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Area of Science:

  • Otolaryngology
  • Medical Research
  • Clinical Study

Background:

  • Traumatic tympanic membrane perforations can occur due to various injuries.
  • Management options include spontaneous healing, paper-patching, and medical treatment.
  • Understanding the efficacy of different treatments is crucial for patient outcomes.

Purpose of the Study:

  • To analyze the effects of oral antibiotic treatment on traumatic tympanic membrane perforations.
  • To compare outcomes between paper-patching and spontaneous healing.
  • To evaluate the effectiveness of oral antibiotics in promoting perforation closure.

Main Methods:

  • Retrospective review of 80 patients with traumatic tympanic membrane perforations.
  • Patients were divided into paper-patching (group 1) and spontaneous closure (group 2) groups.
  • Oral antibiotic (amoxicillin/clavulanic acid) use was analyzed in conjunction with treatment groups.

Main Results:

  • Perforation closure rates were 95.2% for paper-patching and 81.6% for spontaneous healing (not statistically significant).
  • Patients receiving oral antibiotics showed a significantly higher closure rate (94.5%) compared to those not receiving antibiotics (76%) (P=0.023).
  • Oral antibiotic treatment demonstrated a significant positive impact on healing rates.

Conclusions:

  • Spontaneous closure rates for traumatic tympanic membrane perforations are generally high.
  • Both oral antibiotic therapy and paper-patching can increase tympanic membrane healing rates.
  • Antibiotic treatment appears to be a significant factor in improving healing outcomes.