When is repair of a ruptured tympanic membrane indicated?
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The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) recommends surgical repair for a ruptured tympanic membrane in the following settings: disruption of middle-ear bone continuity; ossicular necrosis or ankylosis; chronic or recurrent otitis media; persistent hearing loss after 3 months of conservative therapy; or the inability to safely bathe or participate in water activities due to perforation. (SOR: C, based on expert opinion.)
Evidence Based Practice 15(6): 06-07.