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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child with perforated eardrum has bumps in the ear. Need a hearing test?

My son has a perforated ear drum from a tube that was removed. He has had this hole for 1 year now. Upon checking his ear with my otoscope I noticed the condition of inside the ear has changed. He has some flesh colored small bumps inside the perforated ear drum and small amount of pink color. Color is not alarming but the new bumps that have been there for over a week are. Otherwise he is checked regularly by an ENT and he has never had these bumps until recently. Should be been seen by a doctor or require a hearing test?
Thu, 23 May 2013
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ENT Specialist 's  Response
Hi and thanks for the query.
Ventilation tubes especially those which remain in place for a long time can produce chronic middle ear inflammation and a permanently perforated drum.
The middle ear is lined by smooth anfd flat mucus membrane.
Long standing inflammation of the middle ear can lead to hypertrophy of this mucus memebrane producing small bumps which you have seen through the perforated drum.
Your son definitely needs to be seen by an ENT specialist for the persisting drum perforation and the inflamed middle ear mucosa.
Depending on the examination findings he may require ear drops, nasal deconestants and antibiotics.
Once his middle ear bumps go away he definitely needs a hearing test to determine the degree of hearing loss caused by the perforated drum.
As for the perforation. since it has been present for more than a year it is unlikely to close on its own. Your son may require surgery.
Since he has a perforated drum you have to take water precautions which means no swimming, no diving or water sports. Please plug the ear with cotton smeared with vaseline while giving him a head bath.
Take care,
Dr Rajkishori
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