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Have you been diagnosed with a small hole in the ear drum (tympanic membrane perforation)? Do you want to know how ENT specialists treat it without surgery? In this video, Dr. Sharad (ENT Surgeon) explains an office-based procedure that can help close small perforations of the ear drum: Trichloroacetic Acid (TCA) cauterization combined with cigarette paper patching. 👉 What you’ll learn in this video: What is a tympanic membrane (eardrum) perforation? Why small holes in the ear drum may not heal on their own ? How Trichloroacetic Acid (TCA) cauterization helps by stimulating the natural healing process? How a cigarette paper patch acts as a scaffold to support new tissue growth? Step-by-step overview of the procedure, safety, effectiveness, and expected outcomes. When this procedure is indicated, and when formal ear surgery (myringoplasty/tympanoplasty) is required. Evidence-based results from medical literature. 💡 This method is minimally invasive, safe, and cost-effective for selected patients. It is widely used for small, dry perforations of the ear drum, especially after trauma. ⚠️ Disclaimer: This video is for educational purposes only. Patients should not attempt any procedure without consulting a qualified ENT specialist. ⚠️ Who Should (and Shouldn’t) Get This Procedure? ✅ Good candidates: Small, central, dry perforations of the ear drum. Traumatic or fresh perforations that are not closing on their own. Patients who want a non-surgical option. ❌ Not suitable for: Large or marginal perforations. Infected or discharging ears. Cholesteatoma ear. Patients who need formal surgery (tympanoplasty). 📝 Patient Advice After the Procedure Keep the ear dry (no swimming, no water entry). Avoid nose blowing, forceful sneezing, or pressure changes. Do not insert any foreign body object inside the ear canal to scratch the ear. Follow-up regularly as advised by your ENT doctor. Understand that sometimes multiple applications are needed, and if it fails, surgery may be required.