Central perforation of tympanic membrane, left ear
ICD-10 H72.02 is a billable code used to indicate a diagnosis of central perforation of tympanic membrane, left ear.
Central perforation of the tympanic membrane (TM) in the left ear is a condition characterized by a defect or hole in the central part of the TM, which separates the external ear from the middle ear. This perforation can result from various causes, including chronic otitis media, trauma, or barotrauma. Clinically, patients may present with symptoms such as hearing loss, otorrhea (ear discharge), tinnitus, and a sensation of fullness in the ear. The perforation can lead to complications such as recurrent ear infections and further hearing impairment. Diagnosis typically involves otoscopic examination, where the perforation is visualized, and audiometric testing to assess hearing loss. Management may include medical treatment for any underlying infection, surgical intervention such as tympanoplasty for repair of the TM, and audiological rehabilitation if necessary. The prognosis is generally good, especially with timely intervention, but chronic cases may lead to persistent issues.
Detailed history of ear symptoms, otoscopic findings, and treatment plans.
Patients presenting with chronic ear infections, hearing loss, or post-traumatic ear issues.
Ensure clear documentation of the type of perforation and any surgical interventions planned.
Audiometric evaluation results and correlation with tympanic membrane status.
Assessment of hearing loss in patients with known tympanic membrane perforations.
Document the impact of the perforation on hearing and any recommended rehabilitation.
Used when surgical intervention is required to repair the perforated tympanic membrane.
Document the indication for surgery, findings during the procedure, and postoperative care.
Otolaryngologists must ensure that the surgical necessity is well-documented to support the procedure.
Common causes include chronic otitis media, trauma, and barotrauma. Each of these conditions can compromise the integrity of the tympanic membrane, leading to perforation.
Diagnosis is typically made through otoscopic examination, where the perforation can be visualized, and audiometric testing to assess the degree of hearing loss.
Treatment options may include medical management of any underlying infections, surgical repair (tympanoplasty), and audiological rehabilitation if hearing loss is significant.
