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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for hole in ear?

I have a 6 year old that has had tubes twice at 10 months and 3 years. Failed several hearing tests at preschool when taken to ENT she had hole in ear drum. Repaired with tissue from behind ear in hairline. Was then determined was slow healing and sent to Otologist/Cranial surgeon. He performed a tympanoplasty with myloidectomy 5 months ago and now her ear drum is retracting. Wants to give her the summer to swim and then will do surgey to pop out ear drum. Can you explain surgery and what are the odds retraction will cause another hole?
Mon, 26 Sep 2016
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Pediatrician 's  Response
Tympanic membrane retraction describes a condition in which a part of the eardrum lies deeper within the ear than its normal position.
retraction and perforation following graft tympanoplasty is more common in adults than in children , it's related to age and concurrent sinusitis , so if your child has sinusitis it must be treated vigorously.
the surgery needed is to excise the retraction pocket and is usually done by laser, it's a simple procedure .
sometimes surgeons try to widen the Eustachian tube opening through nasal surgery to increase the middle ear pressure and pop out the retraction .
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