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Patches of the ear drum

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Perforation of the ear drum


Eardrum is a thin membrane separating the middle ear and outer ear canal.
A hole in this membrane causes dysfunction of the ear and multiple problems.
The importance of the ear drum is that it is an important element in two ways:
1 - HEARING: The drum transfer of acoustic vibrations of the external ear to the middle ear
2 - Protection: protect the middle ear from bacteria and water from entering the the middle ear

What are the causes ear drum perforations?


A - Inflammation of the middle ear:.
B - Trauma by sharp instrument or a foreign body that penetrates the drum for example, while cleaning the ear.
C - The strong sound of explosions and bombs
D - Changes in atmospheric pressure: during flight  the pressure outside changes and becomes more or less than the middle ear pressure .

What are the symptoms?

A - HEARING LOSS: This depends in particular on the size and location of the hole. If the hole has a small patient does not notice a decrease in hearing .If The hole is  medium or large in size and is located directly above the ossicles, there will be a great lack of hearing in that ear.
B - Otorrhea ( Ear Discharge ): because of the hole ,  the water  goes directly to the middle ear during swimming or bathing  causing
chronic and recurrent infections.
C - Tinitus

Large hole in the eardrum

What are the complications of the hole?

A - Lack of hearing
B - Recurrent infections of the middle ear

.
What is the treatment?



In most cases, the hole heal by itself within six months of its occurrence.
If the hole has not healed within six months, it always becomes a permenant hole .
If the hole is small : we can leave it alone .
If the hole is big , then we repair the hole .
The operation name is " Tympanoplasty "
Indications for surgery :

1- Hearing loss
2- Recurrent infections


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