A member asked:

Ear tube fell out 15 years later. very possible perforated ear drum but the ear may still be impacted with wax. will a doctor try to flush out the wax?

3 doctors weighed in across 2 answers

Yes: If impacted with wax this needs to be cleared out so as to be able to visualize the ear drum.

Answered 3/18/2013

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Perforation: If there is a suspected ear drum perforation do not allow the ear to be flushed. Cleaning with direct visualizing the ear canal with a microscope is how it should be dealt with.

Answered 5/2/2013

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