Should ear cleaning be done for perforated eardrum with otitis media?

Whether ear perforation and otitis media can be cleaned depends on the specific condition of the patient. If a patient suffers from ear perforation or otitis media, it is recommended to seek medical attention promptly and undergo treatment under the guidance of a doctor.

If the patient's eardrum perforation is caused by trauma or inflammatory infection, and the perforation area is small without symptoms such as pus discharge or bleeding, it can generally be cleaned. However, it is necessary to avoid excessive force to prevent the condition from worsening.

If the patient's eardrum perforation is caused by acute suppurative otitis media, and the perforation area is large with obvious symptoms such as pain and pus discharge, it is not recommended to clean it. This is because the patient's local tissues are damaged, and blind cleaning may stimulate the local tissues, affecting recovery. In addition, if the patient suffers from underlying diseases such as diabetes, it is also not recommended to clean. This is because ear irrigation for diabetic patients with poor blood sugar control may cause infections.

For patients with ear perforation and otitis media, it is important to keep the ear canal clean and dry, avoiding water ingress in daily life. They should also maintain a light diet, avoiding spicy and stimulating foods. Patients also need to rest adequately, avoiding unhealthy habits such as excessive fatigue and staying up late.