血鼓室（内耳膜血）-耳道清洁

Young male present with complain of left ear pain , decrease hearing , vertigo , tinnitus , ear fullness since last 7 days after fall from bike . He also gives history of unable to close left eye completely & deviation angle of mouth ( Facial nerve weakness due to edema ) since last 3 days . He had left ear bleeding after fall .

                               
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Hemotympanum or hematotympanum is a presence of blood in the tympanic cavity of the middle ear.

Causes : The most common causes include therapeutic nasal packing, epistaxis , blunt trauma to the head , skull base fracture & clotting disorders .

The treatment of an uncomplicated hemotympanum is usually conservative. Antibiotics may be prescribed for infection prophylaxis. A myringotomy tube may be needed for patients with persistent effusion to prevent long-term complications.




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