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Traumatic perforation: spontaneous healing after 3 months.


The otoscopic view is of the same left ear shown in last month's Otoscopic Clinic. (1) 3 months after the eardrum ear·drum
n.
The thin, semitransparent, oval-shaped membrane that separates the middle ear from the external ear. Also called drum, drumhead, drum membrane, myringa, myrinx, tympanic membrane,
 had been perforated by a Q-tip. Although the area of the healed 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.
 is slightly thickened thick·en  
tr. & intr.v. thick·ened, thick·en·ing, thick·ens
1. To make or become thick or thicker: Thicken the sauce with cornstarch. The crowd thickened near the doorway.

2.
, the tympanic membrane tympanic membrane
n.
See eardrum.


Tympanic membrane
A structure in the middle ear that can rupture if pressure in the ear is not equalized during airplane ascents and descents.
 appears surprisingly normal. Only a minority of perforated tympanic membranes will heal after 1 month; those that do are usually large perforations that can be seen to be progressively healing at each follow-up examination.

Reference

(1). Pulec JL, Deguine C. Traumatic perforation: Q-tip injury. Ear Nose Throat J 2003;82:484.

From Gap, France (Dr. Deguine). and the Pulec Ear Clinic. Los Angeles (Dr. Pulec).
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Article Details
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Title Annotation:eardrum perforation; Otoscopic Clinic
Author:Pulec, Jack L.
Publication:Ear, Nose and Throat Journal
Article Type:Brief Article
Geographic Code:1USA
Date:Aug 1, 2003
Words:105
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