Tympanic membrane rupture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
[[File:PerforationTympan.jpg|thumb|Perforated TM]] | [[File:PerforationTympan.jpg|thumb|Perforated TM]] | ||
*Ear pain | |||
*History of barotrauma or direct ear trauma | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Ear DDX}} | {{Ear DDX}} | ||
== | ==Diagnosis== | ||
*Typically clinical | |||
==Management== | ==Management== | ||
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*[[Otic barotrauma]] | *[[Otic barotrauma]] | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:ENT]] | [[Category:ENT]] | ||
Revision as of 18:42, 26 May 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
- Ear pain
- History of barotrauma or direct ear trauma
Differential Diagnosis
Ear Diagnoses
External
- Auricular hematoma
- Auricular perichondritis
- Cholesteatoma
- Contact dermatitis
- Ear foreign body
- Herpes zoster oticus (Ramsay Hunt syndrome)
- Malignant otitis externa
- Otitis externa
- Otomycosis
- Tympanic membrane rupture
Internal
- Acute otitis media
- Chronic otitis media
- Mastoiditis
Inner/vestibular
Diagnosis
- Typically clinical
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