Hi,
The patient is a female of 34 suffering from Eustachian tube
deformity since childhood, put in numerous ear tubes called grommets which extrude within 6 months, underwent Eustachian tube
reconstructive surgery, still suffers from
ear pain and ear drum is eroded away.
- The cause is so obvious hence there may be a congenital problem which may not be fully treatable.
- The cause must be evaluated further for ear pain.
HR-CT that is
high resolution CT scan of mastoids/ears will help to know the status of mastoid air cells and will tell if mastoid surgery is needed or not.
-
Audiometry.
- Any other relevant tests of blood and urine.
Once a proper diagnosis has been made, it will give both a way to treat further and prognosis as to how much improvement can be done.
- If the mastoid cavity is normal then a perforated ear drum is actually working as aeration of middle ear cavity hence the insufficiency of Eustachian tube does not cause much problem.
Most of the surgical procedures for Eustachian tubes are not much effective hence wait till proper evaluation and medical management shows the results.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon