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Had perforated eardrum. Is it healing with yellow discharge and whooshing in ear?

Hello, I ve had a perforated eardrum in my right since I was a baby. Doctors say it s gone but for the edges. A few days ago I got a rupture in the same ear. I know most heal on their own. But I m not sure about mine because I already have a large hole in it that didn t heal on its own. Symptoms: yellowish white discharge; pain in the inner ear , extending out to the cartliage and down to the jaw; occasional whooshing or ringing in ear. Thanks in advance
Asked On : Mon, 24 Dec 2012
Answers:  1 Views:  249
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ENT Specialist 's  Response

Thank you for your query.

1. The ideal way to diagnose this is to get your ear examined by an ENT Specialist.

2. The middle ear is always wet with normal secretions. If there is even the tiniest of ear drum perforations, these secretions may leak out into the external ear canal leading to a persistent mild fungal (severe itching) or bacterial infection. Did you have had a recent cold, or tried cleaning your ear yourself?

3. the whooshing noise is known as Tinnitus.

4. Since there is mild pain and no fever, it may heal on it's own. It is still better to get a direct examination and opinion in case any antibiotic and ear drops are required.

5. Healing will be quick if the size of the tear in the ear drum is small or the edges of the perforation are near each other.

6. Average healing time may thus vary from a few days to a few weeks. Most dry small traumatic ear drum ruptures that I see heal within two to six weeks, even in adults.

7. The eardrum has a tremendous capacity to heal. While the eardrum is healing, it is very delicate and must be kept dry. If you use ear drops, use only Ciplofloxacin and use all aseptic precautions to avoid introducing any infection into the ear.

8. Get a PTA (Pure Tone Audiogram) to confirm that you have a Conductive Hearing Loss (CHL). Sensorineural Hearing Loss (SNHL) should be ruled out as it requires urgent treatment. Pure CHL will reduce once the ear drum heals and the hearing should return to normal.

9. If the rarer case, if the ear drum does not heal, a Myringoplasty / Tympanoplasty procedure will help repair the defect in the ear drum.

10. If you get a video otoscopy done, you may share the images here. You may also share your audiograms.

Answered: Fri, 28 Dec 2012
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