Difference between revisions of "Tympanic membrane rupture"

(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Workup== ==Management== ==Disposition== ==See Also== ==Sources== <references/> Category:ENT")
 
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==Background==
 
==Background==
 
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*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
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**Scuba diving
 
==Clinical Features==
 
==Clinical Features==
  
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==Management==
 
==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==
 
==Disposition==

Revision as of 22:57, 31 March 2014

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

See Also

Sources