As long as there is no secondary infection and the hole area is not too large, the eardrum perforation caused by trauma usually heals itself in about one month without additional treatment. The perforation of tympanic membrane in chronic otitis media not only leads to otorrhea and hearing loss, but also has the risk of cholesteatoma, so it is necessary to repair it. The damaged eardrum can be repaired by temporalis muscle fascia beside the ear, and the success rate is as high as 90%. Through this tympanoplasty or tympanoplasty, otorrhea can be eliminated and hearing can be improved.
Local anesthesia or general anesthesia can be used to repair tympanic membrane perforation. Depending on the patient's condition, this operation is a relatively accurate microsurgical method. If eardrum perforation is complicated with cholesteatoma, it is much more complicated than simple eardrum perforation repair, and sometimes another mastoid surgery or ossicular chain reconstruction is needed.
In short, the cause of eardrum perforation is nothing more than an accident or a lesion. At present, its repair operation is one of the common surgical objects in the otolaryngology department of the medical center hospital, with high success rate, which can solve perforation and improve hearing. It's killing two birds with one stone.
Second, otitis media with eardrum perforation
Otitis media with perforation of eardrum is generally called chronic otitis media, and most of them suffer from recurrent otitis media when they are young, which leads to perforation of eardrum. Symptoms include long-term hearing impairment and occasional purulent discharge in your ears, especially after you catch a cold or swim. Most symptoms of otorrhea will be improved after antibiotics and local treatment.
The size of eardrum perforation is related to the degree of hearing loss, if it is unilateral eardrum perforation. Because there is only unilateral hearing impairment, that is, the ability to identify the directivity of sound source is poor at most, it will not cause too much inconvenience to daily life, and even if there is occasional otorrhea, it can be controlled by drug treatment, so many patients tend to treat otitis media with tympanic membrane perforation lightly.
The eardrum, also called tympanic membrane, looks like the surface of a drum and plays an important role in the conduction function of hearing, which can drive the ossicles of the middle ear to vibrate. Another very important function of the eardrum is to protect noise. If the eardrum is perforated, the noise will directly enter the inner ear through the round window or the egg window, which will easily cause irreversible damage to the auditory cells. Therefore, many patients with many years of medical history, after hearing examination, in addition to conductive hearing impairment caused by perforation of eardrum,
For otitis media patients with tympanic membrane perforation, it is best to repair the perforated tympanic membrane in general good health. The purpose of the action is twofold. One is to eradicate inflammation in the middle ear, and the other is to improve hearing. The degree of hearing improvement depends on whether the ossicular chain is complete and the inflation of the middle ear cavity. This operation is called myringoplasty or tympanoplasty and is usually performed under local anesthesia. Preauricular wound is about 1 cm. If the ossicular fracture or erosion is found before or during operation, the ossicular bone should be reconstructed at the same time. Hospitalization generally does not exceed one week, depending on the condition of otitis media. If it is a simple eardrum repair, it can sometimes be done in an outpatient clinic. After the operation, the packing in the ear canal is maintained for about three weeks. After the tampon is taken out, the ear canal is treated locally once or twice a week, and it takes about two months from operation to recovery. However, after the elastic bandage is removed, daily life can be maintained, and the success rate of surgery is generally above 90%. Surgical complications are generally rare, and occasional temporary facial paralysis may occur.
Third, the treatment of eardrum perforation
As long as there is no secondary infection and the hole area is not too large, the eardrum perforation caused by trauma usually heals itself in about one month without additional treatment. The perforation of tympanic membrane in chronic otitis media not only leads to otorrhea and hearing loss, but also has the risk of cholesteatoma, so it is necessary to repair it. The damaged eardrum can be repaired by temporalis muscle fascia beside the ear, and the success rate is as high as 90%. Through this tympanoplasty or tympanoplasty, otorrhea can be eliminated and hearing can be improved.
Local anesthesia or general anesthesia can be used to repair tympanic membrane perforation. Depending on the patient's condition, this operation is a relatively accurate microsurgical method. If eardrum perforation is complicated with cholesteatoma, it is much more complicated than simple eardrum perforation repair, and sometimes another mastoid surgery or ossicular chain reconstruction is needed.
In short, the cause of eardrum perforation is nothing more than an accident or a lesion. At present, its repair operation is one of the common surgical objects in the otolaryngology department of the medical center hospital, with high success rate, which can solve perforation and improve hearing. It's killing two birds with one stone.