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When there is no eardrum, and outer and middle ears are intact, the hearing loss would be 40 decibels. Depending on the size of the ear drum perforation,n the hearing loss will be from 10 to 40 dB, and if the drum is not present, it should result in 40 dB. The sound that comes to the ear will not be similar to the muffled sounds one hears when fluid is in the middle ear. Instead, it will be a normal sound, but the threshold for hearing will be 40 dB. The person can hear from that particular ear only if the sound intensity is more than 40 dB. I never had any patient with big perforation describing the sounds they hear as muffled. But they often hear some ringing noises, which is attributed to the perforated drum. When the eardrum is removed surgically, the patient will experience the following in addition to the hearing loss discussed above.
1. The conductive hearing loss over time and with aging can progress into nerve-related hearing loss due to decreased stimulation of the nerve due to the hearing loss. If we perform a tympanoplasty and give a fresh eardrum to the patient, this can be prevented, and the hearing loss is bridged. But this possibility is after long periods, say a few decades.
2. Since the middle ear is not protected by an eardrum, water will enter while swimming and bathing. Consequently, the middle ear mucosa has a high chance of getting infected, and the ear can start discharging. The infection can further decrease hearing loss, dizziness, earache, fullness, etc. Repeated infection in the middle ear can cause complications that can be serious. Sometimes the infection can develop into a cholesteatoma which tends to eat away bones and progress into the skull. However, one can wear an ear plug to prevent water entry. I hope this answers your doubts.
Thank you.