Can a Perforated Eardrum Affect Hearing? What to Know
A perforated eardrum is a hole or tear in the thin membrane separating the ear canal from the middle ear. Because the eardrum plays an important role in hearing, damage to it can sometimes cause noticeable changes in how sound is heard.
The condition can happen for several reasons. Ear infections may create pressure behind the eardrum while injuries, sudden pressure changes or objects placed too deeply into the ear canal can also cause damage.
Symptoms can vary depending on the cause and size of the perforation.
Possible Signs of an Eardrum Injury
Hearing changes are one possible symptom, but they are not the only reason someone may suspect an eardrum problem. Other symptoms can include:
Ear pain or discomfort
Fluid or drainage from the ear
A feeling of fullness or pressure
Ringing in the ear
Reduced hearing
Not every episode of ear discomfort means the eardrum has ruptured. An ENT physician can examine the ear and determine whether a perforation or another condition is responsible for the symptoms.
Why Hearing Can Change
The eardrum helps transfer sound vibrations through the middle ear. When there is an opening in the membrane, that process can be disrupted.
The amount of hearing change can differ from person to person. A hearing evaluation may be recommended when hearing loss is present, especially if symptoms continue after the initial injury or infection.
Sudden or significant changes in hearing should not simply be ignored. An evaluation can help determine whether the problem involves the eardrum, middle ear or another part of the hearing system.
What Happens After a Perforation?
Many eardrum perforations associated with an injury or acute ear infection can close naturally over time. During the healing period, protecting the ear from additional trauma and keeping water out of the affected ear may be important.
Some perforations do not close on their own. Depending on the situation, an ENT physician may continue monitoring the eardrum or discuss additional treatment. Procedures to help close the opening may be considered when natural healing does not occur.
When to Schedule an Evaluation
Ongoing drainage, hearing changes, persistent discomfort or recurring ear infections are reasons to have the ear examined. Evaluation is also important after an injury when an eardrum rupture is suspected.
Oklahoma Otolaryngology Associates evaluates ear conditions including perforated eardrums and hearing concerns. Identifying the cause of symptoms can help determine whether monitoring or additional care is appropriate while protecting long-term ear health.
Medical Disclaimer: This blog is for informational purposes only and does not provide medical advice. Always consult a qualified healthcare provider for diagnosis and treatment.