What are the symptoms of hearing loss after a perforated eardrum (tympanic membrane perforation), specifically hollow hearing (hyperacusis)?

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From the Research

A hollow hearing sensation after a perforated eardrum is normal and typically temporary, and most perforations heal on their own within 6-8 weeks without intervention. This occurs because the perforation changes how sound waves travel through your ear, creating an altered sound perception. During healing, it is essential to keep your ear dry by using earplugs or cotton balls coated with petroleum jelly when showering, and avoid swimming. Don't insert anything into the ear canal, including cotton swabs. If prescribed, use antibiotic ear drops as directed, typically 3-4 drops, 3-4 times daily for 7-10 days, as studies have shown that ofloxacin ear drops can significantly reduce healing time and increase the rate of tympanic membrane closure 1. Pain can be managed with over-the-counter medications like acetaminophen or ibuprofen.

Some key points to consider during the healing process include:

  • Keeping the ear dry to prevent infection
  • Avoiding insertion of objects into the ear canal
  • Using antibiotic ear drops as prescribed
  • Managing pain with over-the-counter medications
  • Monitoring for signs of complications, such as increased pain, discharge, fever, or worsening hearing loss

It is crucial to see a doctor if you experience any of these complications or if symptoms don't improve after two months. Large perforations or those that don't heal may require surgical repair (tympanoplasty) to restore normal hearing and prevent complications like chronic infections. According to a recent study, ofloxacin ear drops can be an effective treatment for traumatic tympanic membrane perforations, with a significant effect on closure rate and healing time 2. However, it is essential to follow the doctor's advice and guidelines for treatment, as the effectiveness of ofloxacin ear drops may vary depending on the individual case.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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