Perforated eardrum
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| Perforated eardrum Classification and external resources | ||
| ICD-10 | H72. | |
|---|---|---|
| ICD-9 | 384.2 | |
| DiseasesDB | 13473 | |
| eMedicine | ent/206 | |
| MeSH | C09.218.903 | |
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Rupture or perforation (hole) of the eardrum can occur in infection, trauma (e.g. by trying to clean the ear with sharp instruments), explosion or loud noise. Flying with a severe cold can also cause perforation due to changes in air pressure and blocked eustachian tubes resulting from the cold. This is especially true on landing.[2]
Perforation of the eardrum leads to conductive hearing loss.
The perforation may heal in a few weeks, or up to a few months.[3] Some perforations require intervention - this may use a paper patch to promote healing (simple procedure in the office of an ear, nose and throat specialist), or surgery (tympanoplasty).[4][5]
Hearing is usually recovered fully, but chronic infection over a long period may lead to permanent hearing loss.
Diagnosis
Physical Examination
Ear Nose and Throat
| Picture of a central left tympanic membrane perforation[1]. | Picture of left tympanic membrane perforation[2]. | Picture of right inferior tympanic membrane perforation[3]. |
References
External links
- 19-220b. at Merck Manual of Diagnosis and Therapy Home Edition
- PERFORATIONS AND HEARING LOSS - Ear Surgery Information Center
- Ruptured eardrum - MayoClinic.com
- Perforated Eardrum - InteliHealth
- Should a Person With an Ear Infection, Sinusitis or a Cold Fly in an Airplane?- Purple Medical Blog
- Perforated Eardrum article on NHS Direct
Diseases of the ear and mastoid process (H60-H99, 380-389) | |
|---|---|
| External ear | Otitis externa |
| Middle ear and mastoid | Otitis media - Mastoiditis (Bezold's abscess) - Cholesteatoma - Perforated eardrum |
| Inner ear | Otosclerosis - Balance disorder - Ménière's disease - Benign paroxysmal positional vertigo - Vestibular neuronitis - Vertigo - Labyrinthitis - Perilymph fistula |
| Hearing impairment | Conductive hearing loss - Sensorineural hearing loss - Presbycusis |
| Other | Tinnitus - Hyperacusis |
| See also congenital | |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

