Perforated Eardrum
Ear hole - Important information
• Ear rupture (ear bruising or ear bruising), eardrum or a small hole or tear (also called tympanic perforation or tympanic membrane perforation)• Ear infections, pressure changes and injury are common causes of eardrum perfortion
• Most of the ruptured eardrum improves without invasive treatment and rarely causes permanent hearing loss (traumatic eardrum punctures are highly unlikely to self-seal if water is not missed), but due to firearm injuries or hot burns it is less likely to close automatically because the cells in the hole edges are worn out.)
What is eardrum and what does it do?
The eardrum is a thin membrane that divides the middle ear and outer ear canals. This sound vibrates when the sound waves enter your ear. Vibration passes through the middle ear bones. This vibration will help you hear, because if your ears are damaged, your hearing may be affected as the surface area of the sound waves will decrease. Apart from that, the ability to separate the middle ear from the outer environment by playing the barrier role in the ear can also be harmful, so ear infections in the ear can easily occur if the ears are watered.
Infection
Ear infections are the most common cause of eardrum perfortion, especially in children. During ear infection, fluid accumulates behind the ear drum. The pressure from the fluid accumulation may cause the tympanic membrane to tear or puncture.
Pressure changes
Some activities can cause pressure changes in the ears and cause a punctured ear membrane. This is known as barotrauma and occurs when the pressure inside the ear is significantly different from the pressure outside the ear. The activities that can cause barotraumatic ear-hole drilling are:
•Scubadiving
•Airplane trip
• Traveling by car at high altitudes
• Shock waves
• Direct, strong effect on the ear
Injury or trauma
During traumatic injuries, the ear canal may also be punctured. Any trauma next to your head or ear can cause rupture. The following are the most common traumatic causes of tearing of the ear:
• ear hitting
• injury during sports
• fall on the ear
• car accidents
Inserting any object such as a cotton swab, nail or pen into the ear can also damage your eardrum.
Energy from acoustic trauma or extremely loud sounds can explode the eardrum. However, these cases are not so common. A similar article link >> Traumatic Eardrum Perforations / Repairing of Small Eardrum Holes
Eardrum perforation symptoms
Pain is the main symptom of acute perforation of the eardrum. It may remain constant throughout the day or increase or decrease its intensity. For some, pain can be severe. At the same time in the traumatic eardrum, tinnitus and hearing loss may occur. Time-consuming, bloody or fluffy liquids can flow from the affected remote. A rupture from middle ear infection usually causes bleeding. It is more likely that these ear infections are in young children, colds or flu patients or areas with low air quality.
There may be temporary hearing loss in the affected ear. You can experience ringing in the ears, constant ringing in the ears or buzzing or dizziness.
If the ear canal is old, fixed hearing loss according to the size and location of the hole in the forehead, time to come from the wrist is indicated.
Diagnosis of eardrum perforation
The hole in the eardrum can be detected at the ear, nose and throat examination. On endoscopic or microscopic ear examinations, the size and location of the perforation of the eardrum are assessed. Hearing tests can be requested to evaluate the inner ear functions and the resulting hearing loss due to the drill hole.
The hole function of the ear membrane, the two main functions of the ear membrane, the hearing function and the barrier function against the middle ear infections are affected negatively by the age and the age of the hole. If the ear canal is untreated and the ear is not protected from earwax contact with the ear canal, recurrent ear infections, damage to the hearing nerves, damage to the ear canals, enlargement of the ear canal, and trapped bone eruption ball (cholesteatoma) can occur. As a result of recurrent chronic otitis media, infection can spread and tissue damage can occur, which can affect the facial nerve, cranial and jugular veins.
In the case of a newly emerged ear canal (eg traumatic ear canal puncture ...), it is sufficient to protect the ear against contact with water and is likely to heal spontaneously. In the case of water leakage from the ear to the ear after tearing of the ear, death of the cells of the tear by infections may make the ear canal permanent. I have already prepared a link to the subject of the link >> Different Products and Techniques In The Repair of Tympanic Membrane Hole
On the above photograph, there is a photograph of the ear examination before and after the operation of the patient who has traumatic eardrum rupture and the paper patch installation process in office conditions.
