Perforated ear drum...

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lolarent

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Messages
25
Reaction score
4
Location
Alberta, Canada
# of dives
200 - 499
First times are not good for me. Let me explain.

The first time I went scuba diving (9 years or so ago), I perforated my ear drum out of inexperience with equalizing. It turned out to be a small perforation, and the ENT (ear-nose-throat specialist) told me that I had to stay out of the water for 6 weeks. I did, and have been happily scuba diving since. No more problems with my ears.

3 weeks ago, I went out for a scuba diving event with some friends. Part of the events were a freediving initiation. I happily joined, and we attempted a freedive to 40 ft. At 20 ft, I felt pressure on my ears, so I tried valsalva. I made the wise (???) decision to keep going down though, and at 30 ft I felt the familiar sensation of a bursting ear drum. Not good. I made it back to the surface, I experienced insane vertigo and someone had to tow me back to shore.

Long story short is that I end up at an ENT again (different ENT because I moved countries since my first experience). This ENT could not see a hole in my ear drum so told me that I did not perforate it. After lots of insisting on my end and tons of questions hinting at the fact that I did have a perforation (where does the liquid come from that leaks out of my ear, why do I hear air escaping from my ear when I blow my nose) she agreed to do an additional test, and she was surprised when she observed that I did have a hole. Again though, she couldn't see it and considered it medically insignificant.

Ok, now here comes my problem. This ENT says I am absolutely forbidden to go diving for 3 months. Well, let's compare that against my first experience when I had a perforation. The first time, the ENT could see the hole, so I would call that a bigger trauma versus the second time where the ENT cannot see a hole. The first time, I was not allowed to go diving for 6 weeks (with bigger trauma), and now the ENT says I can't go for 3 months.

The problem is that I have a dive trip planned about 5 weeks from now. I have been out of the water for 3 weeks already, so that gives me 8 weeks of healing time. Not the 3 months the second ENT suggests, but more time than I originally needed for a bigger injury.

So, here is my question: do you think I am ok to go diving after 8 weeks. Currently I do not hear any air escaping anymore when I put pressure (blowing nose), I feel no more pain, my hearing is about 95% restored, and I have no problems with vertigo or balance anymore, so the healing is well on its' way already.

If it matters: I am 38 years old, non smoker, no medical problems. I have about 250 dives, which is far from an expert, but I consider myself proficient at knowing how to equalize when on scuba (clearly not while freediving though ;-)

Your suggestions, hints, tips, opinions are very welcome!
 
Sorry to read of your troubles. I've never had a perforated eardrum so I have no firsthand experience to share.

FWIW, I think you'd increase your chances of getting a knowledgable opinion by moving this thread to the Diving Medicine sub-forum as that's where the medical mods tend to hang out.

I'll let someone else offer the suggestion of calling DAN. :wink:
 
Oops. I didn't know of the existence of the medicine sub-forum (sorry, reasonably new here). How do I move this thread?
 
I am not a doctor and have not played one on TV.

My theory when getting news I don't like is to get a second opinion.

I freedive a lot and clearing the ears is way easier on SCUBA. Freediving I can take 10 dives or more to equalise for a 30'+ dive but as you know now, never go deeper if you can't equalise quickly or properly. The pressure of depth can close my eustation tubes and make it impossible to clear untill I ascend and the pressure is removed, I clear and start back down, this takes time which limits my depth. No abalone is big enough for a trip to the doctor so I take my time, the dives are free.

I had my eardrum perforated on purpose by an ENT and it kept me out of the water for 6 weeks. Not a bit of fun as I remember.

Bob
-----------------------------------------
I may be old but I’m not dead yet.
 
Obviously, diving with a tympanic rupture would be ill-advised, since that would be an open invitation to a middle ear infection.

That being said, it three months seems to me to be a bit excessive. I suspect that your current ENT is not dive-savy, and is choosing to err on the side of caution. You might wish to get a second opinion or at least place a call to the good folks at DAN.

Personally, given the tiny size of your rupture, I'd give it 6 weeks and then get a tympanogram. If it's healed, you ought to be able to dive. I'd be extra cautious about equalizing, since the scar tissue left behind from both this and your prior injury might be more easily damaged. You do not say if this is the same ear, but it's something to consider.
 
Yes, for the record, it is the same ear. Thanks for the advice. I will call DAN and see what they suggest.
 
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