Traumatic tympanic membrane perforations: characteristics and factors affecting outcome

Sogebi, Olusola Ayodele; Oyewole, Emmanuel Abayomi; Mabifah, Taofeeq Oluwaninsola

doi:10.4314/gmj.v52i1.7

Cited by 28 publications

(45 citation statements)

References 27 publications

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“…Majority of patients (72, 63.2%) presented to ENT clinic within a week time and single perforation was the commonest observation (107, 93%), which simulates to study of Sogebi, where patients presented to clinic between few hours to 23 days with mean duration after injury was 3 days. 16 Similarly, Wani from India carried out study in 2016 on traumatic TM perforation and he also observed that 323 (92.3%) patients had single perforation while 27 (7.7%) had multiple perforations. 17 In current study conductive hearing loss was more common (94, 82.5%), however mild degree of hearing impairment was recorded in 59 patients (51.8%).…”

Section: Discussionmentioning

confidence: 95%

“…17 According to available literature spontaneous healing of TTMP occurs in 80 -100% cases. 5,[10][11][12][13][14][15][16]18,19 As slap on the ear was more common resulting perforation at anterio-inferior quadrant of TM on left side hence there was statistically significant association between cause of trauma and site and side of perforation (x=24.13, p=0.020), (x=57.10. p=0.000), that is supported by study of Sannigrahi who found significant association between mode of injury and tympanic membrane perforation after three months (χ2 = 23.30; p = .00001).…”

Section: Discussionmentioning

confidence: 99%

“… 15 These results are also supported by studies of Sogebi and Wani. 16 , 17 The left ear predominance can be explained as during interpersonal assault left is more close to assaulter.…”

Section: Discussionmentioning

confidence: 99%

“… 17 According to available literature spontaneous healing of TTMP occurs in 80 – 100% cases. 5 , 10 - 16 , 18 , 19…”

Section: Discussionmentioning

confidence: 99%

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Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Wahid¹,

Saleem²,

Muhammad³

et al. 2021

Pak J Med Sci

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Objectives: To determine the outcome of traumatic tympanic membrane perforation in a teaching hospital at Peshawar, Pakistan. Methods: This prospective observational study was performed in the Department of ENT and Head and Neck Surgery, MTI/LRH, Peshawar, Pakistan from January 2016 to December 2019 after approved from Institutional Research and Ethical Board. All consented patients fulfilling inclusion criteria were enrolled. Sample size was calculated 114 using online sample size calculator (OpenEpi). Every patient was evaluated properly, subsequently otoscopy and PTA was performed. Required information was recorded and analyzed using SPSS (version 25). Results: Out of 114 patients 81 (71.1%) were males and 33(28.9%) were female with male: female ratio of 2.5:1. Patient’s age ranged from 6- 55 years with mean ± SD age of 26.41 ± 9.7 years. Majority of Patients, 46.5%( 53) were in 2nd decade. Amongst the causes slap outnumbered (80, 70.2%), and left ear was involved predominately (67, 58.7%) affecting mainly anterio-inferior quadrant (50, 43.9%). Small size perforation was most common finding (64, 56.1%). Majority of patients (72, 63.2%) presented in a week time and single perforation was the commonest (107, 93.%). Most of traumatic TM perforation got healed spontaneously (97, 85.1%). Conclusion: It is concluded that spontaneous healing of traumatic membrane perforation occurs in more than 90% cases provided the ear is kept dry and not accompanied by unfavorable conditions. doi: https://doi.org/10.12669/pjms.37.3.3923 How to cite this:Wahid FI, Saleem M, Muhammad R, Khan MR. Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3923 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

“… 15 These results are also supported by studies of Sogebi and Wani. 16 , 17 The left ear predominance can be explained as during interpersonal assault left is more close to assaulter.…”

Section: Discussionmentioning

confidence: 99%

“… 17 According to available literature spontaneous healing of TTMP occurs in 80 – 100% cases. 5 , 10 - 16 , 18 , 19…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Wahid¹,

