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Traumatic tympanic membrane perforations: characteristics and factors affecting outcome
Olusola A Sogebi1, Emmanuel A Oyewole1, Taofeeq O Mabifah1
1Department of Ear Nose and Throat, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
Ghana Medical Journal
|July 18, 2018
Summary
Traumatic tympanic membrane perforation (TTMP) is common in young males, often caused by assault. Most perforations heal well, but large size, penetrating injuries, and postero-superior location negatively impact healing.
Area of Science:
- Otolaryngology
- Trauma Surgery
- Public Health
Background:
- Traumatic tympanic membrane perforation (TTMP) is a significant clinical issue.
- Understanding its epidemiology and treatment outcomes is crucial for patient management.
Purpose of the Study:
- To characterize traumatic tympanic membrane perforation (TTMP) regarding distribution, causes, and treatment outcomes.
- To identify factors influencing the healing of traumatic tympanic membrane perforations.
Main Methods:
- Prospective analytical study conducted in a tertiary referral hospital.
- Inclusion criteria: patients with TTMP confirmed by otoscopy.
- Conservative, inactive treatment was administered.
Main Results:
- 53 patients (Male:Female ratio 1.5:1, age 8-71) were studied.
- Common causes included domestic assault (28.3%) and accidental injuries (20.8%).
- Poor healing occurred in 18.7%; large size, penetrating injuries, and postero-superior location were associated with negative outcomes.
Conclusions:
- TTMP predominantly affects young adult males, with assaults being a common cause.
- Most traumatic tympanic membrane perforations heal well, typically presenting with hearing loss and tinnitus.
- Postero-superior location, large size, and penetrating injuries are key factors associated with poor healing.
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