Epithelium repair is done in patients who have previously had epithelialization at the edges of the holes and have permanent permanent eardrum hole. Endoscopic tympanoplasty (endoscopic eardrum repair - transcanal endoscopic myringoplasty - endoscopic myringoplasty), microscopic or endoscopic procedures without extra incisions in the ear canal in patients who have a single ear canal pouch, endoscopic tympanoplasty). After removal of the dead epiel area at the edge of the eardrum, (de-epithelization), cartilage, cartilage glands, muscle glands or artificially introduced collagen membrane, silicone membrane, cattle pericardium can be used to spread on the eardrum. I usually prefer to take tragal cartilage, cartilage, and cartilage mebranes, which are usually in front of the ear canal in the patient's own ear cuff, which is a flat surface such as an ear gore. Approximately 1 - 1.5 cm incision is needed for this graft removal and is not seen from the outside.
Along with the eardrum surgery, it is possible to repair the middle ear ossicular chain (ossiculoplasty) and to clean the inflamed areas in the mastoid bone (mastoidectomy operation).
Links you can find detailed information about eardrum surgery >> Ear Drum Repair (Tympanoplasty / Myringoplasty) in Istanbul
Drug treatment
It is generally recommended that only the ear protects from water and that simple antibiotic ear drops are used in acute ear infections. "Can those who have ear holes use drops?" as a response to the question "you can not give another drop or product prepared at home except your sterile ear drops which your doctor has examined". In the case of an acute ear rupture or an eardrum explosion, it is sufficient to expect only that the ear is dry and protected against water. Do not drop a product sold on the internet environment without consulting your doctor as "herbal treatment of ear piercing". In a sudden ear canal puncture, a non-sterile olive oil, garlic juice (very painful), glycerin, oxygenated water containing an earwax cleaner product may cause an ear ulcer infection, causing the ear hole to become permanent.
In patients with old holes in the eardrum, no medication or home-made product will be sufficient to close your hole in the lower right. Surgery may result in simple ear canals that can be closed with simple procedures, non-sterile drops of drips, structural changes in the middle ear, chronic middle ear infections, and even more difficult operation. Endoscopic repair of simple ear canal holes, which have recently become widespread, is frequently preferred by patients.
Eardrum repair surgery technique
Ear canal surgery can be done by endoscopic and microscopic methods. Ear canal surgery done by placing the bucket in front of the ear bucket and cutting it along the length of the incision is only possible if there is a mastoidectomy surgery and a case where the ear canal is located too far in front. Healing is much quicker and patient complaints are much less after ear surgery, which is performed microscopically or endoscopically without incision in the ear canal.
Is the eardrum surgery dangerous?
The facial risk and other risks associated with simple ear canal surgery are much less than the risks of mastoidectomy operations involving inflammation clearing and bone canal enlargement from the middle ear and periphery. There is a belief among all the public that all ear surgery is risky. There are frequent questions in this direction ...
How many hours needed for your eardrum surgery? (How long will it take for the eardrum repair?)
Depending on the technique used and the location and size of the hole, ear surgery usually takes between 30 minutes and 2 hours.
Is it difficult to do eardrum surgery?
Ear canal surgery, which is done with only a hole in the eardrum and is accompanied by minimal tissue damage done in patients with no middle ear or inflammation and ossicular chain damage, is easy and risks are low. making it difficult and complicated.
Watch eardrum surgery
Apart from the simple earlobes animation above, you can also watch the following "animation of tympanoplasty surgery":
How many days do you spend at the hospital in your ear surgery?
After simple eardrum surgery such as endoscopic ear repair or trankanal myringoplasty, it is safe to expect the anesthetic effect to pass, that is, the patient is discharged after 4 hours after the operation. After larger ear surgery, it is usually enough for the patient to stay in the hospital for 1 day.
Cigarette smoking after eardrum surgery
After ear surgery, cigarettes have different mechanisms that affect the success of surgery and middle ear health negatively. The negative effects of cigarette on ear operations can be listed as follows:
• the effect of nicotine on reducing tissue size by reducing blood vessel volume and reducing blood flow
• the direct adverse effect of carbon monoxide in cigarette on wound healing
• the adverse effect of cigarette particles on the nasal cavity, which is the main structure responsible for the ventilation of the middle ear, is affected by different mechanisms (swelling of the lymph nodes in the tail tube, increased nosocomial infections and facilitation of microorganism escape in the middle ear). You can find detailed information on the link >> Perforated Eardrum - Definition, Causes, Symptoms, Treatment
Source links:
Eardrum repair: MedlinePlus Medical Encyclopedia
Ruptured Eardrum: Symptoms, Treatments, and Recovery
Perforated eardrum - Surgery - NHS Choices
Overview - Ruptured eardrum (perforated eardrum) - Mayo Clinic
Perforated Eardrum | American Academy of Otolaryngology-Head and ...
