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Tympanic membrane (ear drum) perforation

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Question

When should ear perforations be closed? How should earwax be removed?

Answer of our experts

Tympanic membrane (ear drum) perforations should only be closed if they are associated with chronic infections, or after good eustachian tube function has been established. Otherwise, once the perforation is closed, it will be necessary to put tubes in. The perforation can work perfectly well in place of a tube.

While tubes are in place or perforation is present, wax needs to be removed with instruments and not irrigated with water.

RS/ TK 7-13-10

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