Hi, so I have a permanently perforated eardrum that I've been talking to my ENT about getting fixed. I've brought up to her that I have what I originally thought was middle ear myoclonus, but apparently this should be less pronounced with the perforation, and fixing the hole would potentially make it worse.

She mentioned that she thought it might not be myoclonus, and that the shape of the damaged eardrum is causing reverberations in the middle ear from sound waves that cause a similar fluttering sensation. The fluttering or "spasms" I feel is usually in response to sound. Like if someone is talking I can hear my middle ear vibrating in cadence with their voice. If this is the case, then fixing the hole could possibly alleviate these symptoms.

I don't doubt my doctor, but was wondering if there are any other cases like this or any more info I can read up on. I've been Googling this for the past few weeks and all my symptoms seem consistent with tensor tympani spasms. I just want to make sure getting the tympanoplasty isn't going to make this condition worse.