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A perforated eardrum (tympanic membrane perforation) is a prick in the eardrum. It can be caused by infection (otitis media), trauma, overpressure (loud noise), inappropriate ear clearing, and changes in middle ear pressure. An otoscope can be used to view the eardrum to diagnose a perforation. Perforations may heal naturally or require surgery.
Myringoplasty is the closure of the perforation of pars tensa of the tympanic membrane. [1] [2] [3] When myringoplasty is combined with removal of scar tissue, it is called tympanoplasty. The operation is performed with the patient supine and face turned to one side. The graft material most commonly used for the surgery is temporalis fascia.
In the middle of the nineteenth century the British otologists James Yearsley and Joseph Toynbee each developed their own form of artificial eardrum. Despite initial enthusiasm for these devices, experience amongst the medical profession over the following half century demonstrated their minimal value in the treatment of a perforated eardrum ...
Surgery for cholesteatoma offers the most advantages for using the endoscope instead of the microscope. Failures in cholesteatoma surgery are most common in certain areas of the anatomy of the tympanic cavity, such as the facial recess, sinus tympani, anterior attic, and the protympanum which are poorly accessed with the microscope. [12]
A myringotomy is a surgical procedure in which an incision is created in the eardrum (tympanic membrane) to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear. A tympanostomy tube may be inserted through the eardrum to keep the middle ear aerated for a prolonged time and to prevent reaccumulation of fluid ...
Perforated tympanic membrane: Discharge followed by pain improvement Mastoiditis* Children History of URI >10 days Recent history of URI or ear infection Fevers/chills May see signs of otitis media on exam Pain is located behind the ear with postauricular (i.e. near mastoid process) swelling* Diagnose with CT Chronic suppurative otitis media
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The oval perforation in this left tympanic membrane was the result of a slap on the ear four days previously. The sudden increased air pressure in the external auditory canal produced this traumatic blast perforation. Acoustic trauma is the sustainment of an injury to the eardrum as a result of a very loud noise.