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my ear drum blew

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I would like to ask if you can help me get rid of a whistle noise that I hear in my left ear. The noise appeared when a guy hit my left ear with his palm and my ear drum blew. After a few months my ear drum healed but the noise I still hear. In the beginning the noise was stronger and as time passed the noise decreased, but now after 7 months I still hear some whistle and it is stronger when I chew and close my mouth and keep it closed under pressure. Can anyone help me?

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replied February 26th, 2011
Ear, Nose and Throat Disorders Answer A20078
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the whistle sound in your left ear even after 7 months of injury which led to the tympanic membrane rupture which is stronger while chewing and closing your mouth under pressure.
As your tympanic membrane has healed, your symptoms might be due to TMJ disorder for which you need thorough evaluation by your doctor. TMJ disorder usually occurs because of unbalanced activity, spasm, or overuse of the jaw muscles. Symptoms tend to be chronic, and treatment is aimed at eliminating the precipitating factors. Damaged jaw joints are suspected when there are popping, clicking, and grating sounds associated with movement of the jaw. Dental X-rays and computerized tomography (CT) scanning help to define the bony detail of the joint, while magnetic resonance imaging (MRI) is used to analyze soft tissues. Patients are advised to avoid chewing gum or eating hard, chewy, or crunchy foods such as raw vegetables, candy, or nuts. Foods that require opening the mouth widely, such as a big hamburger, are also not recommended. Anti-inflammatory medications such as aspirin, ibuprofen (Advil and others), naproxen (Aleve and others), or steroids can help control inflammation. Muscle relaxants, such as diazepam (Valium), aid in decreasing muscle spasms. TMJ exercises play an important role as does the stress management. Surgery is used as a last resort only when other therapies fail.
You must consult your physician for detailed evaluation as the same is not possible online.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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