Lightning strikes may cause a ruptured tympanic membrane.

Name: Lightning strikes may cause a ruptured tympanic membrane.
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The four most common causes of a ruptured eardrum are insertion of sharp objects into the ear canal, a nearby explosion (including lightning strikes), a severe middle ear infection, and a blow to the ear. A ruptured eardrum can also occur as a result of a fractured skull. The eardrum occasionally ruptures spontaneously.

Lightning Strikes May Cause a Ruptured Tympanic Membrane