Ear Drum Surgery / Tympanoplasty
A ruptured eardrum is a tear in the thin membrane that separates your outer ear from your inner ear. That membrane known as the tympanic membrane is made of tissue that resembles skin. Ruptured eardrum can happen suddenly. There can be a feeling of sharp pain in ear or an earache that persist for a while and suddenly goes away.
A ruptured eardrum also known as a perforated eardrum or a tympanic membrane perforation can lead to complications such as middle ear infections and hearing loss.
How does it Happen
A number of things can cause the eardrum to rupture one of the most common causes is an ear infection. When the middle ear is infected pressure builds up and pushes against the eardrum. When the pressure gets too great it can cause the ear drum to perforate. When that happens the pain and pressure suddenly stops and pus drains from the ear.
Another common cause of a ruptured eardrum is poking the eardrum with a foreign object such as a cotton-tipped swab or a bobby pin that's being used to clean wax out of the ear canal. Sometimes children can puncture their own eardrum by putting objects such as a stick or a small toy in their ear.
Some ruptured eardrums result from what's known as barotrauma. This happens when the pressure inside the ear and the pressure outside the ear are not equal. That can happen for example when an airplane changes altitude causing the air pressure in the cabin to drop or rise. The change in pressure is also a common problem for scuba divers.
A head injury or an ear slap can cause the ear drum to rupture. So can an acoustic trauma caused by a sudden loud noise, such as an explosion or a sudden blast of loud music.
What Are the Symptoms of a Ruptured Eardrum?
Some people don't notice any symptoms of a ruptured eardrum. Others see their doctor only after several days of general discomfort in their ear and feeling that "something's not quite right with the ear." Some people are surprised to hear air coming out their ear when they blow their nose. Forcefully blowing your nose causes air to rise up to fill the space in your middle ear. Normally this will cause the eardrum to balloon outward. But if there is a hole in the eardrum, air will rush out. Sometimes the sound is loud enough for other people to hear.
How Is a Ruptured Eardrum Treated?
Typically no specific treatment is needed for a ruptured eardrum, the vast majority of ruptured eardrums heal within three months. Dr Priyanjana Acharyya Sharma at GNH hospital Gurgaon India may prescribe an antibiotic either oral or in the form of eardrops to prevent an ear infection or treat an existing infection. If the ruptured eardrum is causing pain then doctor at GNH hospital may recommend using an over-the-counter pain medication such as acetaminophen or ibuprofen. Warmth may be applied also to relieve discomfort.
If the eardrum is slow to heal the doctor at GNH Hospital may put a patch over the eardrum. In some cases surgery may be needed to repair a ruptured eardrum to get best outcomes. The surgery is usually done on an outpatient basis. During the procedure, which usually takes a couple of hours the doctor at GNH hospital Gurgaon India will attach a piece of tissue to the eardrum to rebuild the eardrum. Surgery is most commonly used for large perforations for perforations that involve the edges of the eardrum or for ruptured eardrums caused by an ear infection.
While the eardrum heals, you'll need to keep the ear dry. That means no swimming or diving until the doctor says the eardrum is healed. You'll also need to use a shower cap or place cotton coated with petroleum jelly in your outer ear when you shower to keep water out.
Types of Eardrum Repair Procedures
If the hole or tear in your eardrum is small, your doctor may first try to patch the hole with gel or a paper-like tissue. This procedure takes 10 to 30 minutes and can often be done in the doctor’s office with only local anesthesia.
If the hole in your eardrum is large or if you have a chronic ear infection that cannot be cured with antibiotics, a surgeon may perform a tympanoplasty. The procedure takes two to three hours.
If the three tiny bones of your middle ear have been damaged by ear infections or trauma, the surge on will also repair them while you are under general anesthesia. The bones can be replaced by using either bones from a donor or prosthetic devices.