When is treatment indicated in tympanic membrane perforation (TMP)?

Updated: Dec 14, 2020
  • Author: Robert A Saadi, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Many persons live their lives with tympanic membrane perforations (TMPs) that are entirely without symptoms; they may even benefit from a perforation if they have significant, coexisting eustachian tube dysfunction and poor ventilation. Repair of such lesions is usually not indicated. Perforations may be associated with recurrent infection when exposed to water. In swimmers, divers, and other water sports enthusiasts, repair may be indicated as a quality-of-life issue. Hearing loss may be present, especially with larger perforations, and may be a reason for repair. [21] Because a risk to residual hearing exists with every operation on the ear drum, a risk-benefit analysis in which the patient participates is mandatory. [22] For example, question whether the person may be helped just as much with use of a hearing aid.

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