Large perforation: unknown cause.

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Hi there. New to the forum. Have had long-standing ETD for twenty years and numerous t-tubes and grommets. The last few months i've noticed this big hole where the t tube is normally situated. My hearing is okay apart from a loss of low frequencies. Seeing my ENT consultant in three weeks, so any info would or ideas would be most welcome. image

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    I have similar issues to you having had a grommet many years ago for adult glue ear ( in my 30 s )

    in the last 3 years Ive had an ear drum repair and 2 further perforations.

    I have earache/ pain frequently.

    recently After waiting 8 months I saw an NHS ENT consultant who said I have a tmj problem hence the earache. Being a dental professional Im fully aware of how bruxing causes ear pain but I wasnt convinced by his diagnosis.

    I paid for a private consult with another consultant who thought my symptoms indicated ETD.

    I was advised that after a Grommet is used a tiny perforation / weakness is left in the

    typanic membrane which increases the chance of further Perfs, also the drum is scarred..

    when I looked at the camera images of my ear drum it looks like an old net curtain ! I still have a tear outside the repair !

    so Im between two opinions. Im de congesting daily with steam inhalation and steroid nasal spray to keep the eustachian tube open but still have pain.

    I understand from some research tmj issues can cause some congestion but dont know ifvthis would cause a perf.

    your hole could be a small perforation or an incidental finding on the image ?

    Do you get ear pain ?

    Id be interested to see what your ENT consultant says.

    take care

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