Other marginal perforations of tympanic membrane
ICD-10 H72.2 is a billable code used to indicate a diagnosis of other marginal perforations of tympanic membrane.
Other marginal perforations of the tympanic membrane refer to non-central perforations located at the edges of the tympanic membrane, which can arise from various causes, including chronic otitis media, trauma, or barotrauma. Clinically, patients may present with symptoms such as hearing loss, otorrhea (ear discharge), and ear pain. The perforation can lead to complications such as recurrent ear infections and further hearing impairment if not managed appropriately. Diagnosis typically involves otoscopic examination, where the perforation's size, location, and associated findings (e.g., fluid in the middle ear) are assessed. Management may include medical treatment with antibiotics for infections, surgical intervention such as tympanoplasty for repair, and audiological assessments to evaluate hearing loss. The prognosis is generally favorable with appropriate treatment, although some patients may experience persistent hearing issues or require further interventions.
Detailed otoscopic findings, treatment plans, and follow-up care notes.
Management of chronic otitis media leading to tympanic membrane perforation, surgical repair of perforations.
Ensure clear documentation of the perforation's characteristics and any associated middle ear pathology.
Audiometric evaluations, hearing loss assessments, and recommendations for hearing aids or other interventions.
Assessment of hearing loss due to tympanic membrane perforation, fitting of hearing aids.
Document the impact of the perforation on hearing and any rehabilitative measures taken.
Used for surgical repair of a marginal perforation.
Operative report detailing the procedure and findings.
Otolaryngologists should document the type of perforation and any complications encountered during surgery.
Common causes include chronic otitis media, trauma, and barotrauma. These conditions can lead to inflammation and damage to the tympanic membrane, resulting in perforation.
