tympanicmembraneperforation-131223002414-phpapp02

7/25/2019 tympanicmembraneperforation-131223002414-phpapp02

1/10

YMPANIC MEMBRANE

PERFORA ION


2/10


3/10

Etiology

Direct force

Careless while removalwa !y himself or herself

"#$ll fract$re may tear TM

%ot slag fly i&to the ear Indirect force

Increase in

violence and

frearms

Barotrauma


4/10

Associate' com(licatio&s

Is $s$ally associate' with TM or i&&er ear tra$ma $&less Iatroge&ic

Ossic$lar 'isco&ti&$ity

Facial Nerve I&)$ry Chor'a tym(a&i Nerve I&)$ry

Barotra$ma to "ta(es foot(late


5/10

Cli&ical ma&ifestatio&s

Otalgia

Blee'i&g

F$ll&ess %eari&g loss* co&'$ctive %+ o

r mie' %+

Ti&&it$s "ha(e of (erforatio& is s(lit


6/10

Physical eami&atio&

Tym(a&ic (erforatio& Ce&tral (erforatio&

Margi&al (erforatio& Bloo' cr$st

If s#$ll !ase fract$re is occ$rre' with C

"F lea#age, clear fl$i' is o!serve'-


7/10

Diag&osis

Otosco(ic eami&atio& The a$'iometry ca& (rovi'e $sef$l

i&formatio&s- Co&'$ctive %eari&g loss . /0'! s$s(i

cio& for ossic$lar 'isco&ti&$ity

%eari&g test reveals se&sori1&e$ral %eari&g +oss, it mea&s i&&er ear i&)$ry


8/10

Ma&ageme&t A&ti!iotic to (reve&t i&fectio&

Ase(tic eter&al a$'itory ca&al with alcohol

Preve&t s$(er res(iratory i&fectio&

Prohi!it &asal !low

Prohi!it ear 'ro(s

It ta#es 21/ wee#s to heal the ear 'r$m

If 2 mo&ths later, (erforatio& still eists, myri&g

o(lasty is i&'icate'-


9/10

Preve&tio&s

Be ca$tio& while removi&g yo$rwa

3si&g ear (l$g


10/10

The E&'

Documents

tympanicmembraneperforation-131223002414-phpapp02