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http://webisa.webdatacommons.org/330543065
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Perforation: Perforation of the eardrum can be caused by a change in air pressure associated with flying or scuba diving, a foreign object such as a cotton swab used to clean the ears, or pressure caused by a middle-ear infection.
http://www.w3.org/ns/prov#wasQuotedFrom
mayoclinic.org