
Wondering if you can fly with a perforated eardrum? A quick fact: myringoplasty is the medical term for repairing this condition. Many travelers worry about how flying might affect their ears, especially if they have a pre-existing condition like a perforated eardrum. So that’s why we decided to write about it!
The good news is that in most cases, it is safe to fly with a perforated eardrum. This article will explore flying safe with a perforated eardrum, potential risks and benefits, and tips for a more comfortable journey.
Key Takeaways
- A perforated eardrum is when you have a hole or tear in the ear membrane. It can cause pain, hearing loss, and infection.
- Flying with this condition may lead to more problems due to cabin pressure changes during take-off and landing
- To avoid trouble while flying, try using special earplugs, chewing gum, or yawning to help balance your ear pressure
- Surgery like myringoplasty might be needed if your eardrum doesn’t heal on its own
- Taking care of an injured eardrum means keeping water out of your ear and not blowing your nose too hard
How Flying Affects the Ears
Flying can have significant effects on the ears due to sudden change in cabin pressure during takeoff and landing. As an aircraft ascends, the air pressure in the cabin decreases, causing the air in the middle ear to expand. This creates a slight outward pressure on the eardrum.
During descent, the opposite occurs – cabin pressure increases, causing the eardrum to be pushed inward. The Eustachian tube plays a crucial role in equalizing this pressure difference between the middle ear and the cabin. Normally, it opens briefly when you swallow or yawn, allowing air to flow in or out of the middle ear to match the changing cabin pressure.

For most people, these pressure changes cause ear symptoms but only minor ear discomfort that can be relieved by swallowing, yawning, or chewing gum. However, individuals with a perforated eardrum may experience different sensations. Interestingly, those with a perforated eardrum often feel less discomfort during flights because the hole in the eardrum allows for easier pressure equalization.
The air can pass freely between the middle ear and the outer ear canal, bypassing the need for the Eustachian tube to open. While this might seem counterintuitive, it actually results in less pressure buildup and therefore less pain or discomfort during altitude changes.
Understand Flying Safe With a Perforated Eardrum
A perforated eardrum means you have a tiny hole or tear in the thin tissue that separates your ear canal from your middle ear. This can come from loud sounds, infection of the middle ear, or even poking your ear with objects like cotton swabs.

Symptoms and Diagnosis
If your ear hurts suddenly, you can’t hear well, or you notice ringing sounds, these might be signs of an ear infection for a perforated eardrum. Sometimes, blood or pus comes out of the ear. These are warning signals.
An ENT doctor uses an otoscope to check for these problems. They might do more tests if needed.
Pain in the ear, liquid coming out like mucus or blood, trouble hearing, loud noises in the ear called tinnitus, feeling dizzy called vertigo and fever show symptoms of a perforated eardrum. In severe cases, one side of the face might feel weak.
Treatment Options
Having a perforated eardrum can be troubling, especially if you love to travel. The good news is, with the right treatment, you can heal and hit the skies again.
- Over-the-counter painkillers are your first go-to. They ease the ear pain and make you more comfortable.
- Keep water out of your ear. This prevents middle ear infection, which could delay healing. Use ear plugs or a cotton ball coated with petroleum jelly when showering.
- If things don’t get better in a few weeks, a doctor might suggest surgery. Two types are common: Myringoplasty and tympanoplasty. Both help close the hole in your eardrum.
- Sometimes, an ENT doctor will put a tiny patch over the tear if it’s small enough. This encourages natural healing.
- Avoid flying until your doctor says it’s OK. Changes in air pressure when flying can hurt and might harm your eardrum more.
- Stay away from blowing your nose hard or putting anything into your ear, like cotton buds. These actions can mess with the pressure in your ears.
- Use prescribed eardrops if an infection develops—follow the instructions carefully for how many drops and how often.
- A specialist referral comes into play if your ear doesn’t heal within 3-4 weeks or if new cause of ear symptoms of an ear infection pop up.

