Antibiotic ear drops for contaminated wounds
Ofloxacin is safe for perforation
Don't give Ciprofloxacin; can damage the inner ear
Water precautions (keeping water out of the middle ear), avoid forceful Valsalva
Reevaluation with PCM, typical healing within 4-6 weeks
Ofloxacin is safe for perforation
Don't give Ciprofloxacin; can damage the inner ear
For perforation due to otitis media, PO antibiotics preferred over topical
See Diagnosis section for definition
As for simple perforations (see above), plus:
Urgent evaluation by ENT
Consider CT temporal bone
Urgent evaluation by ENT
Consider CT temporal bone
Tympanic membrane rupture
Auricular hematoma
Orbital fracture
Auricular perichondritis
Tongue laceration
Cholesteatoma
Mastoiditis
Contact dermatitis