Tympanic Membrane Perforation In Ied Blasts

Description

Tympanic Membrane Perforation In Ied Blasts
Depenbrock P 8(2). 51
Publication Type: Journal Article

Abstract:
Traumatic tympanic membrane (TM) perforation is a common finding in victims of IED blasts. Frequently it goes undiagnosed by medical providers on initial evaluation. Hearing loss, tinnitus, and vertigo are common complaints from Soldiers who have experienced acoustic trauma. Although symptoms are usually transient, their persistence is a cause for concern. Treatment of a ruptured TM is usually expectant. In certain instances specialty consultation is required. Since primary blast and neurologic injuries can accompany traumatic TM perforation, physicians should maintain a high index of suspicion for their presence. This article aims to address the pathophysiology, diagnosis, treatment, and associated complications of blast-induced tympanic membrane perforation. Objectives 1. Understand the biophysics of primary blast injury and how to prevent blast-induced acoustic trauma. 2. Understand the common presenting signs and symptoms of tympanic membrane rupture. 3. Understand the treatment of tympanic membrane rupture and the indications for specialty referral. 4. Understand the long-term complications associated with traumatic tympanic membrane rupture.

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