What to do if you have a perforated eardrum due to trauma?

Trauma caused by tympanic membrane perforation is particularly common in life, the disease endangers the ear health of more patients, once the patient suddenly feels earache, hearing loss, and accompanied by tinnitus, affecting the normal life of the patient, the tympanic membrane perforation caused by trauma needs to be treated in time, and medical treatment as soon as possible can improve the patient's condition, thereby improving hearing. What are the methods** perforation of the tympanic membrane caused by trauma?

1. Drugs**. Antibiotic medications** are used under the guidance of a doctor to prevent infection, and the use of external ear canal irrigation or drops is prohibited. The opening of the patient's external auditory canal can be blocked with a sterile cotton ball.

Do a good job of preventing colds, and remember not to blow your nose vigorously to avoid undesirable infections. In particular, do not swim until the piercing has healed to avoid infection.

2. Surgery**. For example, tympanic membrane perforation repair surgery should be performed with anesthesia, such as local anesthesia or general anesthesia, after which targeted surgical measures should be performed. If the tympanic membrane is perforated and the symptoms of cholesteatoma are present, it is more complicated, and individual patients need to undergo mastoid surgery or ossicular chain reconstruction surgery, and cooperate with nursing care after surgery.

3. Cautery patch method. Drugs such as silver nitrate or trichloroacetic acid are used to cauterize the edges of the perforation to make it a fresh wound, and then a thin slice, such as a plastic film or garlic film, is applied to the center along which the new tissue grows and takes several weeks to heal. **During the period, pay attention to ear hygiene, stay away from noise pollution, and carry out ear massage if necessary, which is conducive to health recovery.

In daily life, it is necessary to understand the perforation of the tympanic membrane caused by trauma thoroughly, pay attention to the best work of the disease, and every friend should stay away from adverse traumatic factors. The symptoms of the disease can not be delayed, mild patients are mainly treated with drugs, and patients with unsatisfactory efficacy need to be operated under the operation of professional doctors**, and pay more attention to rest after surgery.

If the tympanic membrane is perforated for 6 weeks and cannot heal on its own, it is a minor injury of the second degree; Traumatic tympanic membrane perforation is a minor injury, and minor injuries or more will be investigated for criminal responsibility, and minor injuries will be punished by public security. Legal basis] Article 234 of the Criminal Law [Crime of Intentional Injury] Whoever intentionally injures the body of another person shall be sentenced to fixed-term imprisonment of not more than three years, short-term detention or controlled release. Whoever commits the crime in the preceding paragraph and causes serious injury shall be sentenced to fixed-term imprisonment of not less than three years but not more than 10 years, causing death, or causing serious injury by special and cruel means, causing serious disability, shall be sentenced to fixed-term imprisonment of not less than 10 years, life imprisonment or death.

Where this Law provides otherwise, follow those provisions.

The method of perforation of the eardrum is related to the ** and is as follows:

1. Trauma caused by tympanic membrane perforation: when digging the ear, use a cotton swab or needle to prick the deep part to cause tympanic membrane perforation, which can be recovered after 15-30 days, but it is necessary to keep the wound clean, avoid infection, pay attention to avoid water, and plug the external ear canal with cotton when bathing and washing hair, because water is easy to bring bacteria or pathogenic bacteria from the external ear canal to the middle ear cavity, causing infection and causing the eardrum to not heal. Colds should also be avoided, because the pathogenic microorganisms can enter the middle ear through the eustachian tube, causing inflammation of the middle ear and causing the wound to not heal;

2. Perforation of the eardrum caused by chronic purulent otitis media: it is divided into three types: simple, bone ulcer and cholesteatoma, which need to be judged by CT.

If the eardrum perforation is caused by trauma, you can choose to be conservative**, most patients can heal spontaneously within six weeks, and tympanic membrane repair can be done if it does not heal spontaneously for a long time. If it is a perforation of the eardrum caused by otitis media, or a perforation of the eardrum caused by the cholesteatoma of the middle ear, this situation is generally given surgery**, it cannot heal on its own, and it is generally necessary to do tympanic membrane perforation repair.

It should be noted that patients with perforated eardrum are forbidden to irrigate or drip medicine in the external ear canal, and should also be careful to avoid colds and do not blow their noses.

A perforated eardrum, also known as a perforated eardrum, is usually caused by trauma or inflammation. If it is a traumatic injury, first of all, keep the outer ear dry, do not inject any fluid, be sure to go to the hospital for otoscopic examination, take pictures, and determine the area, location and size of the tympanic membrane perforation. Small perforations will naturally recover, and large perforations generally require tympanic membrane repair, which is the treatment of trauma; If it is caused by inflammation, the patient needs to be washed with hydrogen peroxide and ofloxacin.

The eardrum is a translucent sheet in our middle ear, centimeters high, wide, and about millimeters thick.

When we raise the tympanic membrane perforation, we will feel terrible, many people think that the tympanic membrane perforation, deafness, in fact, it is not at all what everyone thinks.

There are many causes of tympanic membrane perforation, such as noise, trauma, diseases in the ear, etc.

Noise-induced perforation of the eardrum is caused by high-intensity sound waves breaking through our eardrum.

