Traumatic tympanic membrane perforations: characteristics and factors affecting outcome

Ghana Medical Journal
Olusola A SogebiTaofeeq O Mabifah

Abstract

To characterize traumatic tympanic membrane perforation (TTMP) in terms of distribution, mechanisms, and outcome of treatment. To assess the factors influencing such outcome. Prospective analytical study, assessing outcomes post-injuries. Clinical department of a tertiary referral hospital. Patients with TTMP based on history of trauma to the ear, and otoscopic examination confirming tympanic membrane (TM) perforation. Conservative, inactive treatment. Distribution and healing of perforations. There were 53 patients, Male: Female ratio =1.5:1, age 8-71years (Mean ±SD= 33.8 ±12.9). Median duration of injury before presentation was 3 days. 11 patients had both ears traumatized. 46.9% of perforations were in the antero-inferior part of the TM. Median size of perforations was 33.0%; Patients main complaints were blockage of the ears/ hearing loss and tinnitus. Common causes of perforations were domestic assault (28.3%), self-inflicted/ accidental injuries (20.8%), and road traffic accidents (18.9%). There was a significant difference in the mechanism/cause of injuries between the sexes (X2 =15.607, p=0.005). Traumatic perforation was caused by penetrating injuries in 22 (34.4%) ears. The outcome of TTMP was poor in 18.7%. Big sized...Continue Reading

Citations

Nov 12, 2020·Ear, Nose, & Throat Journal·Dylan Jacob Cooper, Stanley Pelosi
Nov 10, 2020·Tissue Engineering. Part B, Reviews·Mina AleemardaniAlexander Seifalian

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