Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan

Abstract

Objectives: To determine the outcome of traumatic tympanic membrane perforation in a teaching hospital at Peshawar, Pakistan.
 Methods: This prospective observational study was performed in the Department of ENT and Head and Neck Surgery, MTI/LRH, Peshawar, Pakistan from January 2016 to December 2019 after approved from Institutional Research and Ethical Board. All consented patients fulfilling inclusion criteria were enrolled. Sample size was calculated 114 using online sample size calculator (OpenEpi). Every patient was evaluated properly, subsequently otoscopy and PTA was performed. Required information was recorded and analyzed using SPSS (version 25).
 Results: Out of 114 patients 81 (71.1%) were males and 33(28.9%) were female with male: female ratio of 2.5:1. Patient’s age ranged from 6- 55 years with mean ± SD age of 26.41 ± 9.7 years. Majority of Patients, 46.5%( 53) were in 2nd decade. Amongst the causes slap outnumbered (80, 70.2%), and left ear was involved predominately (67, 58.7%) affecting mainly anterio-inferior quadrant (50, 43.9%). Small size perforation was most common finding (64, 56.1%). Majority of patients (72, 63.2%) presented in a week time and single perforation was the commonest (107, 93.%). Most of traumatic TM perforation got healed spontaneously (97, 85.1%).
 Conclusion: It is concluded that spontaneous healing of traumatic membrane perforation occurs in more than 90% cases provided the ear is kept dry and not accompanied by unfavorable conditions.
 doi: https://doi.org/10.12669/pjms.37.3.3923
 How to cite this:Wahid FI, Saleem M, Muhammad R, Khan MR. Aftermath of traumatic tympanic membrane perforation: Our findings at a tertiary care hospital in Pakistan. Pak J Med Sci. 2021;37(3):---------. doi: https://doi.org/10.12669/pjms.37.3.3923
 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Post Blast Tympanic Perforations, Clinical and Paraclinical Study at Six Yaounde Hospitals

“…This study, 124 cases were included with a male preponderance (57.3%) with a sex ratio of 1.34. This is consistent with the analysis by Wahid FI et al Performed in Pakistan, which included 114 male-dominated patients (71%) with a sex ratio of 2.5 [2]. The mean age of the patients in our study was 28.6 years, close to the study done in Germany in 2015 by Kraus et al on traumatic tympanic perforations, which had an average age of 28.7 years [3].…”

“…similar to those of one of the studies mentioned above by Wahid FI et al In Pakistan in 2021, 72.9% of post-blast tympanic perforations were caused by slapping [2]. These findings are also reinforced by a study done in Bangladesh in 2015 by Rabbani SG et al on traumatic tympanic perforations, which reported that 88.5% of cases were caused by slapping [6].…”

“…In Bangladesh, Rabbani et al found conductive hearing loss in 97.14% of cases and mild hearing loss in 70% [6]. Similar to those of Wahid et al in 2021 in Pakistan, they found conductive hearing loss in 79.9% of cases, and mild hearing loss in 50% of cases [2]. Mild conductive hearing loss is often found in post-blast perforations and other traumatic perforations.…”