-
DE
H72.0 – Central Tympanic Membrane Perforation
H72.0 is the ICD-10 code for central perforation of the tympanic membrane – a hole in the eardrum that does not reach its margin. It is commonly caused by ear infections or trauma and may result in hearing loss.
Add as Preferred SourceThings worth knowing about "H72.0"
H72.0 is the ICD-10 code for central perforation of the tympanic membrane – a hole in the eardrum that does not reach its margin. It is commonly caused by ear infections or trauma and may result in hearing loss.
What is H72.0?
The ICD-10 code H72.0 refers to a central perforation of the tympanic membrane – a hole or defect in the eardrum (membrana tympani) that is located in the central area and does not extend to the annular margin (fibrous ring). The tympanic membrane separates the outer ear canal from the middle ear and plays a key role in sound conduction.
Causes
A central tympanic membrane perforation can result from several causes:
- Otitis media (middle ear infection): The most common cause. Pressure from pus accumulation in the middle ear can cause the eardrum to rupture.
- Barotrauma: Sudden pressure changes, such as during diving, flying, or an explosion, can tear the eardrum.
- Direct trauma: Inserting objects into the ear canal (e.g., cotton swabs), a slap to the ear, or head injuries.
- Chronic otitis media: Persistent or recurring ear infections can cause long-term defects in the eardrum.
Symptoms
Symptoms depend on the size of the perforation and its underlying cause:
- Hearing loss (typically conductive hearing loss)
- Ear pain at the time of rupture
- Ear discharge (otorrhoea), especially with infection
- Tinnitus (ringing in the ears)
- Dizziness in less common cases
Diagnosis
Diagnosis is typically made by an ear, nose and throat (ENT) specialist through otoscopy – a direct visual examination of the eardrum using an otoscope. Additional tests may include:
- Audiometry: Hearing tests to assess the degree of hearing loss
- Tympanometry: Measurement of eardrum mobility and middle ear function
- CT imaging: Indicated when complications or extensive middle ear damage are suspected
Treatment
Many central tympanic membrane perforations heal on their own within a few weeks, particularly those caused by acute infection or barotrauma.
Conservative Treatment
- Keeping the ear dry (no swimming or submerging the ear)
- Antibiotic ear drops in case of infection
- Oral antibiotics for systemic infection
- Pain relief with analgesics
Surgical Treatment
If the perforation does not heal spontaneously or is large, surgical intervention may be required:
- Myringoplasty: Closure of the eardrum defect using a tissue graft (e.g., fascia)
- Tympanoplasty: More extensive reconstruction when there is additional middle ear damage
Prognosis
The prognosis for small and medium-sized perforations is generally favourable. Small defects often heal spontaneously. After successful surgery, significant restoration of hearing is usually achievable. However, chronic or untreated perforations may lead to permanent hearing loss or recurrent middle ear infections.
References
- Boenninghaus H.G., Lenarz T.: Ear, Nose and Throat Medicine, 14th edition, Springer Medizin Verlag, 2012.
- Bluestone C.D., Klein J.O.: Otitis Media in Infants and Children, 4th edition, BC Decker Inc., 2007.
- World Health Organization (WHO): ICD-10 Version 2019 – H72.0 Central perforation of tympanic membrane. Available at: https://icd.who.int/browse10/2019/en#/H72.0
Building Blocks for a Healthy Life
As an integrated manufacturer, we develop & produce evidence-based, patented, and non-patented formulations. We work exclusively with plant and natural extracts according to the strictest purity & quality standards.
The combination of science & modern technology with the laws of nature creates solutions consistently tailored to humans – for the highest good: health.
Skip product gallery
Subscription available
Floral
For Healthy Oral Flora & Dental Care
Formulated lozenges with Dentalac®, lactic acid bacteria, and Lactoferrin CLN®30 lozenges
Regular price:
22,90 €
Discount
Subscription available
Lactoferrin 60 Capsules
For your universal protection
As one of the most valuable proteins in the body, lactoferrin is a natural component of the immune system.
60 Capsules
Sale price:
50,00 €
Regular price:
59,90 €
Subscription available
Multivitamin Mineral Complex
Daily basic supply: the complete spectrum of micronutrients
Natural multivitamin complex for the immune system, energy, and central body functions
30 Capsules
Regular price:
29,90 €
Subscription available
Natural Iron
For your iron balance
Specially formulated for your iron balance with plant-based curry leaf iron, Lactoferrin CLN®, and natural Vitamin C from rose hips.
30 Capsules
Regular price:
35,90 €