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In this video we examine a medium sized perforation of the ear drum in the superior posterior quadrant. Ear wax and debris was removed so that the perforation edge could be clearly seen all the way around and images could be taken. Through the hole the incus and stapes can be seen joining together, known as the incudostapedial joint, and the stapedius tendon is possibly visible at 00:12. This patient was referred to an ENT consultant for consideration of myringoplasty, an operation where the perforation is grafted using fat, cartilage or fascia (muscle lining). To arrange an appointment for earwax removal or hearing aids, visit our website: https://www.durhamhearingspecialists.... Follow us on Facebook here: / durhamhearingspecialists Follow us on Instagram here: / durhamhearingspecialists Drops we use and recommend to soften earwax: Earol Olive Oil Spray UK LINK: https://amzn.to/2JQXw8e Earol Olive Oil Spray US LINK: https://amzn.to/3nmE6FX (60)