Publisher - Ear, Nose & throat (ENT) Surgeon in Iran

Hello. The rupture of the eardrum requires surgery If it does not improve after 9 months. The operation may be performed from inside the ear or behind the ear depending on the size of the rupture of the eardrum. Furthermore, depending on the extent of the ear infection, a bone trim or mastectomy may be needed if the bone behind the ear is also involved. If you have not had a problem in the past and the eardrum perforation has occurred due to water entering the ear, it will usually improve with surgery and hearing will likely be better. With these conditions, you need to be examined for the amount of rupture and hearing loss caused by the rupture.

Hello. The problem you are facing now, i.e. the loss of sense of smell, is exactly one of the symptoms that can be caused by Coronavirus infection (Covid-19). This means that the patient can lose their sense of smell without any symptoms of a cold or a viral infection. Most of the time, this loss of smell sensation is temporary and disappears, and there is nothing to worry about. However, sometimes the loss of smell may be permanent. You do not need to do anything specific, and one of the treatments that can be used is the use of corticosteroids, but due to novel Coronavirus infection that may increase the severity of the disease, it is not recommended that the patient consume corticosteroids. Other things that can be done are using a wash serum (washing the nose with normal saline), and using multivitamins and special vitamin supplements that can help restore the sense of smell. If you have a stuffy nose, nasal congestion, or runny nose, you can also take antihistamines, but no other specific treatment can be used. I think it is just a good idea to get tested for Covid-19 virus. If your test is negative, so it might be a simple viral infection. Even a viral infection, such as cold, can cause symptoms of loss of smell, but given the current situation in this epidemic, Covid-19 is one of the main diagnoses that causes the loss of the sense of smell.

Hello. Concerning the sinusitis problem you asked about, its symptoms actually include a feeling of fullness on the sinuses, headache, nasal congestion, and discharge from the back of the throat. These symptoms are seen in sinusitis. But nasal allergies can also cause the same symptoms. So in order to differentiate whether your symptoms are just an allergy or a real sinusitis that has affected all the sinuses, you need to have a CT scan of your nose and sinuses. If you have a CT scan of your nose and sinuses, please send it to me to see it. The drug treatment is completely different based on the CT scan.

No matter how severe the septum deviation, it will never cause headaches and a feeling of fullness on the face or discharges from the back of the throat, and the most important sign of a deviated septum in the middle of the nose is nasal congestion and difficulty in breathing.

But hearing loss in the ear has nothing to do with the nose or sinuses. This is most likely a sudden sensorineural hearing Loss that occurs suddenly and for no apparent reason. Sometimes it may be a viral infection, an autoimmune disease or a series of disorders that we investigate by laboratory tests. Its treatment is corticosteroids, which usually need to be started at first for a period of a week. In 60% of cases, the hearing is restored, and in other cases, it may not return even with medication. To check for hearing loss and deafness, you should have a brain MRI to show whether there is a lesion on the auditory nerve that does not have a specific treatment. The only treatment for this deafness is cochlear implantation, which you can do to restore hearing.

For the nose and sinuses, to determine whether endoscopic or FESS surgery is required, you must have a CT scan for your nose and sinuses. After seeing your CT scan and examining it, I can tell you if functional endoscopic sinus surgery can help.