Tympanic membrane rupture: Difference between revisions
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==Background== | ==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== | ==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