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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Eardrum Membrane Rupture

I am suffering from eardrum membrane rupture in my left year since 15-20 years. I had consulted with different doctors for this. I do not get sound from my left year. I had very little problem in ear earlier but now it is giving lot of problem since two years. I attempted for the operation last year but got back due to problem in heart, I am very sensitive. in this case. About 6 months ago I had pain in ear with swollen left jaw due to a poke from outside which made outlet of blood. Finally the swollen jaw and pain was relieved by doctor, but water like fluid was coming out from the ear regularly. I had to take Moxclav 625 twice a day for ten days along with an ear drop Otocin-o and pain killer, the problem is solved again. Now after 3months again I am getting the same problem and repeating the same prescription. Dear Sir, is there any permanent solution for this? Can I repair my eardrum membrane rupture in your Institute? I shall be most grateful to you if you answer my letter. SUMATI MUKHERJEE
Sat, 22 Aug 2020
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General Surgeon 's  Response
Hi,

Noted your history of reduced hearing, recurrent infections in left ear with ear drum perforation.
As per the history my thoughts are as following.
The prerequisite of a successful treatment in such a case are as follows:
CT scan of the mastoids to know how much the bone and cavities are affected to decide the type and extent of surgery required.
Audiometry to know the exact cause of hearing loss and to know whether surgery will help to regain hearing or not.
Pus culture and sensitivity from the affected ear to know the best antibiotic suitable to control the infection.
Consult a Cardiologist to know the cardiac status and fitness for anesthesia and surgery and get treated to be optimally fit heart wise.
All these things under Specialists will help to know the exact diagnosis and plan of management.
Stop self cleaning as this is the cause of recurrent infections in your case as per the history you have provided.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT & General Surgeon
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Suggest Treatment For Eardrum Membrane Rupture

Hi, Noted your history of reduced hearing, recurrent infections in left ear with ear drum perforation. As per the history my thoughts are as following. The prerequisite of a successful treatment in such a case are as follows: CT scan of the mastoids to know how much the bone and cavities are affected to decide the type and extent of surgery required. Audiometry to know the exact cause of hearing loss and to know whether surgery will help to regain hearing or not. Pus culture and sensitivity from the affected ear to know the best antibiotic suitable to control the infection. Consult a Cardiologist to know the cardiac status and fitness for anesthesia and surgery and get treated to be optimally fit heart wise. All these things under Specialists will help to know the exact diagnosis and plan of management. Stop self cleaning as this is the cause of recurrent infections in your case as per the history you have provided. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon