Traumatic Perforation of the Tympanic Membrane: A Review of 80 Cases

Sagiv, Doron; Migirov, Lela; Glikson, Eran; Mansour, Jobran; Yousovich, Ruth; Wolf, Michael; Shapira, Yehoshua

doi:10.1016/j.jemermed.2017.09.018

Cited by 21 publications

(8 citation statements)

References 8 publications

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“…Traumatic perforation affects all age group though more in young people as our study has shown; the mean age of our participants was 22.23 ±15 Years, this findings collaborates with reports from previous similar surveys [2], [7], [15], [18]- [20]. This implies that the population who risk their auditory function as a result of traumatic TM perforation are the very young population upon whom the future of the nation revolves.…”

Section: Discussionsupporting

confidence: 92%

“…Large size of perforation and those located peripherally have been linked to reduced rate of spontaneous healing [2], [3], [13], [14]. It could however constitute a significant cause of morbidity and mortality as it may predispose the patient to recurrent middle ear infection and prospectively facial nerve palsy, cholesteatoma formation, peri-lymphatic fistula and CNS infections [1], [15], [16]. Traumatic TM perforation results in conductive hearing loss due to reduced effective membrane area and recurrent middle ear infections which limits patient's participation in water sports, recruitment in military as well as commercial and personal drivers [17].…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Perforation of Tympanic Membrane in A Tertiary Hospital in South-Eastern, Nigeria

Afiadigwe

Obasikene²,

Umeh³

et al. 2022

CLINICMED

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Introduction: Traumatic tympanic membrane (TM) perforation is a commonly encountered otological condition with consequent hearing impairment and potentials for more grievous complications. We aim to establish the prevalence, sex distribution, laterality and aetiological factors associated with traumatic TM perforation in our locality Materials and Method: This is a 10 Year retrospective study involving patients who were managed for traumatic TM perforations at ENT outpatient clinic of Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Results: A total of 186 patients were managed for traumatic TM perforation involving 190 ears. The prevalence was 4.9%; 66.1% were males, 33.9% females giving a male to female ratio of 2:1 while age ranges from 1-68 years (mean± SD was 22.23± 15years. Left ear was involved in 54.3% of the cases, right ear in 43.5% and both ears in 2.2%. The commonest cause of traumatic TM perforation was Assaults (58.1%) of various kinds; domestic violence was the commonest, accounting for 22% of all the assault cases followed by assaults from security men (15.1%), then, slap by school teachers, prefects and senior students (10.2%). Mob actions and attacks by Robbers constituted 10.2%. Fifteen percent (15%) of the cases resulted from ear cleaning with cotton bud (10.2%), broom stick (3.2%) and metallic objects (2.2%). Sports related injuries accounted for 2.7% of the cases. Various forms of accidents (8.1%) such as road traffic accidents (1.1%), accidents from work place (3.2%) and fireworks (1.6%) were recorded. Conclusion: The predominance of slap as the major cause of TM perforation resulting from assaults shows how this condition is caused by avoidable circumstances. Every opportunity should be explored to educate the populace on the sequelae of such indiscriminate outburst of anger.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Traumatic Perforation of Tympanic Membrane in A Tertiary Hospital in South-Eastern, Nigeria

Afiadigwe

Obasikene²,

Umeh³

et al. 2022

CLINICMED

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“…5 Although studies support the finding that cotton-tip applicator injuries incited while cleaning the ear canal have significantly decreased since 2001, foreign body and tympanic membrane perforation remain the most common associated diagnoses. 12,13 Despite declining rates of injury, cotton-tip applicators remain a major cause of traumatic tympanic membrane perforations, and increased warnings on the risks of injury to the tympanic membrane are needed for public health awareness. 1 Cotton wool, for example, commonly presents in the ears of older individuals because it is often perceived as harmless by patients and the public.…”

Section: Discussionmentioning

confidence: 99%

I’m All Ears: A Population-Based Analysis of Consumer Product Foreign Bodies of the Ear

Helbing

Straughan

Pasick

et al. 2021

Ann Otol Rhinol Laryngol

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Objectives: The purpose of this study was to assess the nationwide incidence of ear foreign body (FB) presentations to the emergency department (ED) and analyze the most common FB consumer products encountered. Methods: The National Electronic Injury Surveillance System (NEISS) was evaluated for ED visits that included “ear foreign bodies” from 2010 through 2019. The most frequent foreign bodies were identified and organized by demographics. Results: A total of 20,545 ear FB cases were found, with an estimated 608,860 ED visits nationwide. Female patients (56%) were more likely to have jewelry and first aid equipment FBs. Males between the ages of 5 and 15 years were significantly ( P < 0.05) more likely to have paper products, pens/pencils, and desk supplies in their ears. Conclusion: Ear FBs represent a substantial proportion of healthcare expenditures. Although children are the most commonly affected individuals, all ages require further education and preventive measures.

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“…However, some cotton tip applicator related trauma cause severe injuries such as tympanic membrane perforation, ossicular dislocation, hearing loss, perilymphatic fistula, and facial nerve paralysis [11,15]. Sagiv et al [16] reported that the traumatic tympanic membrane perforations in pediatric patients tend to heal spontaneously than in adults. Clinical suspicion of ossicular dislocation, perilymphatic fistula that presents with symptoms of dizziness, vertigo, sudden or fluctuating sensorineural hearing loss, and facial nerve paralysis alerts physician for immediate otolaryngology consultation for surgical evaluation within hours to prevent permanent hearing loss [17].…”

Section: Management Of Pediatric Ear Traumamentioning

confidence: 99%