How to deal with a perforated eardrum What to do about a perforated eardrum?

If tympanic membrane perforation is found, it should be prompted, because this has a great impact on the patient's hearing, and in severe cases, it can even cause otitis media and otitis externa in the patient. For simple eardrum perforation, conservative** is generally recommended, and in severe cases, surgery** or repair with paraauricular temporal fascia is recommended. Therefore, the appropriate method should be selected according to the actual situation of the patient.

What to do about a perforated eardrum.

1. For simple eardrum perforation, it is necessary to keep the external ear canal dry to avoid infection, and after 2-3 months of observation, it can generally heal on its own. If the patient does not heal on his own if the middle and inner ear are injured at the same time, surgery should be performed according to the severity of the condition**.

2. Inflammation leads to perforation of the eardrum, keep the ear dry, and then do tympanic membrane repair after 2-3 months, it is necessary to control the infection and avoid repeated infection.

3. If the tumor causes perforation of the eardrum, hearing reconstruction can be carried out in the later stage, and the eardrum can be removed if necessary.

4. Surgery that can heal on its own in about a month**, no further treatment is required, because the eardrum perforation surgery is more complicated, first of all, the eardrum perforation caused by trauma is not too large, as long as the area of continuous infection is not too large, measures should be taken immediately.

5. Otitis media eardrum perforation, tympanoplasty can eliminate otorrhea and improve hearing, and the broken eardrum can be repaired with the fascia of the temporal muscle next to the ear, with a success rate of more than 90%.

Indications for eardrum repair surgery.

1. Perforated eardrum, usually not healed for more than three months.

2. The dry tympanic membrane perforation test is positive and positive.

1. What should I do if the minor injury is not mediated for 30 days?

1. The treatment of minor injuries without mediation for 30 days depends on the situation

1) Generally, minor injuries can be mediated by the public security organs, and no punishment can be imposed after the mediation agreement is reached;

2) If the mediation fails, a fine or administrative detention of up to 15 days may be imposed.

2. Legal basis: Article 43 of the Law of the People's Republic of China on Public Security Administration Punishments.

Those who assault others, or intentionally injure others, are to be detained for between 5 and 10 days and fined between 200 and 500 RMB; where the circumstances are more minor, they are to be detained for up to 5 days or fined up to 500 RMB.

1) Gang up to beat or injure others;

2) Beating or injuring persons with disabilities, pregnant women, persons under the age of 14, or persons over the age of 60;

3) Repeatedly beating or injuring others, or beating or injuring multiple people at a time.

2. How to deal with eardrum perforation.

Eardrum perforation is managed as follows:

1. If the eardrum perforation is a minor injury, the public security can mediate, and no punishment will be imposed after the mediation agreement is reached;

2) If the mediation fails, a fine or administrative detention of up to 15 days may be imposed. It is necessary to apply for a forensic appraisal, and a doctor with forensic qualifications will conduct the appraisal in accordance with legal procedures.

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. 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.

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.

1. The eardrum, also known as the eardrum, is an oval translucent membrane, composed of the epithelial beam layer, the fiber layer and the mucosal layer, located at the junction of the middle ear tympanic chamber and the external auditory canal, constituting the outer wall of the tympanic chamber, which separates the external auditory canal from the middle ear cavity, and blocks the foreign bodies and bacteria that protect the external auditory canal from entering the middle ear cavity.

2. Due to the anatomical characteristics of children, the eustachian tube connecting the nasal cavity and the middle ear cavity is short and thick, when the upper respiratory tract is infected, the bacteria and secretions of the nasal cavity can easily reach the middle ear cavity through the eustachian tube to cause infection, and at the same time, if the breastfeeding posture is not correct, the milk is also easy to flow into or choke into the middle ear through the eustachian tube, and acute otitis media leads to tympanic membrane perforation.

3. It is mostly caused by direct or indirect external injuries, such as ear picking, surgery, foreign body in the external auditory canal, temporal bone fracture, pressure injury such as palm hitting the ear face, blasting, high diving and diving may damage the eardrum, resulting in tympanic membrane perforation. The tympanic membrane is diffusely congested and swollen, normal landmarks are difficult to discern, pus discharge or fluctuating highlights (lighthouse sign) may be seen at the perforation, and hearing examination is usually conductive hearing loss, and rarely, mixed and neural hearing loss.