A tympanic membrane perforation caused by a dirty injury presents a distinct management challenge. Middle-ear contamination from the mechanism of injury drives the treatment strategy, making this scenario different from a clean traumatic perforation.
This protocol applies when tympanic membrane perforation has arisen specifically from a dirty injury — where contamination of the middle ear is a primary concern and must directly inform the choice of treatment.
Management in this setting involves a targeted topical antibiotic ear preparation applied locally to address the contamination risk. The complete regimen — including the specific agent, concentration, dosing schedule, and duration criteria — is contained in the full structured protocol.
Goal: middle ear free of discharge for 3 days
If in case of dirty injury, Ciprofloxacin 0.3% ear drops 5 drops BD (until middle ear is discharge free for 3 days)
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