What indicates a worsened injury status following tympanic membrane rupture?

The presence of significant blast pressure following a tympanic membrane rupture indicates a worsened injury status because it suggests a higher level of associated traumatic factors, such as barotrauma or additional damage to the structures of the ear. Significant blast pressure can lead to further complications, not only to the tympanic membrane but also to the underlying ossicles and other critical structures of the auditory system.

In cases of tympanic membrane rupture, additional factors such as ringing in the ears and hearing loss may occur as a consequence of the initial injury. However, these symptoms alone do not necessarily indicate that the condition is worsening; they can be present even after a simple rupture. The key factor that reflects a deteriorating situation is the significant blast pressure, which may indicate a more severe incident, including potential injuries to surrounding tissues or other internal anatomical structures.