Observational Study of Traumatic Tympanic Membrane Perforations in Relation to Aetiology and Management

B.R, Singh; V.B, Sahu; Thakral, Ankit; Sankar, Lekhraj; Pandey, Anand; Parveen, Shagufta

doi:10.18410/jebmh/2016/504

Cited by 2 publications

(3 citation statements)

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“…Likewise in Singh's study conductive hearing loss was found in 50 patients (83.33%) while mild degree of hearing loss was noted in 40 patients (66.66%). 10 Our observation is also in accordance with study of Adegbiji from Nigeria, revealed that conductive hearing loss was the most common type of hearing impairment accounted for 326(61.6%), followed by sensorineural hearing loss 134(25.3%), while the common degree of hearing impairment was mild to moderate degree of hearing loss that accounted for 249(47.1%). 15 In present study spontaneous healing took place in 97 patients (85.1%), however amongst surgical procedures overlay myringoplasty was commonest (7, 6.1%) in those where perforation persisted beyond six months, which is keeping with Wani's work where overall spontaneous healing was achieved in 91.1% patients, and tympanoplasty was performed in 8(2.3%) patients.…”

Section: Discussionsupporting

confidence: 91%

“…8,9 In current study amongst the cause of TTMP, slap trauma was most common (70.2%, n-80), subsequently trauma due to blast was found in 17 patients (14.9%), which is keeping with results of Ahluwalia, Al-Juboori, Singh, Irfan, Rai, who also reported that TTMP was mainly due to slap trauma to the ears. 7,8,[10][11][12] However etiologic factors of this study differs from that of, Ravi, Dawood, Sannigrahi, and Al-Obiedi where traumatic tympanic perforation was predominantly caused by blast injuries while in one study road traffic accidents was main cause of tympanic membrane perforation. 3,5,13,14 We found that in majority of patients left ear was affected more (58.7%, n-67), and commonest site of perforation of membrane was anterioinferior (43.9% n-50) quadrant.…”

Section: Discussionmentioning

confidence: 99%

“…17 According to available literature spontaneous healing of TTMP occurs in 80 -100% cases. 5,[10][11][12][13][14][15][16]18,19 As slap on the ear was more common resulting perforation at anterio-inferior quadrant of TM on left side hence there was statistically significant association between cause of trauma and site and side of perforation (x=24.13, p=0.020), (x=57.10. p=0.000), that is supported by study of Sannigrahi who found significant association between mode of injury and tympanic membrane perforation after three months (χ2 = 23.30; p = .00001).…”

Section: Discussionmentioning

confidence: 99%

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

Wahid¹,

Saleem²,

Muhammad³

et al. 2021

Pak J Med Sci

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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.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Wahid¹,

Saleem²,

Muhammad³

et al. 2021

Pak J Med Sci

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Traumatic Perforation of Tympanic Membrane

Puttamadaiah,

Bhanuprakash,

Viswanatha

et al. 2022

Indian Journal of Otology

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Introduction: Traumatic perforation of tympanic membrane (TM) is caused by increase in air pressure due to slapping, road traffic accident, blast injury, syringing, trauma by ear buds, etc., The incidence has been increased in recent times due to increased domestic violence and road traffic accidents. Hence, there is a need for early identification, evaluation, and management to reduce the morbidity. Objectives: The objective of the study was to describe etiologies of traumatic perforation of TM, to assess the findings of pure tone audiometry (PTA) among patients with traumatic perforation of TM, and to determine the outcome. Materials and Methods: This study was done between November 2017 and May 2019 in the department of ENT at Bangalore Medical College and Research Institute on 88 patients with traumatic perforation of TM who were subjected to otoscopic examination, tuning fork tests, and PTA. Patients were followed up on weekly basis. Results: Out of 88 patients, 33 patients (37.5%) were in the age group of 21–30 years. Fifty-four were males (61.36%) and 34 were females (38.63%). Slapping is the most common mode of injury with 50 (56.8%) patients. Left ear 55 (62.5%) was more commonly involved than right ear 33 (37.5%). Small perforation 55 (62.5%) was more common followed by medium-sized perforation 25 (28.4%) and large perforations were the least 8 (9.1%). Multiple quadrants were involved in 33 patients (37.5%). Posteroinferior quadrant was most commonly involved. Deafness (75%) was the most common symptom involving 66 patients. Average time taken for spontaneous healing was 37 days. Mean hearing improvement compared between hearing loss at the time of trauma and after 3 months was 13.18 ± 7.05 dB, which is statistically significant (P = 0.0001). Conclusion: Traumatic perforation of TM spontaneously healed in 80 participants (90.90%), whereas eight participants (9.09%) underwent surgery, i.e., tympanoplasty.

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Observational Study of Traumatic Tympanic Membrane Perforations in Relation to Aetiology and Management

Abstract: The aim of the study was to evaluate the various aetiological factors incidence and type of hearing loss, clinical presentation, treatment, prognosis and outcome.

Cited by 2 publications

References 10 publications

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

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

Traumatic Perforation of Tympanic Membrane

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