Skip to main content

Perforated Tympanic Membrane

Jordan I. Teitelbaum, DO and Richard T. Klapchar, DO, FOCOO Reviewed 06/2019
 


BASICS

DESCRIPTION

  • The tympanic membrane (TM), or “eardrum,” is a thin, three-layered barrier that separates the external auditory canal (EAC) from the middle ear space and hearing bones (ossicles). Al...

DIAGNOSIS

HISTORY

  • Otorrhea/ear drainage (pus, blood, or clear fluid)

  • Otalgia or earache consistent with AOM (perhaps associated with sudden relief)

  • Tinnitus or buzzing

  • Self-audible whistling from the ear ...

TREATMENT

GENERAL MEASURES

  • Most TM perforations are nonurgent and do not require immediate evaluation by an otolaryngologist (ENT). Often, they can be managed with ototopical drops and pain control to ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Follow-up should be done to confirm TM healing and to obtain an audiogram.

  • It is vital to reexamine the ear, especially after an episode of infec...

REFERENCES

1
Rye MS, Blackwell JM, Jamieson SE. Genetic susceptibility to otitis media in childhood. Laryngoscope.  2012;122(3):665–675. [View Abstract on OvidMedline]
2
Naylor JF. Otoscope fogging:...

ADDITIONAL READING

  • Jensen RG, Koch A, Homøe P. Long-term tympanic membrane pathology dynamics and spontaneous healing in chronic suppurative otitis media. Pediatr Infect Dis J.  2012;31(2):139–14...

CODES

ICD10

  • H72.90 Unsp perforation of tympanic membrane, unspecified ear

  • H72.00 Central perforation of tympanic membrane, unspecified ear

  • H72.2X9 Other marginal perforations of tympanic membrane, unsp e...

CLINICAL PEARLS

  • To evaluate a patient with a suspected TM perforation, history and physical exam will usually suffice. Audiogram will ultimately be necessary for nonhealing perforations, and imaging m...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×