LIGHTNING INJURY OF THE TYMPANIC MEMBRANE

Lightning injury to the ear is known, but specific reports are lacking . Four patients with tympanic membrane perforations who were managed s urgically are reported. Their presentations, evaluations, intraoperati ve findings, and outcomes are discussed as they relate to the proposed pathogenic mechanisms. The authors' standard wide exposure tympanopla sty approach with two layer tympanic membrane repair is described. The added steps in performing this procedure may be necessary to ensure a good result in this unique group of patients.