Temporal bone fracture with tympanic membrane perforation and hemorrhage. (Otoscopic Clinic).This otoscopic view of a left ear demonstrates an elliptical el·lip·tic or el·lip·ti·cal adj. 1. Of, relating to, or having the shape of an ellipse. 2. Containing or characterized by ellipsis. 3. a. perforation per·fo·ra·tion n. 1. The act of perforating or the state of being perforated. 2. An abnormal opening in a hollow organ or viscus, as one made by rupture or injury. Perforation A hole. immediately posterior to the malleus malleus /mal·le·us/ (mal´e-us) [L.] the outermost of the auditory ossicles, and the one attached to the tympanic membrane; its club-shaped head articulates with the incus mal·le·us n. pl. and hemorrhage involving the anterior portion of the pars tensa. This patient had sustained a temporal bone fracture with perforation and bleeding. The tympanic membrane completely healed spontaneously after 4 weeks without treatment. Immediate management involves an antibiotic to prevent secondary infection, and the patient is advised to prevent water from entering the ear. Approximately 90% of traumatic perforations heal spontaneously. Should a perforation persist after 4 to 6 weeks, myringoplasty or tympanoplasty tympanoplasty /tym·pa·no·plas·ty/ (tim´pah-no-plas?te) surgical reconstruction of the tympanic membrane and establishment of ossicular continuity from the tympanic membrane to the oval window. can be performed, which is successful in 95% of cases. |
|
||||||||||||||||||||
Printer friendly
Cite/link
Email
Feedback
Reader Opinion