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Temporal bone fracture with tympanic membrane perforation and hemorrhage. (Otoscopic Clinic).

This otoscopic view of a left ear demonstrates an elliptical perforation immediately posterior to the malleus 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 can be performed, which is successful in 95% of cases.
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Article Details
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Author:Deguine, Christian
Publication:Ear, Nose and Throat Journal
Article Type:Brief Article
Geographic Code:1USA
Date:May 1, 2003
Previous Article:Spanning the centuries and the Atlantic.
Next Article:Antrochoanal polyp displacing the uvula and the soft palate. (Rhinoscopic Clinic).

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