The Study Incidence of Traumatic Tympanic Membrane Perforation due to Age, Gender and Causative Agents (original) (raw)
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Traumatic Tympanic Membrane Perforation in Tertiary Health Institution
Background: Traumatic tympanic membrane perforation is a common otologic disorder with associated hearing impairment. Objective: This study aimed at determining the clinico-epidemiological pattern, etiological factors, clinical presentation and management of traumatic tympanic membrane perforation in a Tertiary institution in Nigeria. Materials and Methods: This was a prospective hospital based study of patients with history of traumatic perforated of tympanic membrane. The study was carried out over a period of 5 years (September 2012 to August 2017). A study proforma was used to obtain detailed history and clinical findings from consenting patients. Data collected were collated and analyzed using SPSS version 16.0. Results: Prevalence of traumatic tympanic membrane perforation in this study was 2.1%. There were 65.5% males and 34.5% females with a male to female ratio of 2:1. The common presenting symptoms among the patients were hearing impairment in 68.3%, otalgia in 62.7% and tinnitus in 61.3%. Slap on the ear was the commonest cause of traumatic tympanic membrane perforation in 43.7% of the patients followed by self-ear cleaning in 16.9%. Commonest causes of slap in this study were 15.5% from security agent, 12.7% from seniors/boss while 9.9 % are from spouses. Unilateral traumatic perforation was more common in 97.9% than bilateral in 2.1%. The left ear traumatic perforation was more common than right ear tympanic perforation as 53.5% and 44.4% respectively. Grade 2 in 39.4% was the commonest perforation. Majority of the traumatic perforation were 40.8% central and 33.8% anterior central. Commonest comorbid injuries were subconjunctival hemorrhage in 16.2% and fracture temporal bone in 13.8%. Conductive hearing impairment in 69.7% and sensorineural hearing impairment in 17.6% were the commonest type of hearing impairment in our patients. Commonest degrees of hearing impairment were mild and moderate which accounted for 47.9% and 26.8% respectively. Commonest complications of traumatic tympanic membrane perforation were 68.3% hearing impairment and 26.1% tinnitus. Majority (73.9%) of the patients had conservative/medical therapy and 74.6% traumatic perforation healed at the end of 3 months. Conclusion: Traumatic perforation arises mainly from direct injuries in this study. The patients tend to present with hearing loss and unilateral involvement is the most common. There is the need to educate the public on the dangers of intentional trauma to the ear
Traumatic tympanic membrane perforation: an overview in a tertiary care centre-Khammam
International Journal of Otorhinolaryngology and Head and Neck Surgery, 2021
Background: Aim of the study was to distinguish traumatic tympanic membrane perforation (TTMP) by distribution, etiology and clinical presentation and to assess the prognosis and outcome of treatment and establish masterly inactivity as main treatment modality.Methods: A prospective observational study was performed on 60 cases of traumatic tympanic membrane perforation in the outpatient department of otorhinolaryngology, Mamatha medical college and general hospital, Khammam from October 2019 to March 2021. All the patients came to ENT OPD with the history of trauma to the ear and hearing loss were examined and after obtaining proper history, all the patients underwent ENT clinical examination, oto-endoscopic and audiological evaluation by pure tone audiometry. All the patients diagnosed with traumatic tympanic membrane perforation after obtaining informed written consent were included in the study. All the patients were followed at regular intervals and observations were recorded.R...
2020
Background: Damage to the tympanic membrane remains a substantial burden to patients presenting the emergency department. Traumatic perforation of the tympanic membrane though a common injury is mostly under reported. Many perforations are small and heal spontaneously. This study was conducted to analyze the mechanism of injury, treatment outcome of conservative management and when to do surgical management. Methods: We conducted cross sectional study among patients presenting with tympanic membrane perforation. Diagnosis was done using otoscopic and otoendoscopic examination. Patients were screened for hearing loss by Pure Tone Audiometry at the time of presentation. All patients were advised follow up every week for a period of 6 weeks. Systemic and local risk factor estimation was done in a comprehensive examination. Univariate and stepwise regression analyses were done to identify the independent risk factors associated with the presence and severity of trauma. We calculated adj...
