Diferencia entre revisiones de «Tympanic membrane rupture»
Sin resumen de edición |
Sin resumen de edición |
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| Línea 3: | Línea 3: | ||
*Penetrating trauma (Q-tip, matchstick, gunshot wound, welding spark) | *Penetrating trauma (Q-tip, matchstick, gunshot wound, welding spark) | ||
*Direct ear trauma | *Direct ear trauma | ||
*Lightning strike | |||
*Barotrauma | *Barotrauma | ||
**Blast injury | **Blast injury | ||
Revisión del 19:58 17 ago 2015
Background
- Blunt trauma (hand blow to ear, fall, direct hit)
- Penetrating trauma (Q-tip, matchstick, gunshot wound, welding spark)
- Direct ear trauma
- Lightning strike
- Barotrauma
- Blast injury
- Air travel
- Scuba diving
Clinical Features
- Ear pain
- History of barotrauma or direct ear trauma
Differential Diagnosis
Ear Diagnoses
External
- Auricular hematoma
- Auricular perichondritis
- Cholesteatoma
- Contact dermatitis
- Ear foreign body
- Herpes zoster oticus (Ramsay Hunt syndrome)
- Malignant otitis externa
- Otitis externa
- Otomycosis
- Tympanic membrane rupture
Internal
- Acute otitis media
- Chronic otitis media
- Mastoiditis
Inner/vestibular
Diagnosis
- Typically clinical
Management
- Isolated small tympanic membrane perforations
- Antibiotic ear drops for contaminated wounds
- Water precautions (keeping water out of the middle ear)
- Reevaluation
- Significant hearing loss (≥40 dB), vertigo, nystagmus, ataxia, or facial nerve injury
- Urgent evaluation by ENT
Disposition
- Outpatient management