Traumatic tympanic membrane rupture| symptoms, differential diagnosis and treatment

Dr.Tamer Mobarak

Last update :

Causes of tympanic membrane rupture

Self induced as during cleaning.
During ear wash.
Slap on the ear.
Otitic baro trauma.
Blast injuries; compression and rarefaction waves.

Symptoms and signs of traumatic tympanic membrane rupture:

Deafness.
Otalgia (pain in the ear).
Bleeding per ear (does not clot if mixed with CSF).
T.M perforation (see the table).
Blood clots in external auditory canal EAC.
Tuning fork: Conductive deafness.

Differential diagnosis of traumatic from pathological perforation of tympanic membrane

Treatment of Traumatic tympanic membrane rupture

a- Conservative

- Keep ear sterile, no water entry or ear drops

- Systemic antibiotics, nasal decongestants & avoid nose blowing.

- In most cases it heals spontaneously.

b- Surgical

Myringoplasty in persistent perforation (after 6 months).
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