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I. TM perforation

1.
As a result of blunt, penetrating, acoustic, or baro-trauma
2.
Blunt or noise trauma์— ์˜ํ•œ ์†์ƒ์ธ ๊ฒฝ์šฐ ์ฃผ๋กœ ๊ณ ๋ง‰์˜ pars tensa์˜ ์†์ƒ, ์ฆ‰ anteriorly or inferiorly
3.
์ฆ์ƒ (1) Acute onset์˜ pain, hearing loss with or without bloody otorrhea (2) Vertigo์™€ tinnitus๊ฐ€ ์žˆ์„ ์ˆ˜ ์žˆ์œผ๋‚˜ transient
4.
์น˜๋ฃŒ (1) ๋Œ€๋ถ€๋ถ„ TM perforation์€ ์ž์—ฐ heeling. (2) Remnant FB๊ฐ€ ์˜์‹ฌ๋˜์ง€ ์•Š๋Š” ์ด์ƒ ํ•ญ์ƒ์ œ๋Š” ํ•„์š”ํ•˜์ง€ ํ•œ๋‹ค. (3) 24์‹œ๊ฐ„ ์ด๋‚ด์— ENT consult ํ•ด์•ผ ํ•˜๋Š” ๊ฒฝ์šฐ โ‘  Posterosuperior quadrant์˜ ์†์ƒ โ†’ Ossicular chain ์†์ƒ์ด ์˜์‹ฌ๋˜๋Š” ๊ฒฝ์šฐ โ‘ก Penetrating trauma์— ์˜ํ•œ 2์ฐจ์  ์†์ƒ โ†’ Ossicular chain ์†์ƒ์ด ์˜์‹ฌ๋˜๋Š” ๊ฒฝ์šฐ โ‘ข Retained foreign body