Saleem²,

Muhammad³

et al. 2021

Pak J Med Sci

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“…Most of the patients with ear trauma had physical non-explosive ear trauma sometimes associated with single episodes of vertigo. [28] Vertigo is a common symptom in patients who sustained trauma to the head and neck region that resulted from motor vehicle accidents, falls, assaults, and contact sports. [29] Sometimes, the trauma was minor head traumas which occurred a fairly long time before the onset of vertigo.…”

Section: Discussionmentioning

confidence: 99%

Independent Predictors of Recurrence of Vertigo Among Nigerians

Sogebi¹,

Oyewole²

2021

Ann Health Res

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Background: Recurrence of vertigo indicates a morbidity to the patient and a dilemma for the managing physician. Objectives: To describe the characteristics of vertigo, document prevalence and explore the characteristics which could independently predict recurrence of vertigo. Methods: A cross-sectional study of patients managed for vertigo in a tertiary facility was retrospectively done. Patients’ demographic and clinical characteristics, associations of vertigo, audiological symptoms, comorbid illnesses, and duration to achieve control of vertigo were recorded. Recurrence of vertigo was used to categorize the patients. The factors that were associated with recurrence on univariate analyses were evaluated as independent predictors of recurrence of vertigo. Results: The 73 patients with a male-to-female ratio of 1:1.4 were aged 35 -78 (mean 56.6±9.9) years. The associated symptoms included body weakness (34.2%), audiological symptoms (38.4%), 27.4% had antecedent head and neck injury and vertigo was precipitated or aggravated by changes in the head and neck position in 63.0% Vertigo was controlled within 1 -7 (Median 2) days, 35.6% had a recurrence of vertigo. Age, the experience of nausea and vomiting, previous head and neck injury, presence of comorbidity, and long duration to achieve control of vertigo were significantly associated with recurrence of vertigo. All these factors except the presence of comorbidity could independently predict the recurrence of vertigo. Conclusion: Vertigo is common in adult females, and mostly positional in type. About a third of patients may have a recurrence of vertigo. Age, especially above 57 years, nausea and vomiting, head and neck injury and prolonged period to control vertigo may independently predict recurrence of vertigo.

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Self‐Adhesive Silicone Microstructures for the Treatment of Tympanic Membrane Perforations

Lana

Sorg

Wenzel

et al. 2021

Advanced NanoBiomed Research

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Inspired by the gecko foot, polymeric microstructures have demonstrated reliable dry adhesion to both stiff objects and sensitive surfaces such as skin. Microstructured silicone patches are proposed, herein, for the treatment of tympanic membrane perforations with the aim of serving as an alternative for current surgical procedures that require anesthesia and ear canal packing. Sylgard 184 PDMS micropillars of 20 μm in diameter and 60 μm in length are topped by a Soft Skin Adhesive (SSA) MG7‐1010 terminal layer, of about 25 μm thickness. The adhesion is evaluated by specially designed tack tests against explanted murine eardrums and, for comparison, against a rigid substrate. Functional effects are evaluated using auditory brainstem responses (ABRs) and distortion product otoacoustic emissions (DPOAE). The adhesion strength of the microstructure and unstructured controls to explanted murine tympanic membranes is comparable (typically 12 kPa), but the microstructured patches are easier to handle by the surgeon. For the first time, partial recovery of hearing performance is measured immediately after patch application. The novel patches adhere without the need for further fixation, removing the need for ear canal packing. The proposed material design holds great promise for improving clinical treatments of tympanic membrane perforations.

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Traumatic tympanic membrane perforations: characteristics and factors affecting outcome

Abstract: Not indicated.

Cited by 28 publications

References 27 publications

Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Independent Predictors of Recurrence of Vertigo Among Nigerians

Self‐Adhesive Silicone Microstructures for the Treatment of Tympanic Membrane Perforations

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