Ruptured eardrum

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Treatments and drugs

By Mayo Clinic staff

Most ruptured eardrums heal without treatment within a few weeks. If the tear or hole in your eardrum doesn't heal by itself, treatment will involve procedures to close the perforation. These may include:

  • Eardrum patch. If the tear or hole in your eardrum doesn't close on its own, an ENT specialist may seal it with a paper patch. With this office procedure, your ENT will apply a chemical to the edges of the tear to stimulate growth and then apply a paper patch over the hole. The procedure may need to be repeated three or four times before the hole closes.
  • Surgery. If a paper patch doesn't result in proper healing or your ENT determines that the tear isn't likely to heal with a patch, he or she will recommend surgery. The most common surgical procedure is called tympanoplasty. Your surgeon grafts a tiny patch of your own skin over the eardrum. This procedure is done on an outpatient basis, meaning you can go home the same day.
References
  1. Perforated eardrum. American Academy of Otolaryngology - Head and Neck Surgery. http://www.entnet.org/HealthInformation/perforatedEardrum.cfm. Accessed Jan. 3, 2009.
  2. O'Handley J, et al. Otorhinolaryngology. In: Rakel R, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa.: Saunders/Elsevier; 2007. http://www.mdconsult.com/das/book/body/115405234-5/0/1481/281.html?tocnode=53392988&fromURL=281.html#4-u1.0-B978-1-4160-2467-5..50027-0--cesec49_1202. Accessed Jan. 3, 2009.
  3. Mirza S, et al. Otic barotrauma from air travel. Journal of Laryngology and Otology. 2005;119:366-370.
  4. Ramakrishnan K, et al. Diagnosis and treatment of otitis media. American Family Physician. 2007;76:1650-1658.
  5. Staffel JG, et al. Hearing loss. In: Wax M, ed. Primary Care Otolaryngology. 2nd ed. Alexandria, Va.: American Academy of Otolaryngology - Head and Neck Surgery; 2005. http://www.entnet.org/EducationAndResearch/updload/Chapter-6-Hearing-Loss.pdf. Accessed Jan. 4, 2009.

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Feb. 4, 2009

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