Dr Durgesh Gajendra, Dr. Smita Soni


Central perforation in pars tensa can either be due to disease process of
middle ear or because of trauma. In maximum number of times
traumatic perforations use to heal by itself if ear is kept dry for a
particular period of time. Similarly perforations of infective aetiology
(tubotympanic disease) can also be healed if the causative factor (Eg:
eustachian tube dysfunction) is improved. Failing to heal these
perforations become permanent and presents with off and on discharge
with hearing loss of various degrees. Many times small perforations
(2-3 mm) are asymptomatic or very minimally symptomatic so that it is
overlooked by patients and ENT specialists also.But this inactive
disease can become symptomatic and progress into active form, thus it
should be treated actively. The main aims of treatment are to decrease
the chance of infection through perforation and stop the disease
process by maintaining continuity of tympanic membrane and to
improve hearing as well.

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