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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ear Pain, Have Discharge, Ear Drum Ruptured, Painful, Persistent. Go For Surgery?

Hi, I have deep ear pain with some discharge . My ear drum ruptured 5 years back and was corrected by surgical procedure. From last year I have mild pain in my ear with discharge. The symptoms come and go and the pain is not heavy or persistent. Back of the ear seems a bit swollen and hard but no pain. I am not sure if the swelling is there after the surgery. Please advise. Thanks
posted on Fri, 8 Mar 2013
Twitter Sat, 9 Mar 2013 Answered on
Twitter Mon, 11 Mar 2013 Last reviewed on
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ENT Specialist,  's  Response
Hell.
Thanks for writing to H.C.M. for your query.
I have gone through clinical history regarding ear discharge and mild to moderate pain in ear. As you said that that you have been operated for perforation in ear drum about 5 years back. From last 1 year you are having off and on ear discharge and pain. By your clinical history few possibilities for pain and discharge comes in mind-
(1) Recurrence of past pathology.- Commonly found in cases of cholesteatoma of ear were recurrence is quite common.
(2) As a complication of recurrent upper respiratory tract infection.
(3) perforation of grafted ear drum.
Before reconstructive surgery you are advice for these investigations.-
(1) C.T.scan of paranasal sinuses- to rule out recurrent upper respiratory tract infection.
(2) C.T.scan of ear (H.R.C.T.).
(3) Culture and sensitivity of ear discharge.
(4) Blood - CBC, blood sugar F & P.P.
(5) Urine Routine & Microscopic.
(6) Audiometery.
By thorough clinical examination and their co-relation with above investigations one can reach to correct diagnosis which is than accordingly plan for treatment.

With Regards.
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Ear Pain, Have Discharge, Ear Drum Ruptured, Painful, Persistent. Go For Surgery?

Hell. Thanks for writing to H.C.M. for your query. I have gone through clinical history regarding ear discharge and mild to moderate pain in ear. As you said that that you have been operated for perforation in ear drum about 5 years back. From last 1 year you are having off and on ear discharge and pain. By your clinical history few possibilities for pain and discharge comes in mind- (1) Recurrence of past pathology.- Commonly found in cases of cholesteatoma of ear were recurrence is quite common. (2) As a complication of recurrent upper respiratory tract infection. (3) perforation of grafted ear drum. Before reconstructive surgery you are advice for these investigations.- (1) C.T.scan of paranasal sinuses- to rule out recurrent upper respiratory tract infection. (2) C.T.scan of ear (H.R.C.T.). (3) Culture and sensitivity of ear discharge. (4) Blood - CBC, blood sugar F & P.P. (5) Urine Routine & Microscopic. (6) Audiometery. By thorough clinical examination and their co-relation with above investigations one can reach to correct diagnosis which is than accordingly plan for treatment. With Regards.