Tympanic membrane perforation is a rupture or hole in the eardrum. It can be caused by direct force like ear wax removal or an indirect force like loud noises. Symptoms include ear pain, fullness, discharge from the ear, and hearing loss. Diagnosis involves examination of the ear. Treatment involves antibiotics to prevent infection along with rest and avoiding loud noises or water in the ear. Small perforations may heal on their own but larger ones require surgery to repair the eardrum.

1. Tympanic membrane
perforation
Submitted To Submitted By
Mr Dalchand Harun Malik Bsc (N)3rd yr
SIHER college of Nursing SIHER college of Nursing
Baghpat Baghpat

2. Content
• Introduction
• Definition
• Causes
• Clinical features
• Management
• Surgical Management
• Nursing Management

3. Introduction
• A perforated eardrum is a hole or tear in
the eardrum. It may be uncomfortable but usually
heals on its own without treatment within two
months. The eardrum, also known as
the tympanic membrane, is a thin layer of tissue
that separates the outer ear from the middle ear.

5. Definition
• Tympanic membrane perforation it is a condition
of rupture or perforation of the eardrum or
tympanic membrane.
Eadrum rupture in one or both ear.

7. Causes
•Direct Force
• eg While removal wax
• Skull fracture
• Hot slag in to the ear

8. Cont…
•Indirect force
• Loud voice
• Barotrauma
• Infection of the middle ear can cause rapture of
the ear drum (Its is can cause or bacteria, virus
and fungi)

9. Clinical features
• Otalgia
• Fullness, discomfort
• Blood tinged discharge From the ear
• Hearing loss(conductive HL and mixed HL)
• Vertigo
• Tinnitus

10. Diagnostic evaluation
• History collection
• Physical examination
• Otoscopic examination
• Audiogram and audiometry test

12. Management
• Antibiotics therapy to prevent the infection.
• Prevent upper respiratory infection.
• Avoid nasal blow.
• Avoid ear drop.
• It takes 2-3 weeks to heel the ear drum.
• If three months perfection still exists
Myringoplasty is indicated.

13. Surgical management
•Tympanoplasty (it is a surgical correction of
performed ear drum. It’s performed under the
local anastasia. Depending upon the size and the
location of the TMP)

14. Nursing Management
• Keep the ear clean and dry.
• Warm compress to relieve pain
• Plug the ear with cotton while showering
• Avoid swimming
• Protect against excessive voice

15. THANK YOU