OBSERVATIONAL STUDY OF TRAUMATIC TYMPANIC MEMBRANE PERFORATIONS IN RELATION TO AETIOLOGY AND MANAGEMENT

Abstract

B. R. Singh1, V. B. Sahu2, Ankit Thakral3, Lekhraj Sankar4, A. Pandey5, S. Parveen6

OBJECTIVES
The aim of the study was to evaluate the various aetiological factors incidence and type of hearing loss, clinical presentation, treatment, prognosis and outcome.
METHODS
This prospective study performed in the Dept. of Ear, Nose and Throat at Chhattisgarh Institute of Medical Sciences, Bilaspur, from Jan 2014 to June 2015, during this period 60 patients of traumatic tympanic membrane perforation were diagnosed.
RESULTS
In our study, commonest cause of traumatic perforation was slap (63.3%) followed by Road Traffic Accident (21.6%), Crackers Blasting (3.3%), perforation by solid object (1.6%), sport injuries (1.6%). Most common clinical presentations were pain in ear, tinnitus and decrease in hearing. The prognosis of traumatic perforation was excellent but healing time was uncertain.
CONCLUSION
Overall, healing in all the patients with traumatic perforations with (Either conservatively or with myringoplasty) groups were 100%. It is very common in day-to-day life and the highest incidence is by slap and that too in males of age group between 20-30 years of age and mild conductive loss was seen in majority of the patients and the perforation was mainly seen in posteroinferior quadrant.

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