Non-Explosive blast injury of the ear

Berger, Gilead; Finkelstein, Yehuda; Harell, Moshe

doi:10.1017/s002221510012688x

Cited by 37 publications

(42 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 Traumatic TM perforations are seen in all age groups. In our study, middle age group (20-40 years) has the highest incidence similar to studies undertaken by Gacek and Gacek and Berger et al 6,7 The incidence of traumatic perforation was found to be more in males (64%) compared to females (36%) which was similar to studies reported by Gacek and Gacek and da Lilly-Tariah and Somefun. 6,8 The high prevalence can be explained by the fact that most cases were road traffic accidents involving two wheelers and majority of the drivers were males.…”

Section: Discussionsupporting

confidence: 91%

Traumatic perforation: determinants of conductive hearing loss

Ravi¹,

Ravishankar²

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

INTRODUCTIONThe tympanic membrane (TM) serves as a key component of the tympano-ossicular system for sound transmission. Perforations of the TM can result in a conductive hearing loss (CHL) that ranges from negligible to 50 dB. Perforation of the TM is common in otologic practice and can result from various causes. The cause of TM perforation include direct trauma by instrumentation such as cotton swab, pins and sticks, Iatrogenic such as syringing, suctioning, probing of ear and skull fracture. Pressure changes include blast injury and open palm trauma (slapping), diving and flying.1 As expected the incidence of perforation of TM is on a rise, due to increased violence and accidents seen in the present day life. 2A perforated TM results in loss of hearing due to decreased surface area and liability to recurrent infection of the middle-ear mucosa. These problems limit the patient participation in water sports and their recruitment for jobs in military services and as motor vehicle drivers. 3 ABSTRACTBackground: Traumatic perforations of the tympanic membrane are very common in day to day life and it may be due to direct or indirect source. The aim of this study is to evaluate the various factors which determine the degree of hearing loss in patients with traumatic perforation of tympanic membrane. Methods: A retrospective review was performed in 50 patients seen at the ENT department in our rural tertiary center over a period of two years between January 2015 to December 2016. The patients with history of ear trauma from various causes and with absolutely no previous history of any ear disease were included in our study. The data retrieved included parameters such as age, sex, side, cause of injury and presenting complaints such as hearing loss, earache, tinnitus, and vertigo. A detailed clinical and otoscopic examination was done to determine the size and location of the perforation. Hearing was assessed using pure tone audiometry (PTA) to determine the degree of hearing loss and to correlate with frequency, size and location of perforation. Results: A total of 50 patients with traumatic perforations of the tympanic membrane were enrolled for the study, comprising of 32 males and 18 females patients. Age of the patients ranged from12 to 65 years of age. The results showed that the most common mode of trauma was RTA (46%). Audiometry shows that the larger the tympanic membrane perforation, the larger the air-bone gap. Hearing loss was highest at the lowest frequencies and generally decreased as the frequency increased. The results also showed that there was no difference in air bone gap with relation to location of perforation (anterior vs. posterior). Conclusions: The conductive hearing loss resulting from a tympanic membrane perforation is frequency dependent, with the largest losses occurring at the lowest sound frequencies, hearing loss increases as size of the perforation increases and no relation with location of perforation.

show abstract

Section: Discussionsupporting

confidence: 91%

Traumatic perforation: determinants of conductive hearing loss

Ravi¹,

Ravishankar²

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…This is mainly due to prevalence of domestic violence and child abuse in our society. Lindeman et al 14 and Berger et al 15 also reported higher incidence of traumatic TM perforation amongst young females as in our series while Camintz et al 16 reported high prevalence in males. The most common side affected was the left side (51.7%) in our series while right ear was injured in 32.8% of cases and bilateral involvement was seen in 15.5 % of cases.…”

Section: Discussionsupporting

confidence: 71%

“…Al-Obiedi SH, Lindeman, Berger also had similar prelidiction for the left ear. 5 , 14,15 Most of the patients in our series(55.2%) had small perforation with involvement of around 20% of the TM size. Large perforation involving 80% of TM size was seen only in 1.7% cases.…”

Section: Discussionmentioning

confidence: 74%

“…Most of the studies on TM perforation have reported a prevalence of small sized perforation as in our series. 14,15,17,18 The most common quadrant to be involved was postero-inferior quadrant (48.3%) followed by central quadrant (31%). Sarojammaet al 19 also report higher involvement of the posteroinferior quadrant whereas Korkis et al 20 believed that antero-inferior quadrants were affected more in cases of traumatic TM perforation.…”

Section: Discussionmentioning

confidence: 99%

“…Other workers in traumatic tympanic membrane perforation have also reported decreased hearing and tinnitus as the two major findings. 15,17 Spontaneous healing of traumatic TM perforation is affected by presence of persistent ET dysfunction, exposure of the middle ear cavity to water and chronic infections, as they retard the healing process of the tympanic membrane. 2 Thus it is imperative to avoid exposing the involved ear to water by using petroleum jelly coated cotton while taking bath and avoid swimming till the TM is healed to prevent infections.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation

Rai

Koirala

Sharma

2017

Nepalese J ENT Head Neck Surg

View full text Add to dashboard Cite

Objective: To study the role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation.Material and Methods: A prospective single blinded, randomized controlled study was carried out in the department of ENT, Manipal College of Medical Sciences, Pokhara, Nepal. Patients with traumatic tympanic membrane perforation were divided into two groups; those receiving nasal decongestants along with conservative measures (Group1) and those receiving conservative measures only (Group2). Healing of tympanic membrane was compared in between these groups at 1 and 3 months. Statistical analysis was done using SPSS 20.Results: There were 30 patients in group 1 and 28 patients in group 2. The mean age of the study population was 26.98 (SD= 7.53). The M: F ratio in group 1 was 0.58:1 and that in group 2 was 0.56:1. Complete healing was seen in 25 (83%) patients in group 1 and 16 (57.1%) patients in group 2 at the end of 1 month (P=0.029). Similarly, healing was seen in in 29 (96.7%) patients in group 1 and 21 (75%) patients in group 2 at the end of 3 months (P=0.023).Conclusion: Routine use of nasal decongestants increases the chances of spontaneous healing of traumatic tympanic membrane perforations.

show abstract

Head and neck injury

Brandt¹

1999

Vertigo

View full text Add to dashboard Cite

Non-Explosive blast injury of the ear

Cited by 37 publications

References 10 publications

Traumatic perforation: determinants of conductive hearing loss

Traumatic perforation: determinants of conductive hearing loss

Role of nasal decongestants in spontaneous healing of traumatic tympanic membrane perforation

Head and neck injury

Contact Info

Product

Resources

About