Traumatic Eardrum Perforations

Tympanic Mebrane Ruptures Due To Trauma

Traumatic Eardrum Perforations

Symptoms of traumatic eardrum perforation

The following symptoms may occur in traumatic perforation of the eardrum:

- Earache

- Hearing loss

- Tinnitus

- Dizziness (vertigo)

- Nausea or vomiting

- Later, discharge may come from the ear.

Hearing loss occurs after perforation of the eardrum after the stretching limit of the eardrum is exceeded. In fact, the sound of explosion may be heard during traumatic tearing. Inner ear injuries vary depending on the severity of the trauma and related symptoms such as nausea, ringing and vomiting may also occur.

Traumatic Eardrum Perforation

The photograph above shows signs of trauma to the eardrum after vacuuming the eardrum.

Traumatic Eardrum Perforation

The photograph above shows the bleeding areas of the eardrum of a patient suffering from ear pain and congestion in the ear when the plane begins to descend.

Traumatic Eardrum Perforation

In the photo above, the ear membrane of the patient, who had an ear membrane injury after plane travel, is seen. There are areas of bleeding and decomposition on the membrane.

Traumatic Eardrum Perforation

In the above photo, a picture of the eardrum taken during the recovery period of the patient who has a perforation in the middle part of the eardrum during middle ear inflammation is seen. Note the dull, veined appearance of the membrane and the clotted area in the middle.

Traumatic Eardrum Perforation

The photograph above shows a photograph of a tympanic membrane of a patient with traumatic perforation in the anterior lower part of the eardrum 2 weeks ago. The patient was planned to avoid water contact and be followed up for several months.

Traumatic Eardrum Perforation

In the above photo, the patient with traumatic eardrum perforation, infection after the leakage of water into the ear, infection of the eardrum and inflammatory discharge flowing from the hole area is seen.

After Traumatic Eardrum Injuries, Always Protect Your Ear From Water Contact!

After acute traumatic eardrum perforations, it is usually sufficient to wait and protect the ear from contact with water. These patients must protect their ears from water contact. During showering, water contact can be prevented by covering the outer ear canal with cotton or cotton-soaked ear plugs during bathing. During swimming, it is very difficult to prevent water contact with the eardrum. People who have eardrum holes should not swim and put their head into water. Many ear plugs can leak water with pressurized water.

In patients with eardrum holes, the following may occur if water escapes repeatedly into the ear:

- Reduces the possibility of spontaneous healing and healing of the eardrum

- Progression of hearing loss

- Increased tinnitus

- Chronic infection and destruction of ear structures

- Increased risk of complications due to ear infections (memengitis, brain abscess, facial paralysis, neck vein infections ...)

- Development of cholesteatoma (inflammation foci originating from skin cells that can dissolve the bone) if the hole does not close and long-term water contact continues.

What To Do in Traumatic Eardrum Perforations?

If you suspect that your eardrum is punctured, you should take the following precautions for several weeks after the trauma:

- The ear should be kept dry to prevent infection

- Never go swimming or diving

- Waterproof silicone earplugs during shower or bath
or a tight cotton ball impregnated with petroleum jelly in the outer ear canal is the correct application.

- Any object for ear cleaning should not be inserted into the outer ear canal.

- To avoid second trauma to the renewed eardrum, movements such as straining, sneezing with mouth closed should be avoided.

No medication or drops should be used in the ear canal without doctor's advice. Although the eardrum is pierced by a foreign body, blood flow to the external ear canal and hearing loss is perceived as a frightening condition, the tympanic membrane usually heals spontaneously within a few weeks in case of traumatic eardrum rupture. Especially after the membrane has been pierced, contact of water and other liquid to the eardrum, which may cause damage to living cells at the edges of the holes, may prevent closure. Exceptionally; In case of perforation of eardrum due to hot sparks or hot objects, the hole is unlikely to be closed because the cells at the edges of the holes die.

In summary, if a perforation has occurred in your eardrum, except for a hot foreign body trauma, do not be afraid, even if blood comes from the eardrum, keep your ears dry, and your eardrum will heal spontaneously within a few weeks.

If such a condition is suspected, it is best to have an examination by an ENT doctor. In particular, patches can be made from cigarette paper, fat tissue from the earlobe, or muscle membrane from the ear edge to accelerate closure in large openings.

Traumatic eardrum damage and 1st week and 1st month

Traumatic eardrum damage and 1st week and 1st month

The photograph above shows the patient's eardrum trauma during the vacuuming process performed by the patient and the treatment of the patient. Traumatic eardrum injury, which is often encountered by many ENT specialists, is mostly self-correcting with the prevention of water contact to the eardrum and simple antibiotic drip therapy.

Similar link >> Perforated Eardrum - Definition, Causes, Symptoms, Treatment

Source link >> Traumatic tympanic membrane perforations: characteristics ...

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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