Tympanic membrane rupture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:PerforationTympan.jpg|thumb|Perforated TM]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 19:12, 1 March 2015
Background
- Blunt trauma (hand blow to ear, fall, direct hit)
- Penetrating trauma (Q-tip, matchstick, gunshot wound, welding spark)
- Direct ear trauma
- Barotrauma
- Blast injury
- Air travel
- Scuba diving
Clinical Features
Differential Diagnosis
Workup
Management
- Isolated small tympanic membrane perforations
- Antibiotic ear drops for contaminated wounds
- Water precautions (keeping water out of the middle ear)
- Reevaluation
- Significant hearing loss (≥40 dB), vertigo, nystagmus, ataxia, or facial nerve injury
- Urgent evaluation by ENT
Disposition
- Outpatient management