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Anonymous users2024-02-07Hearing loss caused by eardrum perforation can be recovered, generally speaking, eardrum perforation will affect the patient's hearing, perforation, the larger is that the patient may have the symptoms of conductive deafness, and there will be a phenomenon of air-bone conduction difference between the air lead and the bone lead on the audiogram during clinical examination.
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Anonymous users2024-02-06The purpose of tympanic membrane repair is twofold: first, to close the perforated eardrum and prevent further reinfection; The second is to improve hearing. Suggestions:
Before the surgery, a subsidized test must be done to prove that the hearing can be improved, and the hearing function can be restored after the repair. 。
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Anonymous users2024-02-05Can a perforated eardrum cause deafness.
Song Yueshuai. Deputy Chief Physician.
Beijing Friendship Hospital, Department of Otolaryngology, Head and Neck Surgery, Grade 3.
Perforated eardrums affect hearing to varying degrees depending on the size and location of the perforation, but perforated eardrums alone do not cause total deafness.
The eardrum (tympanic membrane) is the barrier separating the external auditory canal and the middle ear, which is divided into three layers, the outer layer is the epithelial layer, which continues with the external auditory canal**, the inner layer is the mucosal layer, 95 continues with the middle ear mucosa, and the middle layer is the fibrous layer.
The conduction of hearing is that after the pinna collects sound, it is transmitted to the eardrum through the external auditory canal, and the tympanic membrane vibration is transmitted to the ossicular chain vibration of the middle ear, and the physical signal of the vibration is transmitted to the inner ear, which is converted into electrical signals in the inner ear hair cells, and then transmitted to the auditory cortex of the central nervous system through nerves, so that the brain perceives sound. Thus, a lesion anywhere from the pinna to the inner ear that results in decreased acoustic signal transmission manifests as conductive hearing loss. On the other hand, the inner ear lesions cause a decrease in the ability to convert electrical signals or transmit signals to the brain, which manifests as sensorineural hearing loss.
The integrity of the tympanic membrane is very important for sound afference, when the tympanic membrane is perforated, the vibration area of the tympanic membrane is reduced, and the sound transmission ability is naturally weakened, so the area of the tympanic membrane perforation affects the degree of hearing loss, the larger the perforation area, the more hearing loss, the location of the perforation also has an impact on hearing, and the closer the perforation location is to the auditory bone, the greater the impact on hearing. Small needle-like perforations or small perforations at the edges have very little effect on hearing. Conductive hearing loss caused by simple tympanic membrane perforation is mild to moderate, and if it exceeds this limit, it is usually accompanied by lesions of the ossicular chain of the middle ear or sensorineural hearing loss.
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Anonymous users2024-02-04The impact on hearing, of course, will be great.
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Anonymous users2024-02-03If the tympanic membrane perforation is greater than 1mm and is not carried out**, it may cause dirty water to enter the ear, such as bath water, shampoo or swimming, these dirty water entering the ear may cause middle ear infection, which can lead to a larger or more severe perforation, and even sensorineural hearing loss.
If the tympanic membrane perforation is relatively small, such as less than 1 mm, it does not require intervention, and even if water enters the ear, it will not enter the middle ear and will not cause infection.
For patients with tympanic membrane perforation, it is generally recommended to do it as soon as possible**, especially if the tympanic membrane is perforated relatively large, and the endoscopic method can be used without an incision and can be operated directly inside the ear.
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