Traumatic Perforation of Tympanic Membrane: A Rural Profile of Bangladesh

Mazumder, Jahangir Alam; Nasir, Syed Mohiuddin; Rashid, Shazibur; Khan, Arif Morshed

doi:10.3329/medtoday.v28i2.32932

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…On left side of ear, perforation of the Tympanic membrane was observed in 39 (48.75%) patients followed by right year perforation in 32 (40%) patients while bilateral perforation was observed in only 9 (11.25%) patients. In accordance with our findings, other studies also reported left ear in majority of their cases 8,10,11 . The most likely reason for the involvement of the left side is that right-handed people often slap victims who are facing them over the left ear.…”

Section: Discussionsupporting

confidence: 93%

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: Discussionsupporting

confidence: 93%

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

Ijaz,

Shaikh,

Shafiq

et al. 2023

PJMHS

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“…Majority patients were male (58%) and 42% patients were female. Similarly, 54.76% patients were male and 45.23% where female were found in the study by Mazumder and colleagues 12 . Santoshi Kumari et al found that 58.4% male and 41.4% female in their study involving patients with otitis media 13 .…”

Section: Figure 1: Clinical Presentation Of Patients (N=50)mentioning

confidence: 53%

Outcome of Myringoplasty with Temporal Fascia and With Sliced Tragal Cartilage Graft-A Comparative Study

Mohammad Tasrif,

Imtiaz,

Rahman

et al. 2024

Med. Today

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Introduction: Myringoplasty is the surgical procedure to repair tympanic membrane perforations and thereby improving hearing, providing a dry ear, and reducing susceptibility to infections. Although there are many kinds of techniques and graft materials used, no methods have proven indisputably superior to the other. Therefore, to find out the outcome of myringoplasty using temporal fascia and sliced tragal cartilage in chronic inactive mucosal otitis media was set as an objective of the study. Materials and Methods: This cross-sectional observational study was conducted at the department of Otolaryngology & Head-Neck surgery, Shaheed Suhrawardy Medical College Hospital (ShSMCH) for six months from July 2018 to December 2018, after acceptance of the protocol and approval from IRB. Patients attending in the ShSMCH with complaints of chronic inactive mucosal otitis media were approached for inclusion of the study and final selection were done in according to the selection criteria. Ethical issues were ensured properly throughout the study period and inclusion was confirmed following signing written informed consent. All patients were randomly allocated into two groups where one group were received myringoplasty with temporalis fascia graft and another group received sliced tragal cartilage. Total 50 patients (25 patients in each group) were included, and they were subjected to details history taking, physical examination and necessary investigations. The researcher conducted all the interview and collected data were recorded into a case record form for each patient. Data analysis was done by SPSS 17. Results: Of total, 50 study population, mean age of the 32.30±10.93 SD (years) with 58% male and 42% females respectively. No significant age and gender difference is noted across the group (p>0.05). Patients having temporal fascia graft had significantly higher proportion of graft uptake in comparison to patients having sliced tragal graft (p<0.05). Both groups of the patient improve significantly in term of hearing after operation (p<0.05 in each group) but comparison in between groups showed that the improvement was significantly higher in temporal fascia graft group (p<0.001). Conclusion: Myringoplasty with temporal fascia graft could be a better option than sliced tragal cartilage graft in our population. However, further larger study with longer follow up is necessary to finalize the comment. Medicine Today 2023 Vol.36 (1): 50-54

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“…The result of this study varies from Dawood’s study, where small size perforation was found in 51.5%, and posterior quadrant TM perforation found in 50% and that of Mazumder’s study where small size perforation was more common (60%) and postero-inferior quadrant was involved in 61.90% patients. 2 , 12 The probable explanation of left side involvement is that right handed person tends to slap the victim facing to him over the left ear. The air pressure change produced in the external auditory canal by slap is sufficient to cause medium size perforation in the tympanic membrane, as unveiled from the results of this study that commonest cause of perforation of tympanic membrane was slap (72.9%), while medium sized perforation was commonest perforation (56.2%).…”

Section: Discussionmentioning

confidence: 99%

Incidence and characteristics of Traumatic Tympanic Membrane perforation

Wahid

Nagra

2018

Pak J Med Sci

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Objective:To determine incidence and characteristics of traumatic Tympanic Membrane perforation in a tertiary care hospital.Methods:This descriptive cross sectional study was conducted at the Department of ENT, MTI/LRH, Peshawar from August to December 2017. After well informed consent a detailed history was taken; thorough examination of ENT was carried out. Pure Tone Audiometry (PTA) of all included patients was performed by same senior audiometrician. The data were collected on predesigned proforma and were analyzed using SPSS (16 versionResults:This study included 48 patients; Male 34, Female 14 with Male: Female ratio of 2.24:1. The mean age was 26.75 ± SD 9.88 Years. Majority of the patients (24, 50%) were in 3rd decade of life. The commonest cause of perforation of tympanic membrane was slap (35, 72.9%). Perforation of the Tympanic membrane was found more on left side (24, 50%), involving anterio-inferior site (18, 37.5%), while medium sized perforation was frequent finding (27, 56.2%). Single perforation was commonest observation (45, 93.8%), conductive hearing loss was the most common finding (38, 79.2%), and mild degree hearing loss was commonest (24, 50%).Conclusion:Traumatic tympanic membrane perforation is common in young male. Slap was the commonest cause of traumatic perforation affecting left ear more than right ear. Inferior quadrant of the tympanic membrane was commonly involved and mild degree and conductive type of hearing loss was common.

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Traumatic Perforation of Tympanic Membrane: A Rural Profile of Bangladesh

Cited by 4 publications

References 7 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

Outcome of Myringoplasty with Temporal Fascia and With Sliced Tragal Cartilage Graft-A Comparative Study

Incidence and characteristics of Traumatic Tympanic Membrane perforation

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