Question Diving with atrophic eardrum

Please register or login

Welcome to ScubaBoard, the world's largest scuba diving community. Registration is not required to read the forums, but we encourage you to join. Joining has its benefits and enables you to participate in the discussions.

Benefits of registering include

  • Ability to post and comment on topics and discussions.
  • A Free photo gallery to share your dive photos with the world.
  • You can make this box go away

Joining is quick and easy. Log in or Register now!

aguriga

New
Messages
4
Reaction score
1
Location
Spain
# of dives
25 - 49
Hello everyone

I would like to seek advise from someone who has suffered the same pathology. Sorry if there are mistakes, English is not my mother language.

I started diving this year (certified by PADI in February) and since then I’ve performed 42 dives. When I started I didn’t know I would like this sport so much, now all I think about it’s next time I can go diving (sadly for me sea it’s far away from where I live).

Prior to starting the OWD I was worried because years ago I got a tiny hole eardrum with a subsequent middle ear infection. I was very unlucky and due to that my tympanic membrane now is weaker than it should be (it’s called atrophic or flaccid tympanic membrane). The ENT told me that a healthy eardrum should have three layers, mine only has one so when I equalize the left eardrum instead of going back to normal it stays in a bulged position, like an inflated balloon.

From the first dive to the 35th it went really well, I had no problems at all (I didn’t know I had the problem in the left eardrum), but in one dive I felt something was wrong and I surfaced. Performing Valsalva I noticed air was coming out from my ear, so again I had another tiny perforation (no hearing loss, it healed in two months). I went to the ENT and performed some test, but it had to heal. When the hole closed I started diving again, 7 dives nothing special about them.

Few days ago I went back to the ENT and it was at that moment when he told me for the first time that my eardrum is atrophic. Because it is weaker than a heathy eardrum it is more prone to perforations and advised me not to dive again. There was nothing that it could be done to solve that.

When he told me that I was devastated. I really don’t conceive my life now without diving. In 42 dives I only had one problem, and I really think it was my fault. It’s true that a perforation underwater it could be a really serious problem, but I think that being cautious I could continue diving. Now I’m using the pro ear mask and it works really well. There has been two or three times that I refused to dive because I didn’t feel good. If I think there’s going to be a problem I prefer to stay on the boat, I don’t like taking unnecessary risks.

I will seek the advise of a diving ENT, but in the meantime I would like to read you thoughts, and if someone with the same issue could give me an advise o would be really grateful. I really don’t want to stop diving.

Thank you for reading
 
@doctormike

Tagging our resident expert.

Given your history I would recommend that you seriously consider the advice of the ENT you spoke with. As you found out first-hand, you are at higher risk of re-perforating the eardrum, which could lead to further injury regardless of whether water enters the middle ear or not. If you choose to dive again, you are accepting that risk. It does seem like you are aware of when you might not be able to equalize and are sitting out dives in those circumstances, which is helpful. This is not a product endorsement or recommendation, but I know a diver with chronically perforated eardrums who has used the Pro-Ear mask successfully in some pretty aggressive dives. It will not prevent perforation, but if it's used properly and functioning correctly it will mitigate the risk of water entry should the eardrum perforate.

Best regards,
DDM
 
As usual, I agree with what @Duke Dive Medicine says!

But I will say that if you have an area of the TM that is problematic in any way (retraction pocket, perforation, cholestatoma, etc), sometimes tympanoplasty surgery with cartilage grafting can help.

You don't need a "diving ENT", there really isn't such a thing. You need a good otologist (ear specialist).

I don't know anyone in Spain - is that where you are now?
 
Thanks for your help! Is really useful.

I’m seeking advise of a 'diving' ENT because maybe he has seen a similar case. I understand that my situation is not the best, but up to this moment I’ve been diving with just one incident that could have been avoided (rookie mistake). Maybe there something that can be done to continue diving

As I have said if I know perfectly when I shouldn’t dive. I feel when I will not be able to equalize. Happened three times, last one on a diving trip to the Dominican Republic (what a pity). Other thing would be if in the middle of the dive I couldn't equalize, but that never happened to me.

Cartilage graft could be an option, but at this moment thou my eardrum is weaker is healthy. I do not have any perforation or further problem.

I live in Spain.

Thank you so much!
 
https://www.shearwater.com/products/swift/

Back
Top Bottom