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Related Experiment Video

Updated: Dec 31, 2025

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
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Silicon foil patching for blast tympanic membrane perforation: a retrospective study.

Srećko Branica1, Krsto Dawidowsky, Lana Kovač-Bilić

  • 1Srećko Branica, Department of Otolaryngology, and Head and Neck Surgery, University Hospital Center Zagreb, Kišpatićeva 12, KBC Zagreb, sbranica@mef.hr.

Croatian Medical Journal
|January 3, 2020
PubMed
Summary

Silicon foil patching significantly enhances tympanic membrane healing after blast injuries. Optimal results are achieved when the procedure is performed within 72 hours of the ear drum trauma.

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Area of Science:

  • Otolaryngology
  • Trauma Surgery
  • Regenerative Medicine

Background:

  • War blast injuries frequently cause tympanic membrane perforations.
  • Spontaneous healing rates for these perforations can be variable.
  • Effective interventions are needed to improve tympanic membrane repair.

Purpose of the Study:

  • To evaluate the efficacy of silicon foil patching for tympanic membrane perforations resulting from blast injuries.
  • To determine the optimal timing for silicon foil patching to maximize healing rates.

Main Methods:

  • Retrospective analysis of 315 blast tympanic membrane perforations in 210 patients.
  • Comparison between spontaneous healing and silicon foil patching.
  • Subgroup analysis based on the timing of silicon foil application (within 3 days vs. 4-6 days post-injury).

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Main Results:

  • Silicon foil patching resulted in a significantly higher healing rate (91.8%) compared to spontaneous healing (79.9%).
  • Perforations treated within 3 days of injury showed a higher healing rate (97.4%) than those treated 4-6 days post-injury (82.6%).

Conclusions:

  • Silicon foil patching is an effective method to improve tympanic membrane healing after blast trauma.
  • Early intervention, within 72 hours of injury, yields the best outcomes for silicon foil patching.