" A study on fate of traumatic tympanic membrane perforation "
TTMF is very common in daily day to day life & highest incidence occur by slap injury (by teacher to student, wife to her husband etc.) & also age group 20-30 years old male, by teachers 5-15 years, by husband 25-35 years females. In these type of injuries mild conductive hearing loss most commonly found, in some cases SNHL also finding-blast injury, sports injury or RTA. The prognosis of tm perforation is excellent either certainty of time with variation of 45-90 days.
Management of Traumatic Perforations of the Tympanic Membrane: A Clinical Study
An International Journal of Otorhinolaryngology Clinics, 2015
Objective To compare the outcome of conservative management vs surgical intervention (realignment of torn edges) in traumatic perforations of the tympanic membrane (TM). Design Cohort study, Interventional, Observational, Prospective. Setting Karnataka Institute of Medical Sciences, Hubli, Karnataka. Patients All patients attending the Department of Otolaryngology with otological injuries. Interventions Patients with isolated traumatic tympanic membrane perforations without evidence of temporal bone fractures were managed either conservatively or surgically by realigning the torn edges of perforation under local anesthesia and supporting with gelfoam. Main outcome measures Healing of perforation, duration taken for complete healing and hearing outcome by pure tone audiometry. Results Perforations in patients taken up for surgical intervention healed faster. Though the difference in outcome, i.e. healed TM perforation between the 2 groups was not statistically significant, the differ...
Traumatic Perforation of Tympanic Membrane in A Tertiary Hospital in South-Eastern, Nigeria
European Journal of Clinical Medicine
Introduction: Traumatic tympanic membrane (TM) perforation is a commonly encountered otological condition with consequent hearing impairment and potentials for more grievous complications. We aim to establish the prevalence, sex distribution, laterality and aetiological factors associated with traumatic TM perforation in our locality Materials and Method: This is a 10 Year retrospective study involving patients who were managed for traumatic TM perforations at ENT outpatient clinic of Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State. Results: A total of 186 patients were managed for traumatic TM perforation involving 190 ears. The prevalence was 4.9%; 66.1% were males, 33.9% females giving a male to female ratio of 2:1 while age ranges from 1-68 years (mean± SD was 22.23± 15years. Left ear was involved in 54.3% of the cases, right ear in 43.5% and both ears in 2.2%. The commonest cause of traumatic TM perforation was Assaults (58.1%) of various kinds; domestic viole...
Spontaneous Healing of Traumatic Tympanic Membrane Perforation
Background: The tympanic membrane is an important component of sound conduction system, as an ear trauma may lead to its rupture, so non healed perforation will results in impairment of its function. Aims: To evaluate the factors those have influence on the spontaneous healing of the traumatic tympanic membrane perforations, and their relation, with various types of ear trauma. Patients and methods: A descriptive study of 62 patients attended the Otolaryngology Department / Al-Yarmouk Teaching Hospital in Baghdad, from September 1st 2012 to September 1st 2013, with recent ear trauma, resulted in rupture of their tympanic membrane. The diagnosis was made by history of the ear trauma and otoscopy. The frequency of spontaneous healing was assessed by regular follow up, by the author. Results: The most common type of the ear trauma was blast injury in 43.5%; and the most affected age group was 20-29 years 40.3%. In all types of ear trauma, male were mainly affected, except in slap injury. The smallest size perforation was 51.5%, and it is found in 93.8% of slap trauma. The most common site was posterior perforation 50%, and it is found in all types of ear trauma. The incidence of the spontaneous healing was 81.81%, and the highest frequency of healing was found in slap injury 100% as well as in small size tympanic membrane perforation was 94.1%. Conclusions: The frequency of the spontaneous healing of traumatic tympanic membrane perforation is high, and the factors that affect its healing include the types of the ear trauma, the size of perforation, and the ear infection. The maximum incidence of spontaneous healing is found in slap trauma, in small sized perforation, and in the absence of ear infection.