Traumatic tympanic membrane perforation: An overview

Wani, Asef; Rehman, Ayaz; Lateef, Saud; Malik, R; Ahmed, Asif; Ahmad, Waseem; Kirmani, Masood H.

doi:10.4103/0971-7749.182276

Cited by 10 publications

(18 citation statements)

References 0 publications

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“…Out of this the maximum incidence 39.04% (n=82) was among 21-30 years age group. This finding coincides with most of the similar studies 4,5,6,7 . Males were slightly predominated over females (54.16% vs 45.84%) which is almost similar with other studies 5,6,7,8,9 .…”

Section: Discussionsupporting

confidence: 93%

“…This finding coincides with most of the similar studies 4,5,6,7 . Males were slightly predominated over females (54.16% vs 45.84%) which is almost similar with other studies 5,6,7,8,9 . Afolabi et al 10 found male to female ratio -2.5:1 whereas Linderman et al 11 showed female predominated over male.…”

Section: Discussionsupporting

confidence: 93%

“…Afolabi et al 10 found male to female ratio -2.5:1 whereas Linderman et al 11 showed female predominated over male. Almost all studies 5,7,10,12 showed left ear to be affected more than right. We also found the same incidence as left ear 70.95% (n=149) & right ear 29.05% (n=95) ( Table-II).…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Perforation of Tympanic Membrane: A Rural Profile of Bangladesh

Mazumder¹,

Nasir²,

Rashid³

et al. 2017

Med. Today

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To determine the various etiological factors, clinical presentation and outcome of traumatic perforation of tympanic membrane (TM) in a rural area of Bangladesh. A retrospective study of 210 cases of traumatic perforation of TM in upazilla health complex, Nangalkot and Muradnagar, Comilla, Bangladesh within the period of March 2013 to February 2014. The study showed middle age people of 20-39 years age group were mostly affected (61.89%), where males are more than females at the ratio of 1.18:1. Domestic violence was a major factor (50%) and husbands are only culprit for 35.13% of housewives and slap was the major mode of injury (52.86%) affecting the left ear mostly (70.95%). Spontaneous healing rate was very satisfactory and it was 88% within 03 months in our study. Traumatic perforation of TM is a common type of injury in rural areas. Unnecessary surgical intervention or unskilled handling should be discouraged. Early appearance and watchful treatment reduces the morbidity.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Traumatic Perforation of Tympanic Membrane: A Rural Profile of Bangladesh

Mazumder¹,

Nasir²,

Rashid³

et al. 2017

Med. Today

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“…Overall spontaneous closure of TM perforations in our study was seen in 235 (82.46%) cases and after successful tympanoplasty the number of healed perforation became 278 (97.54%). High spontaneous healing was also reported by Orji et al and Wani et al (91.1%), and 78% by Persaud et al 6,13,15 However, it was only 38% in cases of Remenschneider et al, and 55.6% in cases of Cohen et al 8,16 At 5 years' follow up group A had significantly higher number of unscarred, healthy TMs than group B. Thus, edge approximation and gelfoam splinting in group A helped in better spontaneous healing in 5 th and 6 th week and achieving higher rate of unscarred healthy TM on long term follow up.…”

Section: Discussionsupporting

confidence: 62%

“…In the series reported by Wani et al, 92.3% had single while 7.7% had multiple TM perforations while in the cases of Sridhara et al, twenty-two (65%) were total or near-total perforations. 13,14 Three patients (0.78%) had ossicular chain disruption in our series; while it was seen in 6 (18%) of patients in the study by Sridhara et al 14 The difference can be attributed to variable intensity of the blast in different series.…”

Section: Discussionmentioning

confidence: 49%

Blast injury to the ear: management and long term follow up at a tertiary care hospital in a terrorism affected area of North India

Kumar

Mishra

Mallick

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: A large proportion of blast victims suffers ear injuries; however, these injuries are often overlooked.Methods: We assessed 411 blast victims to detect ear injury employing detailed history, otological examination, pure tone audiometry, auditory steady state response and distortion product otoacoustic emissions. TM perforations were managed by thorough cleaning of ear by suctioning, edges approximation and gelfoam splinting in group A and only suctioning in group B. Prednisolone in tapering doses was prescribed for managing hearing loss in all except those in whom it was contraindicated. Results: Out of 411 blast victims, 228 (55.47%) had aural trauma. All cases were males (being serving soldiers) between ages of 21 and 57 years. (Mean 37.77 years, SD 10.38). 285 ears had a perforated TM. Of these, 145 were assigned to group A while 140 were in group B. There was no significant difference in spontaneous healing of perforation between the two groups but at 5 years’ follow up group A had significantly higher number of unscarred, healthy TMs than group B (Z score=2.2111, p=0.0271). Mean pure tone average was 51.16 dB (SD 8.79 dB) at presentation and 38.91 dB (SD 7.86 dB) at 5 years. Recovery of SNHL component was significantly better in steroid treated patients.Conclusions: Edges approximation and gelfoam splinting helped in reducing scarring of TM on healing, on long follow up. Steroid treated group showed better recovery of hearing loss.

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