Why is my hearing not coming back after flying?

Ear barotrauma (airplane ear) happens when your middle ear is affected by sudden changes in air and/or water pressure. Those pressure changes may happen if you're flying in an airplane, riding an elevator, diving to the bottom of a pool or scuba diving.



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Airplane ear is also called ear barotrauma, barotitis media or aerotitis media. 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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Changes in air pressure during flying can cause ear-drum pain and perforation, vertigo, and hearing loss. Barotitis is inflammation of the ear drum as a consequence of air pressure changes.

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Mild symptoms of ear barotrauma usually last a few minutes. If they last longer, you may need treatment for an infection or another problem. Serious damage, such as a burst eardrum, may take a few months to heal. Sometimes you may need surgery to repair the eardrum or the opening into your middle ear.

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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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While there is no scientific proof that earplugs actually help with in-flight ear pain, anyone who feels like they are a benefit should continue to use them to relieve their pain. Some other effective methods of reducing pressure include swallowing, yawning, blowing your nose, and chewing gum.

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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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Fluid or mucus sometimes accumulates in the middle ear for a few days after the flight, which may make hearing rather dull for a while. This happens if the Eustachian tube is still blocked, and is more likely if you had a cold before flying.

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Even severe injuries, such as a ruptured eardrum or ruptured membranes of the inner ear, usually heal on their own. However, in rare cases, an office procedure or surgery might be needed. This might include a procedure in which an incision is made in your eardrum (myringotomy) to equalize air pressure and drain fluids.

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