Trauma is actually very common, there are often these news, a careless parent slapped the child in the face of anger, causing the child to perforate the eardrum, this perforation will make the patient suddenly feel earache, hearing will be immediately reduced, and will also be accompanied by tinnitus, at the same time there will be a small amount of bleeding and fullness in the ear canal.

The most common type of disease in the ear is a perforation caused by inflammation, which causes pus to drain from the ear.

Then after the perforation, in fact, it is not so serious, it is not as serious as everyone believes, the small perforation of the tympanic membrane will repair itself, about 1 month, it will heal itself, if it is a large area of perforation, it needs to be surgically repaired, as long as you seek medical attention in time, some serious consequences will not occur.

Different types of tympanic membrane perforation** principles differ. Tympanitis.

Perforation of the tympanic membrane** is usually focused on controlling the infection. Traumatic tympanic membrane perforation usually heals spontaneously and usually does not require special treatment, but if the perforation is large or shows no signs of healing for a long time, consider surgical repair or patching**.

It depends on your severity, if it is mild, some problems can get better on its own, and some are more serious and can only be artificially created.

If the eardrum is perforated, it is necessary to treat it differently depending on the situation.

1. Trauma: If the eardrum is perforated due to trauma, such as the ear is punched or slapped and the eardrum is perforated, the local dryness should be kept at this time and the hospital should be treated in time. The size of the perforation needs to be determined, and oral anti-inflammatory drugs can be taken appropriately to prevent infection, and if it is a small perforation, the perforation usually heals spontaneously within 3 months;

2. Acute inflammation of the ear: If the tympanic membrane is perforated due to acute inflammation of the ear, such as acute myringitis, acute otitis media, etc., resulting in perforation and pus of the eardrum, the inflammation should be fully controlled. After the ear pus stops, if the perforation is not large, it can heal on its own.

However, in the case of ear drainage, the eardrum is less likely to heal on its own.

In the case of eardrum perforation, it is necessary to determine the cause of eardrum perforation, and the prognosis of different shapes, sizes, and positions of perforation caused by different causes is also different.

Eardrum perforation should first see that the eardrum perforation occurs suddenly in a short period of time, if this is the case, the first thing to do is to keep the external ear canal dry, never enter the water, can not swim, and can put a dry cotton ball to block it when taking a bath. Throw away the dry cotton balls immediately after bathing so that the bath water does not get into your ears. At the same time, do not use any ear drops, ear oil or any powder in the ear canal, because in the process of using these drugs, it is easy to bring the bacteria in the ear canal to the surface of the eardrum membrane or the middle ear, so that the tympanic membrane inflammation is not easy to heal.

At the same time, oral antibiotics can be taken for 3-5 days to prevent infection, so that the average person can heal on their own for half a month or a month, and small perforations can heal on their own.

If the tympanic membrane perforation has not healed for three or even six months, it is less likely to heal on its own, and the tympanic membrane can be repaired surgically. If the eardrum perforation is caused by long-term or repeated ear pus, the first thing to control is to control the inflammation, ear drops can be used, and if it cannot be controlled, the eardrum can only be repaired by surgery.

For inflammatory tympanic membrane perforation, infection control should be the mainstay, with antibiotics used mainly** inflammation. Secondary infection should be prevented for traumatic tympanic membrane perforation, which usually heals spontaneously within a month, but if the perforation is too large, surgery is required**.

Different types of eardrum perforation** principles are different, otitis media perforation ** is usually mainly to control infection, traumatic perforation can **, generally no special treatment is required, if the perforation is large and long-term bad, consider surgical repair or patch**.

If traumatic tympanic membrane perforation is present, the ear should be kept clean and dry for 3 months, and antibiotics should be used prophylactically. The main hazards of tympanic membrane perforation without healing or repair are: the first is the loss of hearing, the external sound reaches the eardrum through the ear canal, and the vibration of the tympanic membrane is transmitted to the inner ear through the ossicular chain, so the tympanic membrane perforation will reduce the effective vibration area of the tympanic membrane, so that the efficiency of hearing conduction decreases, and generally speaking, a relatively large tympanic membrane perforation may lead to 30 decibels of hearing loss.

The eardrum is ruptured by trauma, and most can heal naturally if there is no infection. If healing persists after a few months, eardrum repair may be considered. The eardrum is divided into tension and relaxation, and a small perforation of the tension of the eardrum can be performed in a hospital outpatient clinic as a simple surgical method.

In the case of a large perforation or a flaccid perforation of the eardrum, depending on the specific situation, the middle ear mastoid process must be examined before the eardrum can be repaired, which is medically called tympanoplasty.

Traumatic perforated eardrums heal in 2-3 weeks. If it does not heal, the perforated edges can be cauterized with 50% trichloroacetic acid. If the patient does not heal for more than 3 months, eardrum repair surgery can be performed.

When the eardrum is perforated due to severe traumatic brain injury, blood may flow out of the perforation, so do not stop the bleeding by blocking the external auditory canal, otherwise the bleeding will stop, but the brain symptoms will worsen. When the bleeding is stopped at the base of the skull fracture after the **, the perforated eardrum will naturally not bleed, and then the perforated eardrum will be treated according to the above method.