- Conductive hearing loss due to TM perforation.
- Conductive hearing loss due to ossicular continuity or necrosis.
- Conductive hearing loss due to ossicular ankylosis.
- Chronic or recurrent otitis media.
- Recurrent middle ear infections due to contamination through perforation of TM.
- Progressive hearing loss due to chronic middle ear pathology.
- Perforation or hearing loss persistent for more than three months due to trauma, infection, or prior surgery.
- Inability to safely bathe or participate in water activities due to perforation of TM with or without hearing loss.
- Create a safe ear.
- Description of complete ear examination, including both normal and abnormal findings.
- Tests (required & dated within 3 months of surgery)
- Air and bone-pure tone audiogram.
- SRT and discrimination.
- Vertigo and nystagmus--appropriate medication. If severe, notify surgeon.
- Drainage--reinforce or change dressing.
- Jaw pain--reassure.
- Facial motion--notify surgeon of weakness or paralysis.
- Moderate tinnitus--reassure. Notify surgeon.
- Change or loss of sense of taste (usually will resolve over weeks to months).
- 2-4 Weeks
- Incision and ear canal--Signs of infection?
- Inner ear-Complaint of vertigo?
- Beyond One Month
- Hearing result--document with audiogram.
- Tympanic membrane--Is it intact?