Tympanic membrane rupture

(Redirected from Ruptured tympanic membrane)

Background

Ear anatomy

Causes

Clinical Features

Smaller perforation
Larger perforation (acute)
Larger perforation (chronic)

Differential Diagnosis

Ear Diagnoses

External

Internal

Inner/vestibular

Evaluation

  • Typically clinical

Management

  • Isolated small tympanic membrane perforations
    • Antibiotic ear drops for contaminated wounds - ciprofloxacin suspension (more appropriately viscous than solution)
    • Water precautions (keeping water out of the middle ear), avoid forceful Valsalva
    • Reevaluation with PCM, typical healing within 4-6 weeks
  • In children after TM perforation due to otitis media, PO antibiotics preferred over topical
  • Significant hearing loss (≥40 dB), vertigo, nystagmus, ataxia, facial nerve injury, large perforation with folded over edges, prolonged healing
    • Urgent evaluation by ENT

Disposition

  • Outpatient management

See Also

References

Authors:

Ross Donaldson