You may need surgery to repair a perforated eardrum if the hole in your eardrum is large or does not heal in a few weeks
The type of operation you'll have is called a myringoplasty.
Surgery to repair a burst eardrum is usually done in hospital under general anaesthetic (where you're asleep).
During the procedure:
- a small cut is made just in front or behind your ear and a small piece of tissue is removed from under your skin – this will leave a small scar, which will usually be covered by your hair
- small surgical instruments are used to patch the hole in your eardrum with this piece of tissue – this may be done through your ear opening, or through a small cut made next to your ear
- a dressing is placed in your ear to hold the patch in place and stop water and germs getting in – this usually stays in place for about 2 or 3 weeks
- cotton wool padding is put over your ear and held in place with a bandage
- the cut(s) in your skin are closed with stitches
Most people can go home on the same day or the day after the operation.
It usually takes a few weeks for your eardrum to heal.
A follow-up appointment for about 2 or 3 weeks after your operation will be arranged before or soon after you leave hospital.
Looking after yourself
After the operation:
- make sure someone stays with you for the first 24 hours – do not drive or drink alcohol during this time
- change the cotton wool in your ear every day (but leave the dressing that's deeper in your ear in place)
- avoid getting your ear wet – place cotton wool covered in petroleum jelly (such as Vaseline) in your ear when showering
- you may need to stay off work (or school) for about a week – you might be off for longer if your job involves lots of moving or bending over
- after about a week, speak to your GP surgery about getting your stitches removed (if the stitches do not dissolve by themselves)
Activities to avoid
Until you've had your follow-up appointment, avoid:
- flying – read more about flying with a perforated eardrum
- close contact with sick people – you could get an ear infection
- sports and other strenuous activities
- blowing your nose too hard – if you need to sneeze, try to keep your mouth open to reduce the pressure in your ear
Your doctor or nurse will advise you when to return to normal activities.
When to get medical advice
It's normal to have some discomfort, dizziness, unusual noises in your ear and a little bleeding for the first few days after surgery.
Contact the hospital or your GP surgery if:
- you have lots of fluid or blood coming from your ear, particularly if the fluid smells bad
- you have pain that's severe and is not relieved with painkillers
- you feel very dizzy or the dizziness does not improve in a few days
- your ear is red, swollen and itchy
Surgery to repair a perforated eardrum does not usually cause any serious problems.
But possible risks include:
- a wound infection, which can cause pain, bleeding and leaking fluid – contact the hospital or your GP surgery if you have these symptoms
- ringing or buzzing in your ear (tinnitus) – this usually improves in time, but can sometimes be permanent
- changes in taste – these are usually temporary, but can occasionally be permanent
- worse hearing or hearing loss, although permanent hearing loss is rare
- an inability to move muscles in part of the face – this may get better over time, but can be permanent in rare cases
Before you have surgery, talk to your surgeon about the possible benefits and risks of the operation.