Perforated tympanic membrane

Question 1

What is the most common cause of perforated tympanic membrane?

Answer 1

Infections, i.e. otitis media

Other causes:

• Barotrauma (diving)
• Direct trauma

Question 2

Describe the management for perforated tympanic membrane.

Answer 2

1. Observe (trauma/barotrauma) - membrane usually heals within 6-8 weeks
2. Abx (amoxicillin) - perforated tympanic membrane + acute otitis media
3. Tympanic membrane does not heal - myringoplasty