Central perforation of tympanic membrane digital illustration

Central perforation of tympanic membrane Save


ICD-10 code: H72.0

Chapter: Diseases of the ear and mastoid process

Central Perforation of Tympanic Membrane: Causes, Symptoms, and Treatment

A central perforation of the tympanic membrane, also known as a perforated eardrum, is a condition in which there is a hole or tear in the eardrum. This can occur due to various reasons such as trauma, infection, or pressure changes. The eardrum is an important structure in the ear that separates the middle ear from the outer ear. It plays a crucial role in hearing and maintaining the pressure balance in the ear.

Causes of Central Perforation of Tympanic Membrane

A central perforation of the tympanic membrane can occur due to the following reasons:

  1. Trauma: A sudden blow to the ear, such as a slap or a fall, can cause a tear in the eardrum.
  2. Infection: An ear infection can cause the eardrum to become inflamed and eventually tear. Infections can be bacterial or viral, and they can occur in the middle ear or the outer ear.
  3. Pressure changes: Pressure changes can occur due to flying, diving, or even blowing your nose too hard. These pressure changes can cause a tear in the eardrum.
Symptoms of Central Perforation of Tympanic Membrane

The symptoms of a central perforation of the tympanic membrane can vary depending on the severity of the perforation. Some common symptoms include:

  • Pain in the ear
  • Drainage from the ear
  • Hearing loss
  • Tinnitus (ringing in the ear)
  • Dizziness
Treatment of Central Perforation of Tympanic Membrane

The treatment for a central perforation of the tympanic membrane depends on the cause and severity of the perforation. In some cases, the perforation may heal on its own with time. However, if the perforation is large or does not heal on its own, medical intervention may be necessary. Some common treatments include:

  1. Antibiotics: If the perforation is due to an infection, antibiotics may be necessary to treat the infection.
  2. Surgical repair: In some cases, surgery may be necessary to repair the perforation. This is typically done under local anesthesia and involves using a graft to cover the hole in the eardrum.
  3. Hearing aids: In cases where the perforation has caused significant hearing loss, a hearing aid may be necessary to improve hearing.

If you suspect that you have a central perforation of the tympanic membrane, it is important to seek medical attention. Your doctor can evaluate