Any change in the voice lasting for more than 15 days should be considered seriously and a detail workup like x-ray chest and direct laryngoscopy should be done. What are the effects of perforation of Ear Drum?
• Because of perforation in ear drum infection may spread from outer canal to middle ear and mastoid bone. • A perforation causes hearing loss and discharge from the ear. • Medication will control the ear discharge for the time being but unless the perforation is closed by surgery (Tympanoplasty) it will never heal completely. • If the infection spreads to the mastoid bone surgery should be done as early as possible. Otherwise it may become life threatening situation. Child who is 18 month old and has not started speaking. • Child needs hearing tests. • Brain stem Evolk Response Audiogram needs to be done to rule out hearing loss. • If hearing is normal and neurologically there is no deficit, child will start speaking. • If BERA is abnormal, child will need some more investigations. How should we clean the ear of a child? Normally no cleaning is required. Ear canalis shape is such that any dust or wax will come out on its own. 2 years old child has swallowed a Foreign Body (Coin-Peanut
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