DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20213903

A clinical study of traumatic tympanic membrane perforation

Fida Harish A. T., Raghavendra Prasad K. U.

Abstract


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.


Keywords


TM, Trauma, Perforation, PTA

Full Text:

PDF

References


Dhingra PL, Dhingra S. Diseases of ear, nose and throat, 7th ed. RELX India Private Limited. 2017.

Browning GG, Burton MJ, Clarke R, Hibbert J, Jones NS, Lund VJ et al. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery, 7th ed. CRC Press. 2008.

Wahid FI, Nagra SR. Incidence and characteristics of Traumatic Tympanic Membrane perforation. Pak J Med Sci. 2018;34(5):1099.

Jellinge ME, Kristensen S, Larsen K. Spontaneous closure of traumatic tympanic membrane perforations: observational study. J Laryngol Otol. 2015;129:950-54.

Sogebi OA, Oyewole EA, Mabifah TO. Traumatic tympanic membrane perforations: characteristics and factors affecting outcome. Ghana Med J. 2018;52(1):34-40.

Conoyer JM, Kaylie DM, Jackson CG. Otologic surgery following ear trauma. Otolaryngol Head Neck Surg. 2007;137:757-61.

Afolabi OA, Aremu SK, Alabi BS, Segun-Busari S. Traumatic tympanic membrane perforation: an aetiological profile. BMC Res Notes. 2009;21(2):232.

Lou ZC, Lou ZH, Zhang QP. Traumatic tympanic membrane perforations: a study of etiology and factors affecting outcome. Am J Otolaryngol. 2012;33:549-55.

Sarojamma S, Raj S, Satish HS. A Clinical Study of Traumatic Perforation of Tympanic Membrane. J Dental and Medical Sci. 2014;13:24-8.

Smith M, Darrat I, Seidman M. Otologic complications of cotton swab use: one institution's experience. Laryngoscope. 2012;122:409-11.

Lou Z, Yang J, Tang Y, Fu Y. Topical application of epidermal growth factor with no scaffold material on the healing of human traumatic tympanic membrane perforations. Clin Otolaryngol. 2016c;41(6):744-9.

Bilge A, Gunes A, Dagli M, Koybasioglu FF, Guvey A. The impact of topical and systemic enoxaparin sodium use on traumatic tympanic membrane perforation and myringosclerosis. Eur Arch Otorhinolaryngol. 2016;273(10):3035-41.

Güneş A, Mutlu M, Akin İ. The Impact of Systemic and Local Administration of Ascorbic Acid on Traumatic Perforation of Tympanic Membrane and Myringosclerosis. J Int Adv Otol. 2015;11:48-52.

Neuenschwander MC, Deutsch ES, Cornetta A, Willcox TO. Penetrating middle ear trauma: a report of 2 cases. Ear Nose Throat J. 2005;84:32-5.