鼓膜穿孔? (Tympanic Membrane Perforation-TMP)Р张晓彤РReview the Anatomy of TM ??鼓膜可分为紧张部(Pars Tense),松弛部(Pars ida),脐(Umbo),?光锥(Cone of Light),锤骨柄(Handle of Malleus),锤骨短突(Short Process of Malleus).Р分类?(Classification)?1.外伤性?(TMP of Trauma)? 2.中耳炎性?(TMP of Otitis Media--OMР(一)Tympanic membrance trauma(lesions)Р1.病因(etiology)?1).压力伤(lesions caused by Air-pressure ):?爆炸、鞭炮、水击、乘飞机、耳掴伤等?2). 器械性损伤(lesions of mechanical origin):?火柴棒、毛线针、发卡、棉签等Р3).热损伤(lesions of thermal origin)?热水、矿渣、火花、铁屑等?4).头部钝性损伤(lesions caused by blunt head trauma)?车祸、打架致颞骨纵形骨折? (longitudinal temporal bone fracture)?5). 医源性(lesions caused by doctors)?取外耳道异物、胆脂瘤或耵聍,鼓膜穿刺,鼓膜置管等。