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WATCH YOUR EAR HEALTH IN TURKEY IN SUMMERS
A decrease in hearing, a feeling of ringing, or discharge from the ear can be a sign of a puncture of the eardrum; damage to this thin membrane can result in a tear or puncture. Because it occurs without giving a person a sense of pain, sometimes not being cared for can also lead to larger and significant ailments. Especially the time to enter the sea and pool, which begins with the summer season, requires much more careful attention to this process.
Associate Professor, Head of the Department of ENT. Doctor in Istanbul; giving information about eardrum puncture, especially in the summer season, the sea and pool people should be careful and if there is a complaint should be examined, he said. Minor complaints that are not considered can cause serious diseases such as facial paralysis, meningitis, and brain abscess, he said.
The eardrum creates a barrier between the structures of the middle ear, such as the bones that allow us to hear, and the external environment. In this way, microbes found in the external environment cannot damage the structures of the middle ear. But in those with a hole in the eardrum, the middle ear becomes unprotected and causes recurrent infections. We call it chronic otitis. These infections can lead to relatively ignored complaints such as recurrent foul-smelling discharge in the ear, increasing hearing loss and dizziness, as well as cause serious diseases such as facial paralysis, meningitis, and brain abscess.
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HOW DO I KNOW MY EARDRUM IS A HOLE?
If the eardrum has a hole, it is determined by an ear examination. If there are complaints such as hearing loss in the ear, discharge, it must be evaluated by an otolaryngologist. If a hole is detected in the eardrum, audiological evaluation is required to determine the degree of hearing loss and computed tomography is required to assess the damage of the infection to the ear bone. Depending on the severity of the disease, it may sometimes be necessary to have an MRI in Turkey.
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I HAVE A HOLE IN MY EARDRUM. WHAT SHOULD I DO?
If there is a hole in the eardrum, it is very important that the ear does not come into contact with water. For this reason, in cases where water contact is frequent, such as bathing, swimming, the ear must be blocked. Silicone spigot can be used for this, as well as spigot can be prepared with an oily cream and cotton. But this protection is only a temporary solution for recurrent infections. If there is a hole in the eardrum, it must be repaired by surgery.
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WHAT OPERATIONS ARE PERFORMED TO REPAIR THE EARDRUM?
The operation that will be performed when the eardrum has a hole is decided by looking at how far the disease has progressed. If the eardrum is only a hole and the damage done by the disease to the middle ear is limited, eardrum repair surgery, which we call tympanoplasty, is performed. At first, this operation was performed by making an incision behind the ear. But today, it can be made through the ear canal by endoscopic methods. In this way, the patient recovers faster and can return to his daily life more quickly. But if the disease has progressed and caused melting of the ear bone, then surgery, which we call mastoidectomy, may be necessary. With this operation, the infection in the ear bone is cleaned with special tools using a special microscope. Detection and intervention at an early stage of the disease is very important for the patient to recover without the need for heavy operations. In this way, the patient is protected from serious conditions that can occur, such as facial paralysis, meningitis, brain abscess.
Our advice to patients with a hole in the eardrum is to have their treatment done without delay, especially during these months when contact with water will increase. Because contact with water in summer increases ear infections and can cause problems that we do not want to encounter.
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