Incidence and characteristics of Traumatic Tympanic Membrane perforation

Wahid, Fazal I; Nagra, Sajid Rashid

doi:10.12669/pjms.345.15300

Cited by 13 publications

(7 citation statements)

References 9 publications

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“…These findings were consistent with the findings of another study done by Rabbani SMG et al who reported that slapping for is responsible for the majority of cases of perforation of tympanic membrane 1 . Another study done by Fazal I. Wahid and Sajid Rashid Nagra also reported slap as cause of perforation of tympanic membrane in majority of their cases 8 . In contrary to our results, another study from Iraq reported that blast was the main cause of perforation of tympanic membrane 2 .…”

Section: Discussionmentioning

confidence: 90%

Causes and Characteristics of Traumatic Tympanic Membrane Perforation in a Tertiary Care Hospital

Ijaz,

Shaikh,

Shafiq

et al. 2023

PJMHS

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Background: Due to human violence, perforation of the tympanic membrane is a frequent occurrence all over the world. The abrupt increase in air pressure in the external auditory canal is the pathophysiology of traumatic tympanic membrane perforation. Objective: To assess the causes and characteristics of traumatic Tympanic Membrane perforation in a tertiary care hospital Methodology: The current study was cross sectional study, conducted at the ENT Department of Sahara Medical College Narowal from January 2022 to July 2022. All the patients were examined by a sing ENT specialist and data was recorded on a pre-designed performa. All the analysis of data was done by IBM SPSS version 23. Results: In the current study, totally 80 patients were enrolled. There were 50 (62.5%) male patients while female patients were 30 (37.5%). The mean age in our study was 28 (4.29) years. The most common type of tympanic membrane perforation was slap in 56 (70%) patients followed by blast injury in 8 (10%) patients. On left side of ear, perforation of the Tympanic membrane was observed in 39 (48.75%) patients. Based on number of perforation, single perforation was observed in 72 (90%) patients while multiple perforations were observed in 8 (10%) patients. Conductive hearing loss was observed in 62 (77.5%) patients and Mild Hearing Loss was observed in 44 (55%) patients. Conclusion: Young males, particularly those between the ages of 18 and 30, often have traumatic tympanic membrane perforation. The most frequent cause of traumatic perforation was slap, which affects the left ear more frequently than the right ear. The most common type of hearing loss was conductive, and mild. Keywords: Causes; characteristics; Tympanic Membrane perforation

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Section: Discussionmentioning

confidence: 90%

Causes and Characteristics of Traumatic Tympanic Membrane Perforation in a Tertiary Care Hospital

Ijaz,

Shaikh,

Shafiq

et al. 2023

PJMHS

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“…In Gray’s Anatomy, 1 the classical textbook, the height and width of the membrane have been given as 9-10 mm and 8-9 mm, respectively. However, 21 , 22 these measurements were reported by some otorhinolaryngologists as 10 mm and 5 mm, respectively. The possible reasons for differences in the diameters of the tympanic membrane or the TR were listed as follows: methodology (e.g., in situ or ex situ measurements), demographic data (e.g., region), and c) technique (e.g., dissection or ultrasonographic imaging).…”

Section: Discussionmentioning

confidence: 93%

Growth Pattern of the Tympanic Ring in Human Fetuses

et al. 2021

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Objectives: The study aimed to display the growth pattern of the tympanic ring in fetal cadavers of 20-30 weeks of gestation. METHODS: In the study, 32 temporal bones of 16 fetuses (8 males, 8 females) of 24.62 ± 3.44 weeks of gestation were dissected to measure the height (TRH), width (TRW), and perimeter (TRP) of the annulus, and the width (TNW) of the opening part of the annulus at the level of the tympanic notch. Results: The TRH, TRW, TRP, and TNW were measured as 8.25 ± 1.04 mm, 7.64 ± 1.08 mm, 24.93 ± 3.40 mm, and 4.01 ± 0.91 mm, respectively. The parameters were similar at the seventh and eighth months of gestation; therefore, there was no variation from the seventh month. Linear function was calculated as y = 1.328 + 0.281 x weeks ( P < .001) for the TRH, y = 1.284 + 0.258 x weeks ( P < .001) for the TRW, y = 3.367 + 0.876 x weeks ( P < .001) for the TRP, and y = −0.603 + 0.188 x weeks ( P < .001) for the TNW. Conclusion: The parameters (TRH, TRW, TRP, and TNW) did not alter from the seventh month in utero. The linear functions (which represent the growth pattern of the parameters) of the tympanic ring may be useful for ear professionals to guess the annulus diameters, and to diagnose growth retardation and probable congenital anomalies in utero during sonographic imaging.

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“…It protects the middle ear cleft and amplifies and transmits sound waves from external auditory canal through ossicular chain to oval window and cochlea due to its vibratory characteristic. 3 TM could be ruptured by trauma due to hair pin, matchstick or unskilled attempts to remove a foreign body, sudden change in air pressure e.g., a slap on the ear or a sudden blast, pressure by a fluid column, e.g., diving or forceful syringing, fracture of temporal bone etc. 1 The common manifestations of traumatic TM perforation are sudden severe pain, bleeding, hearing impairment, tinnitus and dizziness.…”

Section: Introductionmentioning

confidence: 99%

“…1 The common manifestations of traumatic TM perforation are sudden severe pain, bleeding, hearing impairment, tinnitus and dizziness. 3 This symptomatology depends upon the site and severity of perforation. Treatment of TTMP range from inactive watchful waiting, active intervention to surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

A clinical study of traumatic tympanic membrane perforation

Harish

Prasad

2021

Int J Otorhinolaryngol Head Neck Surg

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Background: Tympanic membrane (TM) which forms the partition between external auditory canal and middle ear may be ruptured by trauma. Traumatic TM perforation is a commonly observed condition. Though, several therapeutic interventions have been described, conservative follow-up until spontaneous complete recovery is the most common choice.Methods: It was a prospective cohort study conducted during a period of 10 months from July 2020 to April 2021, carried out in 30 patients who presented to outpatient department of ENT and casualty of Hassan institute of medical sciences hospital with traumatic TM perforation. After taking informed consent, detailed history was taken, thorough examination of ear was performed and characteristics of perforation were noted. Pure tone audiometry (PTA) was conducted, data was statistically analysed.Results: Mean age group was 33.1 years and 73.3% were males. Ear pain was the commonest symptom with accidental trauma being the most common cause. 70% of them had left TM perforation and posteroinferior quadrant was mostly involved.Conclusions: Traumatic TM perforation is commonly seen in young adults following accidental trauma and assault. Earache, sudden hearing loss and tinnitus are the common symptoms. Most of the cases heal spontaneously with conservative management.

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Incidence and characteristics of Traumatic Tympanic Membrane perforation

Cited by 13 publications

References 9 publications

Causes and Characteristics of Traumatic Tympanic Membrane Perforation in a Tertiary Care Hospital

Causes and Characteristics of Traumatic Tympanic Membrane Perforation in a Tertiary Care Hospital

Growth Pattern of the Tympanic Ring in Human Fetuses

A clinical study of traumatic tympanic membrane perforation

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