Middle Ear, Tympanic Membrane, Perforations Questions & Answers

Updated: Apr 23, 2018
  • Author: Matthew L Howard, MD, JD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Questions & Answers

Overview

What causes tympanic membrane perforation (TMP)?

What is the clinical presentation of tympanic membrane perforation (TMP)?

How are tympanic membrane perforations (TMPs) diagnosed?

What is the role of screening tympanometry in the diagnosis of tympanic membrane perforation (TMP)?

When is audiometry indicated in tympanic membrane perforation (TMP)?

What is the goal of medical therapy in the treatment of tympanic membrane perforation (TMP)?

What is the first surgical option for the treatment of tympanic membrane perforation (TMP)?

What is the simplest operation for the treatment of tympanic membrane perforation (TMP)?

How is a fat-plug tympanoplasty used to treat tympanic membrane perforation (TMP)?

What is the second surgical option for the treatment of tympanic membrane perforation (TMP)?

What is the incidence of tympanic membrane perforation (TMP)?

What is the main cause of tympanic membrane perforation (TMP)?

Has the decreased use of antibiotics for the treatment of otitis media affected the incidence of tympanic membrane perforation (TMP)?

What is the association between acute otitis media (AOM) and tympanic membrane perforation (TMP)?

Do ear canal infections cause tympanic membrane perforation (TMP)?

What are the traumatic and iatrogenic causes of tympanic membrane perforation (TMP)?

Can a tympanic membrane perforation (TMP) heal spontaneously?

How does cause infection in tympanic membrane perforation (TMP)?

What factors affect the degree of hearing loss in tympanic membrane perforation (TMP)?

What are the signs and symptoms of tympanic membrane perforation (TMP)?

When is treatment indicated in tympanic membrane perforation (TMP)?

What is the anatomy of the tympanic membrane?

What are the 2 zones of the tympanic membrane where perforations can occur?

What is the anatomy of the middle ear relevant to tympanic membrane perforation (TMP)?

What are the contraindications for the treatment of tympanic membrane perforation (TMP)?

Workup

Which imaging studies are used in the workup of tympanic membrane perforation (TMP)?

Which tests are used in the workup of tympanic membrane perforation (TMP)?

Which diagnostic procedure may be indicated in the workup of tympanic membrane perforation (TMP)?

What are the histologic findings in the workup of tympanic membrane perforation (TMP)?

Treatment

What is the medical treatment for tympanic membrane perforation (TMP)?

How can healing time be improved in traumatic tympanic membrane perforation (TMP)?

How effective are systemic antibiotics in the treatment of tympanic membrane perforation (TMP)?

Why does soap increase the risk of infection in tympanic membrane perforation (TMP)?

What are nonsurgical treatment options for tympanic membrane perforation (TMP)?

When are office-based surgical treatments for tympanic membrane perforation (TMP) indicated?

What is the simplest, but least effective surgical method for the treatment of tympanic membrane perforation (TMP)?

How is a fat-plug tympanoplasty performed for the treatment of tympanic membrane perforation (TMP)?

How effective are office-based surgical treatments for tympanic membrane perforation (TMP)?

How effective is a Gelfoam plug in the treatment of tympanic membrane perforation (TMP)?

What is the irritant oil method for the treatment of tympanic membrane perforation (TMP)?

What are the novel office-based surgical treatments for tympanic membrane perforation (TMP)?

What is the role of tympanoplasty in the treatment of tympanic membrane perforation (TMP)?

How do inlay and underlay tympanoplasty compare in the treatment of tympanic membrane perforation (TMP)?

What preoperative preparation is indicated in the surgical treatment of tympanic membrane perforation (TMP)?

How are wrong-site errors prevented in the treatment of tympanic membrane perforation (TMP)?

What is the postoperative care after surgical repair of tympanic membrane perforation (TMP)?

What follow-up care is indicated for patients treated for tympanic membrane perforation (TMP)?

What are the complications of surgical repair of tympanic membrane perforation (TMP)?

What is the prognosis of tympanic membrane perforation (TMP)?