Ear in black white optic

Your eardrum consists of a very thin membrane. It forms a boundary between the inner ear and the outer part of your ear. The eardrum provides the necessary protection against germs. At the same time, it has the task of transmitting the sound waves. For the whole hearing process, the eardrum thus plays a key role. Now it can happen that a hole is created in this sensitive membrane. In this case, the neck-nose-ear doctor is talking about a drum-field perforation.

This guide provides you with all the necessary information about what to do when a hole in your eardrum has formed. Below you can find out what causes, symptoms and diagnoses exist. We will also inform you about all treatment options. If you have any further questions, please feel free to contact us without obligation.

What's the cause of a hole in the eardrum?

A variety of causes are considered when such a defect has formed in your eardrum. These can be either inflammatory or traumatic in nature. Traumatic means the hole was caused by an injury. 

One of the most common and typical causes of trauma is self-harm. It usually happens when you clean your ear with a cotton candy cane. Other typical traumatic causes may be:

  • Sudden change of pressure
  • Hit the ear
  • Head injuries
  • Hard water jet in an improper hearing rinse 

All of these examples above can cause a crack in your eardrum. 

Typical causes with inflammatory nature:

The middle ear infection is a typical inflammatory cause, which can give your eardrum a hole. In the case of otitis media, a distinction is made between chronic and acute forms. In the case of acute form, a crack or hole in the drum skin can form in the advanced stage and in the case of a lot of egg production. As soon as the storm can drain through the drum pit, the situation improves. You have less pressure and less pain. The inflammation heals faster because the middle ear can now be ventilated better. Usually your eardrum will heal on its own. However, in the case of chronic otitis of the middle ear, the eardrum perforation usually occurs automatically. 

What are the symptoms of drum field perforation?

When a traumatic event has preceded, sudden pain and acute hearing loss are the typical symptoms of a hole in the eardrum. Sometimes there is also a slight bleeding.

The situation is somewhat different in an acute inflammatory drum perforation. The pain subsides when the secretion drains. It may also happen that the inner ear is inflamed. As a result, nausea and dizziness can occur. It is not uncommon for a tinnitus to occur simultaneously. Sometimes even twitching eye movements are added. Sometimes even individual facial muscles can be paralyzed. 

Diagnosis of a hole in the eardrum

The neck-nose-ear-doctor leads with the help of an otoscope. an ear microscope is mirrored to make a clear diagnosis. The doctor usually also examines the surroundings of the drum field perforation. You should definitely take an audition. This allows the doctor to find out if the inner ear is also affected.

Therapy for a hole in the eardrum

Small defects in your eardrum can heal themselves. However, if it is a major defect or a complete eardrum rupture, the neck-nose-ear doctor must help. He'll patch up the wound or put on a rail. For this purpose, the doctor uses paper or Silicone strips and place them on the drum. This will speed up the healing process. If this method does not work because the injury is too large, then the eardrum must be closed operationally. Sometimes even the earlobes are affected or destroyed. In this case, a complete reconstruction must be carried out.

Sometimes there's a chronic enlargement of the bone. This defect must be operated. If your ear has come into contact with water, you should take a preventive antibiotic. Protect the damaged hearing especially when bathing and showering by closing it with a special cream wool.

Forecast in a hole in the drum

Normally, a defect in the eardrum heals relatively well, you can expect about four weeks. However, if the inner ear or the earlobes are also affected, a permanent hearing loss may occur, even deafness is possible. In this case, you should consult your neck-nose-ear doctor immediately.

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