Tympanic membrane perforation
ICD-10 H72 · ICD-11 AB13

Treatment of Posterior Tympanic Membrane Perforation or Equivocal Perilymph Fistula with Reassuring Conductive Hearing Loss

This protocol applies to patients presenting with a posterior tympanic membrane perforation, or with features that are equivocal for perilymph fistula, where tuning fork assessment yields a reassuring pattern of conductive hearing loss.

Clinical scenario Posterior tympanic membrane perforation, or equivocal features of perilymph fistula, in the setting of conductive hearing loss on tuning fork testing — without clear audiological signs of inner-ear involvement.
Initial approach Management in this scenario centres on close clinical monitoring and structured audiological assessment. The full protocol details the specific observation criteria and workup required to detect any symptom progression — the complete regimen is available below.
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References

  • Patients with posterior perforation or equivocal features of PLF but reassuring conductive hearing loss (CHL) on tuning forks may be admitted for observation and audiogram and to ensure there is no symptom progression.
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