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Acute traumatic tympanic membrane perforations. Cover or observe?

P Lindeman1, S Edström, G Granström

  • 1Department of Otorhinolaryngology, Mölndal Central Hospital, Sweden.

Archives of Otolaryngology--Head & Neck Surgery
|December 1, 1987
PubMed
Summary

Paper patching does not significantly improve healing rates for acute traumatic tympanic membrane perforations. Most perforations heal effectively with antibiotics alone, suggesting routine patching is unnecessary for these ear injuries.

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Area of Science:

  • Otolaryngology
  • Trauma Surgery
  • Regenerative Medicine

Background:

  • Acute traumatic tympanic membrane perforations are common injuries.
  • The efficacy of paper patching as an adjunct treatment remains debated.
  • Standard care often involves antibiotics and observation.

Purpose of the Study:

  • To evaluate the influence of paper prostheses on the healing of acute traumatic tympanic membrane perforations.
  • To compare healing rates between patients treated with and without paper patching.
  • To determine if paper patching offers a significant benefit over conservative management.

Main Methods:

  • A randomized controlled trial was conducted with 60 patients.
  • Patients were assigned to either a treatment group (paper prosthesis) or a control group.

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  • All patients received a 10-day course of oral antibiotics.

    • Main Results:

    • The overall healing rate at two months was 94% (37 of 39 patients).
    • No statistically significant difference in healing rates was observed between the paper patching group and the control group.
    • Intermittent secretion occurred in six patients but did not affect the healing outcome.

    Conclusions:

    • Paper patching is not routinely necessary for acute traumatic tympanic membrane perforations.
    • Conservative management, including antibiotics, appears sufficient for most cases.
    • Further research may explore factors influencing healing in specific patient subgroups.