Can flying damage your eardrum?

Introduction. Changes in air pressure during flying can cause ear-drum pain and perforation, vertigo, and hearing loss. It has been estimated that 10% of adults and 22% of children might have changes to the ear drum after a flight, although perforation is rare. Symptoms usually resolve spontaneously.



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Generally, airplane ear does not pose problems unless there is any structural damage in the middle ear. Rare complications may include permanent hearing loss and chronic tinnitus [6],[7].

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Self-care steps — such as yawning, swallowing or chewing gum — usually can counter the differences in air pressure and improve airplane ear symptoms. However, for a severe case of airplane ear, you might need to see a doctor.

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Overview. Airplane ear (ear barotrauma) is the stress on your eardrum that occurs when the air pressure in your middle ear and the air pressure in the environment are out of balance. You might get airplane ear when on an airplane that's climbing after takeoff or descending for landing.

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Perforations of the eardrum often heal on their own, but this can take weeks. You may not be able to hear as well until the ear is fully healed. If your perforation has not healed after two months, you may need surgery to prevent permanent hearing loss.

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Many symptoms ease as soon as your eustachian tubes can manage air or water pressure changes. In some cases, you may need medication to manage congestion or inflammation. In that case, it may be a few days before your ears feel normal.

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Airplane ear typically lasts no longer than 20-30minutes from the time a plane starts to descend, however it is not uncommon for symptoms to last for up to an hour. If your symptoms, especially pain, persist for longer than one or two hours, you should call an ENT specialist.

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Airplane ear usually isn't serious and responds to self-care. Long-term complications can rarely occur when the condition is serious or prolonged or if there's damage to middle or inner ear structures. Rare complications may include: Permanent hearing loss.

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So, can you fly with a perforated eardrum? You can indeed! While flying with a ruptured eardrum can cause some discomfort, there is no medical evidence to say that you would be likely to come to any serious harm. That being said, it is always best to consult a doctor and get the final go-ahead before flying.

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It's recommended to wear the earplugs the entire flight, up until the airplane has landed and the cabin has been depressurized. It's best to practice the various equalizing methods long before your departure date so as to learn which methods work best for you.

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