Holi , Ear care & Ruptured Ear Drum:

Holi , Ear care & Ruptured Ear Drum:

 While playing Holi people often neglect their Ear. Chemical colours and water may enter inside the ear resulting in ear itching, irritation, ear blockade and ear pain.  Water filled balloons can be dangerous and if hits the ear could cause ruptured ear drum.

 Ruptured Ear Drum:

A ruptured ear drum or perforated Tympanic membrane is a tear or hole in ear drum- a thin membrane which separates ear canal from middle ear.

Ear drum has two roles:

Hearing- Transmission of sound from ear canal to middle ear

Protection- Covers & protects delicate structures of middle and inner ear

 A ruptured eardrum can cause hearing loss, ear pain, or ear infections.

A ruptured eardrum usually heals within a few weeks without treatment. Sometimes, however, a procedure or surgical repair is required.

Symptoms of ruptured ear drum:

Symptoms of a ruptured eardrum may include:

  • Ear pain
  • Drainage from your ear, may be boody
  • Hearing loss
  • Ringing in ear (tinnitus)
  • Air escapes out of the ear on blowing of the nose producing whistling sound
  • Spinning sensation

Diagnosis of ruptured tympanic membrane:

Video Otoscopy by ENT Specialist:

Tear in the ear drum, irregular in shape, and surrounded by blood clots.

Hearing tests:

Tuning fork tests and PT Audiometry may show conductive hearing loss.

 Complications:

  • Ear Infections Otitis media
  • Permanent drum perforation
  • Middle ear Ossicle dislocation
  • Cholestaetoma  (read more)

 Other Causes Of ruptured ear drum:

1.Indirect trauma: Due to rapid pressure changes:

  • A blow on the ear (commonest)
  • Otitic barotrauma
  • Blast injury (explosion)
  • Jumping in swimming pool
  • Forcible nose blowing

2. Direct trauma:

  • Foreign body in ear
  • Self-inflicted e.g. by a hairpin
  • Ear wash or instrumentation
  • Head injury, Fracture of temporal bone

 Treatment of Ruptured Ear drum:

Conservative treatment:

Most of the traumatic perforation of tympanic membrane heals spontaneously within a month. Early surgery is not indicated and waiting for three month should be allowed for healing. However close follow up visit to ENT doctor and repeat Audiometry is required to check any urgency of operation.

 Treatment and precautions includes:

  • Prophylactic antibiotic therapy
  • Decongestant nasal drops
  • Avoid ear contamination.
  • Do not wash the ear.
  • Do not use ear drops.
  • Do not blow the nose forcibly.

Eardrum patch:

If the hole in  the eardrum doesn’t close on its own, a patch can be used to seal it. It is an OPd/office procedure, an ENT specialists apply chemical to the edges of the tear to stimulate growth and then apply a patch over the hole. The procedure may need to be repeated more than once before the hole close

Surgical treatment:

Surgery is recommended –

If Perforation fails to heal after three months, there is no healing by a patch or hole is not likely to heal with a patch,

If there is disruption of the ossicular chain, or  if injuries affecting the inner ear ssurgery can be recommended earlier.

Myringoplasty or tympanoplasty is repair of tympanic membrane perforation by a graft taken from patient own tissue.

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