Attic perforation of tympanic membrane, left ear
ICD-10 H72.12 is a billable code used to indicate a diagnosis of attic perforation of tympanic membrane, left ear.
Attic perforation of the tympanic membrane, specifically in the left ear, refers to a defect or hole in the upper part of the eardrum, which can result from chronic otitis media, trauma, or other pathological processes. This condition is often associated with cholesteatoma, a destructive and expanding growth of skin cells in the middle ear and/or mastoid process. Patients may present with symptoms such as hearing loss, ear discharge, and a sensation of fullness in the ear. The perforation can lead to complications, including recurrent infections and further hearing impairment. Diagnosis typically involves otoscopic examination, audiometry, and sometimes imaging studies to assess the extent of the damage and rule out associated conditions. Management may include medical treatment for infections, surgical intervention to repair the tympanic membrane, and addressing any underlying issues such as cholesteatoma. The prognosis varies based on the severity of the perforation and the presence of complications.
Detailed otoscopic findings, audiometric results, and treatment plans.
Management of chronic otitis media, tympanoplasty procedures, and cholesteatoma removal.
Ensure clear documentation of the extent of the perforation and any surgical interventions performed.
Comprehensive audiometric evaluations and reports on hearing loss.
Assessment of hearing loss related to tympanic membrane perforations.
Document the impact of the perforation on hearing thresholds and any recommendations for further intervention.
Used when surgical repair of the tympanic membrane is performed.
Document the indication for surgery and findings during the procedure.
Otolaryngologists should ensure that the surgical report clearly states the type of perforation and any associated findings.
Common causes include chronic otitis media, trauma, and cholesteatoma. Chronic inflammation can lead to the breakdown of the tympanic membrane, resulting in perforation.
