The man heard a "pop" but felt no pain or bleeding, according to Medlatec General Hospital on 26/8. Two days later, he experienced tinnitus, especially when walking or hearing loud noises, and sought medical attention.

A clinical examination revealed no facial paralysis, hearing loss, or unusual ear discharge. An endoscopy showed a large perforation in the lower back quadrant of the eardrum with clotted blood nearby. Doctors diagnosed a traumatic eardrum perforation.

The patient received antibiotics, medication to reduce tinnitus and stop bleeding, and instructions on ear care.

Dr. Tran Minh Dung, an ENT specialist, said many people mistakenly believe earwax needs frequent removal. Earwax and ear hair protect the ear canal, preventing dust, mold, and water from entering. Ear cleaning is unnecessary and can cause eardrum perforation. In contrast, the nose and throat should be cleaned daily to prevent bacterial and viral infections.

The eardrum, a thin membrane separating the outer and middle ear, transmits and amplifies sound and protects the middle ear. A perforation creates a hole between the outer and middle ear, compromising its function and causing some hearing loss.

Most eardrum perforations heal naturally within weeks without treatment. However, surgery may be necessary for severe tears that don't heal or recurring middle ear infections. Even after surgery, if the patient doesn't maintain ear and sinus hygiene, the eardrum might not heal, requiring repeat procedures, which are costly and affect health.

In some cases, a perforated eardrum can affect the seventh cranial nerve, causing facial paralysis, or damage the cochlea, leading to permanent hearing loss. It can also cause dizziness and imbalance.

Doctors advise against complacency. If you notice any unusual ear symptoms, seek prompt medical attention at a reputable healthcare facility.

Thuy Quynh