Eardrum Rupture: Causes, Symptoms & Treatments - Healthline
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Reasons for eardrum perfortion
Infection
Ear infections are the most common cause of eardrum perfortion, especially in children. During ear infection, fluid accumulates behind the ear drum. The pressure from the fluid accumulation may cause the tympanic membrane to tear or puncture.
Pressure changes
Some activities can cause pressure changes in the ears and cause a punctured ear membrane. This is known as barotrauma and occurs when the pressure inside the ear is significantly different from the pressure outside the ear. The activities that can cause barotraumatic ear-hole drilling are:
•Scubadiving
•Airplane trip
• Traveling by car at high altitudes
• Shock waves
• Direct, strong effect on the ear
Injury or trauma
During traumatic injuries, the ear canal may also be punctured. Any trauma next to your head or ear can cause rupture. The following are the most common traumatic causes of tearing of the ear:
• ear hitting
• injury during sports
• fall on the ear
• car accidents
Inserting any object such as a cotton swab, nail or pen into the ear can also damage your eardrum.
Energy from acoustic trauma or extremely loud sounds can explode the eardrum. However, these cases are not so common. A similar article link >> Traumatic Eardrum Perforations / Repairing of Small Eardrum Holes
Eardrum perforation symptoms
Pain is the main symptom of acute perforation of the eardrum. It may remain constant throughout the day or increase or decrease its intensity. For some, pain can be severe. At the same time in the traumatic eardrum, tinnitus and hearing loss may occur. Time-consuming, bloody or fluffy liquids can flow from the affected remote. A rupture from middle ear infection usually causes bleeding. It is more likely that these ear infections are in young children, colds or flu patients or areas with low air quality.
There may be temporary hearing loss in the affected ear. You can experience ringing in the ears, constant ringing in the ears or buzzing or dizziness.
If the ear canal is old, fixed hearing loss according to the size and location of the hole in the forehead, time to come from the wrist is indicated.
Diagnosis of eardrum perforation
The hole in the eardrum can be detected at the ear, nose and throat examination. On endoscopic or microscopic ear examinations, the size and location of the perforation of the eardrum are assessed. Hearing tests can be requested to evaluate the inner ear functions and the resulting hearing loss due to the drill hole.
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| Eardrum hole - Eardrum perforation - Tympanoplasty operation - The eardrum surgery - Eardrum perforation treatment - Myringoplasty operation in İstanbul - Myringoplasty operation in istanbul - Endoscopic eardrum surgery - Endoscopic myringoplasty - Endoscopic tympanoplasty surgery in Istanbul - Symptoms of perforation of the eardrum - Eardrum repair in İstanbul |
Health problems that may caused by hole in your ear?
Treatment of eardrum perforation
The treatment of ear drum perforation is often designed to remove the infection from the center and prevent future infection risks.In the case of a newly emerged ear canal (eg traumatic ear canal puncture ...), it is sufficient to protect the ear against contact with water and is likely to heal spontaneously. In the case of water leakage from the ear to the ear after tearing of the ear, death of the cells of the tear by infections may make the ear canal permanent. I have already prepared a link to the subject of the link >> Different Products and Techniques In The Repair of Tympanic Membrane Hole
 |
| Eardrum perforation - Eardrum repair - Paper patch application fro eardrum rupture |
On the above photograph, there is a photograph of the ear examination before and after the operation of the patient who has traumatic eardrum rupture and the paper patch installation process in office conditions.
