The Neverending Perforated Eardrum

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Wormis

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My experience has been very bad with my perforated eardrum, but from what I have read on the internet, I am a very rare case.

I did it for the first time 9 years ago. about 3 months later after checking with a ENT doctor, I went on another dive. The ear felt a little strange, but it was fine. My next dive at about 30 feet of water with no excessive clearing the perforation happened again while performing the valsalva. I tried two more times to dive after that with no luck. the ear drum perforated both times with very light valsalva before reaching 15 feet. I gave up after that on SCUBA diving despite my over 100 dives and love for the sport.

About 5 years ago I lived on an island in southern Japan. The snorkeling was amazing. I snorkeled and could go down to about 10 feet if I went down slow and let my ears naturally equalize. One day while returning to the surface, it happened again merely by the expanding air from my accent. My eardrum seems to have gotten consistently weaker with each perforation.

I suspect that through blowing my nose with vairous colds and such that it has happened more than the six times that I have counted.

The last time was 2 1/2 months ago. I was doing a headfirst dive into a lake and the impact of the water on my eardrum perforated it again. My previous three times before I had not seen a doctor. This time, the doctor told me that it was such a huge hole that he couldn't imagine it healing so upon my return to Japan where I now live, I went to the ENT doctor here to get a referal for surgery that the doctor in the U.S. assured me would be needed. But they told me that it was healed and there was no need for surgery.

I am very frustrated. I have always wanted the injury to be bad enough so that I could have surgery covered by insurance. Even though my eardrum seems to heal enough to satisfy a doctor, everytime I try to dive or snorkel more than a few feet, I prompltly get another perforation! And now it seems I can't even jump into the water without it happening.

I don't know what to do!!! Please help!
 
My experience has been very bad with my perforated eardrum, but from what I have read on the internet, I am a very rare case.
...

The last time was 2 1/2 months ago. I was doing a headfirst dive into a lake and the impact of the water on my eardrum perforated it again. My previous three times before I had not seen a doctor. This time, the doctor told me that it was such a huge hole that he couldn't imagine it healing so upon my return to Japan where I now live, I went to the ENT doctor here to get a referal for surgery that the doctor in the U.S. assured me would be needed. But they told me that it was healed and there was no need for surgery.

...

I am very frustrated. I have always wanted the injury to be bad enough so that I could have surgery covered by insurance. Even though my eardrum seems to heal enough to satisfy a doctor, everytime I try to dive or snorkel more than a few feet, I prompltly get another perforation! And now it seems I can't even jump into the water without it happening.

I don't know what to do!!! Please help!



Well, there are two things to consider - one is that a healed perforation may in fact leave you with a weak area that can reperforate with pressure changes. But the other bigger issue is whether or not the diagnosis is correct.

Ears are notoriously difficult to examine accurately, and even ENT doctors can sometimes have trouble telling the difference between a perforation and a retraction pocket (two different things). Not to disrespect the many fine physicians who work with divers, but the ear is not something that is commonly managed by non-ENT docs, and it can be difficult to piece together the true story.

Also, the fact that one doctor told you that you had a large perforation and another one told you that it had healed suggests to me that one of these diagnoses might not be correct!

Of course, I have no idea what is going on with your ear myself, but if you haven't been seen by an otologist (an ENT doctor who specializes in ear problems) and had your ear examined under a microscope, then I wouldn't draw any final conclusions.

If you want to PM me with your location, I may be able to give you a local referral..

Best,

Mike
 
What island on your on, I know a good ENT doc on Okinawa.
 
Thats a bit far north - you might try posting for recommendations on the Zen divers sections as most of those guys live up north.
 
Dear DoctorMike,

As I said before, I live in Osaka and I am an hour away from Kobe and Kyoto. I would love a recommendation for a good ENT to go to. I have insurance here, but I don't know if will cover this. I paid out $60 bucks to get a surgery referal and the A**hole doctor charged me for it and told me there was nothing wrong with my ear even after I explained my history and what the doctor in America told me. This has been so frustrating-especially since I love diving!
 
Dear DoctorMike,

As I said before, I live in Osaka and I am an hour away from Kobe and Kyoto. I would love a recommendation for a good ENT to go to. I have insurance here, but I don't know if will cover this. I paid out $60 bucks to get a surgery referal and the A**hole doctor charged me for it and told me there was nothing wrong with my ear even after I explained my history and what the doctor in America told me. This has been so frustrating-especially since I love diving!

Sorry, I don't know any ENT doctors in Japan... but make sure that you see an otologist (an ENT doctor who specializes in ear problems).

Many general doctors have very limited experience looking at ears, and it can be pretty difficult to make an exact diagnosis unless you have a lot of experience and have a good ear microscope in the office...

Good luck, feel free to keep me posted!

Best,

Mike
 
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