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How to Avoid Perforated Eardrum Before Flying
To avoid a perforated eardrum before flying, it’s essential to take several precautions. First, ensure any existing ear infections or congestion are treated before your flight, as these conditions can increase the risk of eardrum perforation during air pressure changes. Consider using a decongestant nasal spray or oral decongestant before the flight if you have any nasal congestion to help keep your Eustachian tubes clear.
During takeoff and landing, actively work to equalize pressure in your ears by yawning, swallowing, or chewing gum. You can also try the Valsalva maneuver – gently blowing out while pinching your nostrils closed and keeping your mouth shut – to force air into the Eustachian tubes. Using filtered earplugs designed for air travel can help regulate pressure changes more gradually.
If possible, avoid flying if you have a severe cold, sinus infection, or ear infection, as the congestion increases risks. Refrain from using cotton bud or other objects to clean inside your ears before flying, as this can irritate the eardrum. Consider taking an oral decongestant about 30 minutes before the flight if you’re prone to ear pain while flying. Staying hydrated by drinking plenty of water before and during the flight can also help.
Is it Safe to Fly With a Perforated Eardrum
Wondering if it’s okay to fly with a hole in your eardrum? It’s a good question, given how flying affects our ears.
Potential Risks During Flight
Flying with a perforated eardrum can cause some issues, especially when the plane is going up or coming down. These are times when air pressure in the cabin changes fast. Your middle ear feels this change deeply.
If your eardrum has a hole, it’s harder for your ear to deal with these shifts. You might feel sudden pain or have trouble hearing. Sometimes, you could hear ringing sounds or find blood or pus coming out of your ear.
These problems can lead to temporary hearing loss or infection in the middle ear. In extreme cases, you could get long-term dizziness known as vertigo. Flying doesn’t always make these issues worse for everyone with a busted eardrum, but it’s good to know what might happen.
Precautions and Recommendations
Traveling with a perforated eardrum can make you worry. But, with the right steps, you can fly safely and keep discomfort at bay.
- Avoid flying if you have a cold or allergies that are active. These conditions can block your Eustachian tube, making ear pressure problems worse.
- Use pressure-equalizing earplugs before take-off and landing. These plugs help balance the air pressure in your ears with the cabin pressure.
- Chew gum, yawn often, or suck on sweets during ascent and descent. This helps to open up the Eustachian tubes and equalize pressure.
- Consider buying travel insurance that covers ear problems. If an issue pops up, you won’t have to worry about the costs.
- If your doctor gives you pain medication, use it as advised before flying. It can ease any discomfort during your flight.
- Stay awake during take-off and landing to actively manage ear pressure by swallowing or yawning.
- If possible, select seats away from the plane’s engines where sudden loud noise and levels are lower to avoid further stress on your ear.
Treatment Options for a Perforated Eardrum
Most cases of perforated eardrums heal naturally within a few weeks to months without intervention. However, during this healing period, it’s crucial to manage new symptoms and prevent complications. Over-the-counter pain relief medications such as acetaminophen or ibuprofen can help alleviate discomfort and reduce inflammation.
For persistent or larger perforations, medical intervention may be necessary:
- Ear patches: Your doctor may apply a patch made of paper or other materials to the eardrum. This patch acts as a scaffold, encouraging the eardrum to heal around it
- Prescribed eardrops: Antibiotic eardrops may be prescribed if there’s a risk of infection. However, these should only be used under medical supervision, especially if there’s a possibility of the drops entering the middle ear through the perforation.
- Myringoplasty: This is a surgical procedure used for smaller perforations. It involves placing a graft of tissue over the hole in the eardrum to encourage healing.
- Tympanoplasty: For larger or more complex perforations, this more extensive surgery may be necessary. It involves not only repairing the burst eardrum but also addressing any damage to the small bones of hearing in the middle ear.
In addition to these treatments, your doctor may recommend:
- Avoiding activities that can create pressure changes in the ear, such as flying or scuba diving, until the eardrum has healed.
- Refraining from blowing your nose forcefully, as this can impede healing and potentially worsen the perforation.
- Regular follow-up appointments to monitor the healing process and ensure no complications arise.
Proper treatment not only aids in healing but also helps prevent potential complications such as hearing loss or chronic inner ear infections. Your health care provider can assess the extent of the perforation and recommend the most appropriate treatment plan tailored to your specific situation.
Final Thoughts
Flying with a perforated eardrum can be okay. Yes, there are risks — like more ear pain or an infection getting worse. But, the hole in your eardrum might make atmospheric pressure changes less of a problem for you.
Always talk to a doctor before you fly, especially if your ear is not feeling right. They can tell you what’s best for your situation and might suggest ways to keep your ears happy during the flight.

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Frequently Asked Questions
What are the risks of air travel with a ruptured eardrum?
Air travel with a ruptured eardrum can be uncomfortable and painful. The change in air pressure during takeoff and landing can cause the eardrum to expand or contract, leading to pain, dizziness, and hearing loss. However, according to Medical Health Authority, flying with a perforated eardrum is generally safe, as long as you take the necessary precautions.
How can one manage pain while flying with a damaged eardrum?
To manage pain while flying with a eardrum rupture, you can try the Valsalva maneuver. This involves gently blowing air through your nose while keeping your mouth closed and pinching your nostrils shut. This will help equalize the pressure in your ears. You can also try chewing gum or sucking on candy to help stimulate saliva production, which can also help equalize the pressure. However, if you experience severe pain or discomfort, you should consult a doctor before flying.
Are there any complications from flying with an ear infection and a perforated eardrum?
Flying with an ear infection and a perforated eardrum can lead to complications such as severe pain, hearing loss, and even damage to the inner affected ear. It is important to consult a doctor before flying if you have an ear infection or a history of ear problems.
Is it safe to swim with an ear condition such as a perforated eardrum?
Swimming with an ear condition such as a perforated eardrum can increase the risk of infection and damage to the ear. It is best to avoid swimming until the eardrum has fully healed.
What precautions should be taken if water enters an ear with a perforated eardrum?
If water enters an ear with a perforated eardrum, it is important to dry the ear thoroughly and avoid getting water in the ear in the future. You can use earplugs or a swim cap to prevent water from entering the ear. If you experience pain or discharge from the ear, you should consult a doctor.
What is the typical healing time for a perforated eardrum?
The healing time for a perforated eardrum varies depending on the severity of the injury. A minor perforation may heal within a few weeks, while a larger perforation may take several months to heal. It is important to follow your doctor’s instructions and avoid activities that may further damage the eardrum patch during the healing process.