Treatment of old eardrum holes
 |
| normal eardrum and ahole in the eardrum |
Ear surgery (ear hole repair)
Along with the eardrum surgery, it is possible to repair the middle ear ossicular chain (ossiculoplasty) and to clean the inflamed areas in the mastoid bone (mastoidectomy operation).
 |
| Eardrum hole - Eardrum perforation - Tympanoplasty operation - The eardrum surgery - Eardrum perforation treatment - Myringoplasty operation in İstanbul - Myringoplasty operation in istanbul - Endoscopic eardrum surgery - Endoscopic myringoplasty - Endoscopic tympanoplasty surgery in Istanbul - Symptoms of perforation of the eardrum - Eardrum repair in İstanbul - Paper patch application - Transcanal endoscopic myringoplasty |
Links you can find detailed information about eardrum surgery >> Ear Drum Repair (Tympanoplasty / Myringoplasty) in Istanbul
Drug treatment
It is generally recommended that only the ear protects from water and that simple antibiotic ear drops are used in acute ear infections. "Can those who have ear holes use drops?" as a response to the question "you can not give another drop or product prepared at home except your sterile ear drops which your doctor has examined". In the case of an acute ear rupture or an eardrum explosion, it is sufficient to expect only that the ear is dry and protected against water. Do not drop a product sold on the internet environment without consulting your doctor as "herbal treatment of ear piercing". In a sudden ear canal puncture, a non-sterile olive oil, garlic juice (very painful), glycerin, oxygenated water containing an earwax cleaner product may cause an ear ulcer infection, causing the ear hole to become permanent.
In patients with old holes in the eardrum, no medication or home-made product will be sufficient to close your hole in the lower right. Surgery may result in simple ear canals that can be closed with simple procedures, non-sterile drops of drips, structural changes in the middle ear, chronic middle ear infections, and even more difficult operation. Endoscopic repair of simple ear canal holes, which have recently become widespread, is frequently preferred by patients.
Eardrum repair surgery technique
Ear canal surgery can be done by endoscopic and microscopic methods. Ear canal surgery done by placing the bucket in front of the ear bucket and cutting it along the length of the incision is only possible if there is a mastoidectomy surgery and a case where the ear canal is located too far in front. Healing is much quicker and patient complaints are much less after ear surgery, which is performed microscopically or endoscopically without incision in the ear canal.
Is the eardrum surgery dangerous?
The facial risk and other risks associated with simple ear canal surgery are much less than the risks of mastoidectomy operations involving inflammation clearing and bone canal enlargement from the middle ear and periphery. There is a belief among all the public that all ear surgery is risky. There are frequent questions in this direction ...
How many hours needed for your eardrum surgery? (How long will it take for the eardrum repair?)
Depending on the technique used and the location and size of the hole, ear surgery usually takes between 30 minutes and 2 hours.
Is it difficult to do eardrum surgery?
Ear canal surgery, which is done with only a hole in the eardrum and is accompanied by minimal tissue damage done in patients with no middle ear or inflammation and ossicular chain damage, is easy and risks are low. making it difficult and complicated.
Watch eardrum surgery
Apart from the simple earlobes animation above, you can also watch the following "animation of tympanoplasty surgery":
 |
| Eardrum surgery in Istanbul |
How many days do you spend at the hospital in your ear surgery?
After simple eardrum surgery such as endoscopic ear repair or trankanal myringoplasty, it is safe to expect the anesthetic effect to pass, that is, the patient is discharged after 4 hours after the operation. After larger ear surgery, it is usually enough for the patient to stay in the hospital for 1 day.
Cigarette smoking after eardrum surgery
After ear surgery, cigarettes have different mechanisms that affect the success of surgery and middle ear health negatively. The negative effects of cigarette on ear operations can be listed as follows:
• the effect of nicotine on reducing tissue size by reducing blood vessel volume and reducing blood flow
• the direct adverse effect of carbon monoxide in cigarette on wound healing
• the adverse effect of cigarette particles on the nasal cavity, which is the main structure responsible for the ventilation of the middle ear, is affected by different mechanisms (swelling of the lymph nodes in the tail tube, increased nosocomial infections and facilitation of microorganism escape in the middle ear). You can find detailed information on the link >> Perforated Eardrum - Definition, Causes, Symptoms, Treatment
Endoscopic Eardrum Repair Video
Microscopic Transcanal Myringoplasty Video
Source links:
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
What is the cost please?
ReplyDeleteTranscanal microscopic or endoscopic myringoplasty operations are the most preferred methods for closing tympanic membrane holes. The average fee varies between 2250 - 3500 US Dollars. It is appropriate to stay in Istanbul for 1 week after the procedure. One day stay in the hospital, all blood tests, doctor's fees are included in this price.
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