Difference between revisions of "Tympanic membrane rupture"

(Background)
Line 6: Line 6:
 
**Blast injury
 
**Blast injury
 
**Air travel
 
**Air travel
**Scuba diving
+
**[[Diving Emergencies|Scuba diving]]
 +
 
 
==Clinical Features==
 
==Clinical Features==
  

Revision as of 03:18, 4 April 2014

Background

  • Blunt trauma (hand blow to ear, fall, direct hit)
  • Penetrating trauma (Q-tip, matchstick, gunshot wound, welding spark)
  • Direct ear trauma
  • Barotrauma

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