Tympanic Membrane Perforation in Perilymph Fistula

Tympanic membrane perforation occurring in the setting of perilymph fistula (PLF) represents a specific clinical situation that requires a more intensive management pathway than uncomplicated perforation alone.

This protocol applies when a patient presents with tympanic membrane perforation and a concurrent perilymph fistula has been identified or is strongly suspected. The presence of PLF in this context directly shapes the appropriate level of care and the range of interventions that may be needed.

Inpatient admission is indicated in this scenario. Management may involve a surgical approach targeting the fistula — the full protocol specifies the precise indications, decision points, and procedural options that guide clinical action.

The complete structured regimen — including specific procedural criteria and sequencing — is available via the full protocol.