What causes eardrum spasms

The eardrum: how to recognize and treat a tear

How is a torn eardrum diagnosed?

A doctor can often make a diagnosis based on your medical history and / or the description of what has happened. The doctor confirms the diagnosis with an otoscopy (otoscope), which is often combined with an examination under the microscope. A hearing test can be used to determine whether conductive hearing loss, i.e. hearing loss, is also present. This hearing test also determines whether there is an accompanying impairment of the inner and / or middle ear or damage to the ossicles.

If an impact of force from liquid metal or objects is responsible for your eardrum injury, an X-ray examination may be necessary. With this, foreign bodies or small foreign body parts can be localized. Normally, ruptures or perforations of the eardrum heal without major complications. A major injury can lead to irreversible hearing loss or even deafness.

A complication arises when the ossicle is involved in a direct injury to the eardrum. It is not uncommon for the ossicle to be dislocated. In retrospect, this dislocation very often leads to a rupture of the joint capsule, which severely affects your hearing. The most common complication is otitis media. In the acute stage, this is very painful and is associated with ringing in the ears as well as throbbing and pulsing. This increasingly reduces the hearing ability. In severe cases, there is a fever as well as nausea and vomiting.

Another complication can be that the medial wall of the tympanic cavity perforates. The tympanic cavity, responsible for equalizing pressure in the ear, is the cavity in the middle ear directly behind the eardrum area. If your tympanic cavity is affected, meningitis often sets in. Viruses, bacteria and fungi nest in the injured tissue. This can lead to cramps, apathy and a fear of light.

Labyrinthitis can also occur as a complication. The labyrinth of the inner ear becomes inflamed and the entire system of the auditory canals is negatively affected. In particularly critical cases, pus forms, which in severe cases can lead to numbness.

Is it possible to repair a ruptured eardrum? How long does it take to heal?

Medical treatment will primarily depend on the severity of your eardrum injury. Small injuries usually heal on their own within a few days.
However, you should keep your ear dry during the healing process. An ear bandage or cream cotton wool is suitable for this when showering.
If the eardrum is perforated by an otitis media, decongestant nose and / or ear drops are prescribed in conjunction with antibiotics.
If rolled or rolled-up edges of the injury are the cause of an eardrum injury, then these are tightened. For this purpose, the splinting is carried out in parallel with a silicone film, so that a smooth growing together can be guaranteed without further complications.

If an injury such as a tear in the eardrum does not heal after four to six weeks, surgical closure is required. This operation restores the sound conductivity. For this, the natural shape of the eardrum is reconstructed with a myringoplasty. Adjacent tissue replaces the missing parts of the perforated or ruptured eardrum. If it is a question of smaller imperfections, it is possible to replace them with your own fat tissue. Injuries to the middle and / or inner ear can almost always be repaired at the same time. This method of treatment is called tympanoplasty.

Once the reconstruction is complete, the eardrum is stabilized with a silicone plastic.

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