In the case of a patient with a tympanic membrane injury from an explosion, what procedure is indicated?

In the context of a patient with a tympanic membrane injury due to an explosion, tympanoplasty is the recommended procedure. Tympanoplasty is a surgical technique aimed at repairing a perforated tympanic membrane (eardrum) and is suitable for cases where there’s significant damage, such as that resulting from trauma like an explosion. The goal of this surgery is to restore the integrity of the tympanic membrane, which not only helps in restoring hearing but also reduces the risk of recurrent ear infections and further complications.

Myringotomy, another procedure, typically involves making an incision in the tympanic membrane to relieve pressure or drain fluid, which may be indicated in cases of acute otitis media rather than a traumatic rupture. Otoplasty is focused on reconstructing or reshaping the external ear and does not address tympanic membrane injuries. Ear irrigation is used to remove debris or wax from the ear canal, which is not indicated in the scenario of a tympanic membrane injury.

Thus, tympanoplasty stands out as the most appropriate intervention for repairing significant tympanic membrane injuries sustained from traumatic events.