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My son went through several sets of tubes before they decided to lance the drum. While it wasn't 40% of the drum, it was still a hole. We kept water out as much as possible, and the hole did it's job of allowing the inner ear to drain.
He's 16 now, and his hearing is normal. Not sure if the hole is still there or if it healed.
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I wish I still had 9111113443...
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