otitis media, surgery must be performed as soon as possible to remove the lesions to prevent complications; if the middle ear is only a simple inflammation, it must be treated promptly and reasonably to make it dry as soon as possible. For patients with tympanic membrane perforation and no pus discharge, the doctor will check to see if tympanic membrane repair can be performed.


Most tympanic membrane perforations caused by trauma can heal on their own within 3 to 4 weeks. During this period, pay attention to waterproofing the ears, and swimming is strictly prohibited. Use sterilized cotton balls to plug the opening of the ear canal when washing your hair and taking a bath; dig your ears carefully; beware of colds; and prevent inappropriate blowing of the nose.
If the tympanic membrane perforation caused by inflammation still cannot heal after the inflammation subsides, tympanic membrane repair surgery can be used. Clinical observation has found that even if there is no recurrent ear canal discharge, the ear is always in a state of chronic inflammation due to the loss of tympanic membrane barrier protection and the residual bacterial toxins from the infection.
The toxins of inflammation may also directly penetrate into the nerve structure and damage the nerve function. These changes will lead to deafness to varying degrees, which will gradually worsen and cannot be restored if the opportunity for treatment is missed.

Daily protective measures for tympanic membrane perforation
1. It is waterproof and cannot be used for swimming. Use sterilized cotton balls to plug the opening of the ear canal when washing your hair or taking a bath.

2. Be careful when digging your ears. Using unclean tools to dig your ears can easily bring in bacteria.

3. Be careful to prevent colds. The onset of otitis media is usually caused by colds.

4. Prevent inappropriate blowing of the nose, such as pinching both nostrils to drain the nose, which may easily squeeze the nasal secretions through the Eustachian tube into the middle ear and cause inflammation. One side should be blocked. Squirt gently into the nostrils.
5. During the repair period, you should be careful not to do strenuous exercise or heavy physical labor; especially bending over is prohibited, and you should also be careful not to chew hard food.

6. Go to the hospital for regular check-ups and deal with any problems in a timely manner.