Injury to the Ears Among Battle Casualties of the Western Desert

Collins, Eddie

doi:10.1017/s0022215100006861

Cited by 12 publications

(1 citation statement)

References 3 publications

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“…Among otologists (Alexander, 1943;Palmer, 1943;Silcox and Schenck, 1944;Wilson, 1944) the sulphonamides soon found a place in the therapeutic armamentarium for topical treatment of a ruptured TM, and early insufflation of microcrystalline sulphathiazole or sulphanilamide was advocated to be of value in preventing complicating infection. However, this local prophylactic treatment was soon abandoned (Craig, 1944;Collins, 1944;Bettington, 1945;Henry, 1945;Ireland, 1946;Hugh, 1946;Folbre, 1947;Baron, 1948;Friedman, 1948) because of unfavourable results and is now only used by a few (Rybak and Johnson, 1983). Systemic prophylactic antibiotics (sulphadiazine or penicillin) have often been administered in patients with severe surgical injuries and traumatic TM perforations (Hugh, 1946;McReynolds et al, 1949), but the treatment has never been proved to facilitate or promote spontaneous myringeal healing (Hepskind, 1957;Pulec and Kinney, 1973;Kerr and Byrne, 1975;Seifi, 1976;Mawson and Ludman, 1979;Kerr and Smyth, 1979;Lindeman et al, 1987).…”

Section: Other Factorsmentioning

confidence: 99%

Spontaneous healing of traumatic tympanic membrane perforations in man: A century of experience

Kristensen¹

1992

J. Laryngol. Otol.

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Widespread controversy exists concerning the treatment of traumatic tympanic membrane perforations. To elucidate the issue, a reference value for the rate of spontaneous tympanic membrane closure in man, to which the healing rates following different techniques of early surgical repair should be compared, was established on the basis of a review of more than 500 texts covering a century's literature on the traumatically perforated tympanic membrane. The spontaneous healing rate appeared to be close to 80 (78.7 per cent) in 760 evaluable cases of traumatic tympanic membrane perforations of all sorts diagnosed within 14 days post injury. A relative, causal-related variation of spontaneous healing could be demonstrated, and a pathogenetic classification of direct traumatic tympanic membrane perforations into ruptures induced by air-pressure changes, heat or corrosives, solids, and water pressures, is of proved clinical value and may have medico-legal validity. There is an obvious need for clinically controlled studies on the spontaneous healing of all kinds of traumatic perforations of the tympanic membrane in humans, and important elements in the design of future studies are advocated.

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