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    Tubes and ruptured ear drum
    Yael2009 posted:
    Hello! My daughter is 3 1/2 and is scheduled to have a tube put in her right ear this November, after consistent ear infections for the past year. The ENT stated that the fluid in her inner ear has been there so long that it is now like jello. While we wait, I have heard that her ear drum may rupture. If her ear drum does rupture, would they use that opportunity to put the tube in then, or would we have to wait until it healed for the tube to go in?

    Thank you!
    Rod_Moser_PA_PhD responded:
    Not the "inner ear"....the fluid is in the MIDDLE EAR.

    Eardrum ruptures can spontaneously happen to anytime. When there is an infection or increased middle ear pressure, the body responds by rupturing the eardrum to help equalize pressure or drain infection. In most cases, a ruptured eardrum is not big deal. Most will heal quickly.

    As far as the insertion of those tubes is concerned, it would depend on WHERE the eardrum was ruptured. A tiny hole or slit along the margin of the eardrum would not be a problem when inserting tubes. However, if the eardrum was shattered....or a big hole was in the middle of the area where the tubes are typically inserted, there may be a delay in placing these tubes.

    Her ENT may need to make this individual decision if or when this occurs.
    tannersdad09 responded:
    well i have had ear surgery when i was a little kid on the ear drum about 2 times now and come to find out i have another hole in my ear drum. does the hole heal on its own or am i going to have to have surgery on it again since i have had it happen before
    Rod_Moser_PA_PhD responded:
    Healing depends on several factors:

  • The size and location of the hole on the eardrum
  • The reason for the hole (rupture)
  • Your ability to heal

    Since I do not have the ability to look at your eardrum, it would not be possible for me to determine, or even guess, if this will heal spontaneously or require a surgical patch (tympanoplasty). You will need to see an ENT.

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