Pattern of Hearing Loss from Otological Trauma due to Non-Explosive Blast Injury Caused by Slap to the Ear in Kashmiri Population

Rehman, Ayaz; Sangoo, Mushtaq; Akhter, Mymoona; Hamid, Sajad

doi:10.4172/2161-119x.1000124

Cited by 3 publications

(4 citation statements)

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“…Common complications of traumatic perforation in this study were acute and chronic suppurative otitis media. This is also reported in other studies (Rehman et al, 2012).…”

Section: Discussionsupporting

confidence: 91%

Traumatic Tympanic Membrane Perforation in Tertiary Health Institution

Adegbiji¹,

Olajide²,

Olajuyin³

2018

JMENAS

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Background: Traumatic tympanic membrane perforation is a common otologic disorder with associated hearing impairment. Objective: This study aimed at determining the clinico-epidemiological pattern, etiological factors, clinical presentation and management of traumatic tympanic membrane perforation in a Tertiary institution in Nigeria. Materials and Methods: This was a prospective hospital based study of patients with history of traumatic perforated of tympanic membrane. The study was carried out over a period of 5 years (September 2012 to August 2017). A study proforma was used to obtain detailed history and clinical findings from consenting patients. Data collected were collated and analyzed using SPSS version 16.0. Results: Prevalence of traumatic tympanic membrane perforation in this study was 2.1%. There were 65.5% males and 34.5% females with a male to female ratio of 2:1. The common presenting symptoms among the patients were hearing impairment in 68.3%, otalgia in 62.7% and tinnitus in 61.3%. Slap on the ear was the commonest cause of traumatic tympanic membrane perforation in 43.7% of the patients followed by self-ear cleaning in 16.9%. Commonest causes of slap in this study were 15.5% from security agent, 12.7% from seniors/boss while 9.9 % are from spouses. Unilateral traumatic perforation was more common in 97.9% than bilateral in 2.1%. The left ear traumatic perforation was more common than right ear tympanic perforation as 53.5% and 44.4% respectively. Grade 2 in 39.4% was the commonest perforation. Majority of the traumatic perforation were 40.8% central and 33.8% anterior central. Commonest comorbid injuries were subconjunctival hemorrhage in 16.2% and fracture temporal bone in 13.8%. Conductive hearing impairment in 69.7% and sensorineural hearing impairment in 17.6% were the commonest type of hearing impairment in our patients. Commonest degrees of hearing impairment were mild and moderate which accounted for 47.9% and 26.8% respectively. Commonest complications of traumatic tympanic membrane perforation were 68.3% hearing impairment and 26.1% tinnitus. Majority (73.9%) of the patients had conservative/medical therapy and 74.6% traumatic perforation healed at the end of 3 months. Conclusion: Traumatic perforation arises mainly from direct injuries in this study. The patients tend to present with hearing loss and unilateral involvement is the most common. There is the need to educate the public on the dangers of intentional trauma to the ear To cite this article [

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“…Common complications of traumatic perforation in this study were acute and chronic suppurative otitis media. This is also reported in other studies (Rehman et al, 2012).…”

Section: Discussionsupporting

confidence: 91%

Traumatic Tympanic Membrane Perforation in Tertiary Health Institution

Adegbiji¹,

Olajide²,

Olajuyin³

2018

JMENAS

View full text Add to dashboard Cite

show abstract

“…Second most common aetiology was road traffic accident (21.6%). Similar study conducted by Rahman A et al (2012), 2 Sarojamma et al (2014) 6 and Al Juboori A. N. et al (2014) 7 has positive agreement with our study but Dawood M.R. et al(2014) 3 reported that most common aetiology was blast injuries.…”

Section: Discussionsupporting

confidence: 90%

“…This result is almost agreed with result of other studies. 2,3,7,9 In our study, we found excellent outcome of the spontaneous healing of traumatic tympanic membrane perforation which was associated with size of perforation and aetiology. Conservative and operative (Tympanoplasty Type 1), both processes have 100% success rate.…”

Section: Discussionsupporting

confidence: 53%

“…An increased incidence of traumatic tympanic membrane perforation in the present scenario is due to increased domestic violence and road traffic accidents. 1,2,3 Traumatic perforation is commonly seen in healthy community. Tympanic membrane is structurally very thin and may be ruptured by sudden increase in air pressure in the external auditory canal by slap, RTA, Blast injury and traumatic asphyxia.…”

Section: Introductionmentioning

confidence: 99%

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