A Clinical Study of Traumatic Tympanic Membrane Perforation

Abstract

We reviewed 165 cases of traumatic tympanic membrane perforation treated in the last 9 years (2000-2008). Of these, 103 sustained direct injury and 62 indirect injury. Ear picking accounted for 90.3% of direct injuries. Perforation size followed the classification of Yoshikawa, with Grade I perforation the most common, according for 129 (78.2%). The anteroinferior quadrant perforation site was the most common, with 98 (59.4%). Of the 165, 66 were lost during followup. Of the remaining 99, perforations closed spontaneously in 85 (85.9%), within a mean 25.9 days. Tympanoplasty was done in 14, in whom postoperative hearing improved in 12. The remaining 2 had ossicular fractures associated with perilymph fistula. In the 14 undergoing surgery, tympanic membrane perforation relapsed in 4 and 2 developed cholesteatoma as tympanoplasty sequelae.

Use of a platelet-rich fibrin membrane to repair traumatic tympanic membrane perforations: a comparative study

“…Research has revealed that the mean time of spontaneous healing of traumatic TM perforation is 25.9 days, but may be as long as 3 months [18]. In the current study, the mean time to closure of the TM perforation was 7.8 days in Group 1, where PRF was applied.…”

In reference to The topical use of insulin accelerates the healing of traumatic tympanic membrane perforations

“…Yamazaki et al 2 found that topical application of ofloxacin otic drops significantly shortened the closure time. Similarly, in a recent clinical study 3 we demonstrated that topical application of ofloxacin otic drops significantly shortened the closure time and improved the closure rate of large traumatic TMPs.…”

“…However, it did not improve the closure rate compared to that of the control group. We considered whether moist/wet eardrum environments resulting from certain solutions can aid eardrum healing.Yamazaki et al 2 found that topical application of ofloxacin otic drops significantly shortened the closure time. Similarly, in a recent clinical study 3 we demonstrated that topical application of ofloxacin otic drops significantly shortened the closure time and improved the closure rate of large traumatic TMPs.…”

Role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation

“…[1][2] The rate of spontaneous healing ranges between 48-94%. [6][7][8][9][10][11] Griffen reported 90% spontaneous healing of TM perforation within 3 months of injury. 12 Kristensen reported 78.7 % spontaneous healing within 2 weeks of injury whereas Chun et al reported 76% of complete spontaneous healing within 3 weeks.…”