eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid
Middle Ear, Tympanic Membrane, Perforations: Follow-up
Updated: Sep 25, 2009
Outcome and Prognosis
Uncomplicated tympanic membrane perforation (TMP) requires no treatment. Perforations remain stable, and prognosis for absence of morbidity is good. Repaired drums reperforate in as many as 10% of patients. Potential for late perforation and the potential for formation of cholesteatoma mandate regular follow-up care for many years after apparently successful surgery.
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References
Nelson SM, Berry RI. Ear disease and hearing loss among Navajo children--a mass survey. Laryngoscope. Mar 1984;94(3):316-23. [Medline].
Golz A, Netzer A, Joachims HZ, et al. Ventilation tubes and persisting tympanic membrane perforations. Otolaryngol Head Neck Surg. Apr 1999;120(4):524-7. [Medline].
Van Zuijlen DA, Schilder AG, Van Balen FA, et al. National differences in incidence of acute mastoiditis: relationship to prescribing patterns of antibiotics for acute otitis media?. Pediatr Infect Dis J. Feb 2001;20(2):140-4. [Medline].
Howard ML. Complete round-window fistula. Ear Nose Throat J. Dec 1976;55(12):382-3. [Medline].
Orji FT, Agu CC. Determinants of spontaneous healing in traumatic perforations of the tympanic membrane. Clin Otolaryngol. Oct 2008;33(5):420-6. [Medline].
Dursun E, Dogru S, Gungor A, et al. Comparison of paper-patch, fat, and perichondrium myringoplasty in repair of small tympanic membrane perforations. Otolaryngol Head Neck Surg. Mar 2008;138(3):353-6. [Medline].
Derlacki EL. Office closure of central tympanic membrane perforations: a quarter century of experience. Trans Am Acad Ophthalmol Otolaryngol. Mar-Apr 1973;77(2):ORL53-66. [Medline].
Derlacki EL. Residual perforations after tympanoplasty: office technique for closure. Otolaryngol Clin North Am. Nov 1982;15(4):861-7. [Medline].
Parekh A, Mantle B, Banks J, Swarts JD, Badylak SF, Dohar JE. Repair of the tympanic membrane with urinary bladder matrix. Laryngoscope. Jun 2009;119(6):1206-13. [Medline].
Jung T, Kim YH, Kim YH, Park SK, Martin D. Medial or medio-lateral graft tympanoplasty for repair of tympanic membrane perforation. Int J Pediatr Otorhinolaryngol. Jul 2009;73(7):941-3. [Medline].
Attallah MS, al-Essa A. Hearing results in tympanoplasty in Riyadh. Otolaryngol Pol. 1996;50(2):145-51. [Medline].
Benitez JT. Otopathology of Egyptian mummy Pum II: final report. J Laryngol Otol. Jun 1988;102(6):485-90. [Medline].
Berger G, Finkelstein Y, Harell M. Non-explosive blast injury of the ear. J Laryngol Otol. May 1994;108(5):395-8. [Medline].
Blake, Reik. Operative Otology. New York, NY: Appleton & Lange; 1906.
Centers for Disease Control. Outpatient Surgery. Available at: http://www.cdc.gov/nchs/datawh/nchsdefs/outpatientsur.htm. [Full Text].
Hakuba N, Taniguchi M, Shimizu Y, et al. A new method for closing tympanic membrane perforations using basic fibroblast growth factor. Laryngoscope. Aug 2003;113(8):1352-5. [Medline].
Konakçi E, Koyuncu M, Unal R, et al. Repair of subtotal tympanic membrane perforations with Seprafilm. J Laryngol Otol. Nov 2004;118(11):862-5. [Medline].
Lancaster JL, Mortimore S, McCormick M, et al. Systemic absorption of gentamicin in the management of active mucosal chronic otitis media. Clin Otolaryngol Allied Sci. Sep 1999;24(5):435-9. [Medline].
Nejadkazem M, Totonchi J, Naderpour M, et al. Intratympanic membrane cholesteatoma after tympanoplasty with the underlay technique. Arch Otolaryngol Head Neck Surg. May 2008;134(5):501-2. [Medline].
Sakagami M, Mishiro Y, Tsuzuki K, et al. Bilateral same day surgery for bilateral perforated chronic otitis media. Auris Nasus Larynx. Jan 2000;27(1):35-8. [Medline].
Somers T, Schatteman I, Offeciers FE. Allograft tympanoplasty. Acta Otorhinolaryngol Belg. 2004;58(2):87-96. [Medline].
Thomassin JM, Facon F, Gabert K. [The effectiveness of otoendoscopy in myringoplasty using adipose graft]. Ann Otolaryngol Chir Cervicofac. Dec 2004;121(6):346-9. [Medline].
Tos M, Lau T, Plate S. Sensorineural hearing loss following chronic ear surgery. Ann Otol Rhinol Laryngol. Jul-Aug 1984;93(4 Pt 1):403-9. [Medline].
Further Reading
Keywords
middle ear perforations, tympanic membrane perforations, tympanic membrane perforation, middle ear, eardrum, ear, perforated eardrum, middle ear perforation, eardrum perforation, tympanic membrane, perforated eardrum, eardrum, ear drum, tympanic membrane perforations, TMP, eardrum perforation, drum perforation, tympanoplasty, ear infection, ear perforation, middle ear infection, myringotomy, otoscopy, otomicroscopy
Follow-up: Middle Ear, Tympanic Membrane, Perforations