Eardrum Retraction
Eardrum retraction happens when processes like scarring and pressure imbalance cause the eardrum to be pulled back, out of its normal position.
What is eardrum retraction?
Eardrum retraction is where the eardrum is pulled or sucked inwards, further into the middle ear than is normal. As a result, the structures in the middle ear can be damaged, and the eardrum can no longer separate the middle and outer ear as it should.
If left untreated, eardrum retraction can lead to complications such as permanent hearing loss, so it’s important to seek a diagnosis and treatment.
At Welbeck, our leading ear, nose and throat (ENT) specialists see patients with eardrum retraction in our state-of-the-art ENT centre. They use the most advanced diagnostics and treatment options to give the best possible care.
More information
In some cases, a retracted eardrum won’t cause any symptoms at all. However, if your eardrum pulls back far enough to put pressure on the ossicles (tiny bones in your middle ear), you may experience the following symptoms:
earache or pain
a feeling of fullness or pressure in your ear
drainage of fluid from your ear (otorrhea)
temporary hearing loss
permanent hearing loss
A retracted eardrum is caused by an imbalance of air pressure inside and outside the ear. This is often caused by blockages in the tubes that connect the inner ear to the throat (the Eustachian tubes). These blockages prevent air from entering and equalising the pressure in the ear.
Common causes of eardrum retraction include:
upper respiratory infections, such as colds
middle ear infection
fluid in the ears
chronic allergies
sinus infections
enlarged tonsils or adenoids
an unhealed eardrum perforation
scarring of the eardrum, which makes it less resistant to pressure changes
At your initial consultation, one of our ENT specialists will talk to you about your symptoms, your medical history, and examine your ear. Usually, this is enough to diagnose a retracted eardrum and determine the cause. Your consultant will be able to assess the severity of the condition and suggest the most appropriate next steps.
It’s not always possible to prevent eardrum retraction, but there are things you can do to reduce your risk:
never insert anything into the ear, including cotton buds
treat ear infections early – see a doctor if symptoms last more than a few days
protect your ears from pressure changes, for example, when flying – chew gum, yawn, or swallow during take off and landing
protect your ears from loud noises – wear earplugs or hearing protection if you’ll be near loud or explosive noise
manage allergies and other conditions that can lead to blocked tubes in the ears, nose and throat
If left untreated, eardrum retraction can lead to a range of complications, including:
hearing loss
repeat ear infections
skin growth behind the eardrum (cholesteatoma)
eardrum perforation (a hole in the eardrum)
In mild cases, treatment is often not needed for a retracted eardrum. However, it's important to have the condition assessed to ensure it doesn’t progress and lead to further complications such as chronic infections or permanent hearing loss.
In more severe cases, particularly if the retracted eardrum is causing infection, treatment might be needed to stabilise the air pressure inside your ears.
Common surgical procedures to treat eardrum retraction include:
tympanostomy – small tubes are placed into the eardrum to balance the pressure in the middle ear
tympanoplasty – surgery to repair a tear in the eardrum, if a perforation has caused the retraction
At Welbeck, our ENT specialists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Get in touch today to book an appointment.
Our specialists
Mr Robert NashConsultant Otologist & Auditory Implant Surgeon
Professor Shakeel SaeedConsultant Neurotologist & Skull Base Surgeon
Mr Jeremy LavyConsultant ENT Surgeon
Mr Rupert ObholzerConsultant Neurotologist & Skull Base Surgeon
Mr Joseph ManjalyConsultant ENT Surgeon, Otologist & Hearing Implant Specialist
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Frequently asked questions
No, a retracted eardrum is still intact but has been pulled inwards. A perforated eardrum has a hole or tear in it.
It’s usually safe to fly with a retracted eardrum, but the pressure changes may make symptoms worse. It’s recommended to check with your doctor for advice before flying.
You should not scuba dive with a retracted eardrum, as this can lead to further damage to the eardrum.
In most cases, the eardrum will return to normal either on its own or following treatment, and there will be no long-lasting effects.
In very mild cases, eardrum retraction may not lead to any symptoms and can go unnoticed and heal by itself.